TOTAL FAMILY SUPPORT CLINIC (NPI# 1295085934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295085934 |
| Entity Type | Organization |
| Organization Name | TOTAL FAMILY SUPPORT CLINIC |
| Practice Address |
740 N Pacific Ave C1 & C2 San Pedro CA 90731-1630 |
| Mailing Address |
830 S Olive St Los Angeles CA 90014-3006 |
| Practice Telephone | 2132130581 |
| Practice Fax Number | 2132130580 |
| Mailing Telephone | 2132130581 |
| Mailing Fax Number | 2132130580 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |
| Authorized Official Name | MARINA VERKHOVSKY (DIRECTOR OF HR) |
| Authorized Official Telephone | 2132130581 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 197134 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699110981 | Total Family Support Clinic | Case Management | 1001 Arroyo St, San Fernando, CA 91340-1817 | 2013-05-01 |
| 1346590072 | Total Family Support Clinic | Case Management | 2019 Pico Blvd, Santa Monica, CA 90405-1731 | 2012-09-10 |
| 1184983231 | Total Family Support Clinic | Case Management | 1921 Maple Ave, Los Angeles, CA 90011-1036 | 2012-05-10 |
| 1639438799 | Total Family Support Clinic | Case Management | 2450a Glendale Blvd, Los Angeles, CA 90039-3240 | 2012-05-10 |
| 1548529605 | Total Family Support Clinic | Case Management | 1924 S Los Angeles St, Los Angeles, CA 90011-1031 | 2012-05-10 |
| 1851650972 | Total Family Support Clinic | Case Management | 3701 E Willow St, Long Beach, CA 90815-1732 | 2012-05-09 |
| 1871852996 | Total Family Support Clinic | Case Management | 11133 Omelveny Ave, Room #506, San Fernando, CA 91340-4426 | 2012-05-09 |
| 1255699708 | Total Family Support Clinic | Case Management | 1646 S Olive St, Los Angeles, CA 90015-3507 | 2012-05-02 |
| 1750649208 | Total Family Support Clinic | Case Management | 7850 Melrose Ave, Los Angeles, CA 90046-7210 | 2012-05-02 |
| 1528348943 | Total Family Support Clinic | Case Management | 822 E 20th St, Los Angeles, CA 90011-1104 | 2011-08-17 |
| Street Address |
740 N PACIFIC AVE C1 & C2 |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801030929 | Joint Efforts, Inc. | Case Management | 505 S Pacific Ave Ste 205, San Pedro, CA 90731-2658 | 2009-04-21 |
| 1922451780 | Behavioral Health Services | Case Management | 590 W 8th St, San Pedro, CA 90731-3120 | 2016-07-18 |
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| 1679191977 | Modiv Health LLC. | Case Management | 1195 Linda Vista Dr Ste H, San Marcos, CA 92078-3824 | 2020-07-13 |
| 1104442805 | Tanya &steve Professional Services Inc | Case Management | 11123 Lemay St, North Hollywood, CA 91606-2008 | 2020-06-18 |
| 1740805100 | Dhruv Manchala | Case Management | 13970 Albar Ct, Saratoga, CA 95070-9718 | 2020-06-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.