MR. LUIS RABAGO (NPI# 1316182975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316182975 |
| Entity Type | Individual |
| Full Name | MR. LUIS RABAGO |
| Practice Address |
11900 Avalon Blvd Suite 200 Los Angeles CA 90061 |
| Mailing Address |
2080 Century Park E Suite 1210 Century City CA 90067-2001 |
| Practice Telephone | 3232420500 |
| Practice Fax Number | 3232420600 |
| Mailing Telephone | 3105539500 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2015-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
8167 | CA | Behavioral Health & Social Service Providers |
| Street Address |
11900 AVALON BLVD SUITE 200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795613 | Jack Azad,m.d.,inc. | General Practice | 11900 Avalon Blvd, #100, Los Angeles, CA 90061-2837 | 2005-07-22 |
| 1699373191 | Roisin Louise Taylor | Marriage & Family Therapist | 11900 Avalon Blvd, Los Angeles, CA 90061-2866 | 2020-10-15 |
| 1659986032 | Jacqueline Deppisch | Counselor | 11900 Avalon Blvd, Los Angeles, CA 90061-2866 | 2020-09-11 |
| 1871108258 | Jerrold Smith | Counselor | 11900 Avalon Blvd, Los Angeles, CA 90061-2866 | 2020-09-11 |
| 1649804972 | Vanessa Martinez Hall | Nurse Practitioner | 11900 Avalon Blvd, Los Angeles, CA 90061-2866 | 2020-02-25 |
| 1134697576 | Larry U Nwafor Sr. | Registered Nurse | 11900 Avalon Blvd, Los Angeles, CA 90061-2866 | 2018-11-03 |
| 1427582832 | Ijeoma Ogbonnia | Nurse Practitioner | 11900 Avalon Blvd, # 100, Los Angeles, CA 90061-2866 | 2017-04-13 |
| 1992257521 | Sherrill Bagley | Counselor | 11900 Avalon Blvd, 200, Los Angeles, CA 90061-2866 | 2016-10-31 |
| 1841462264 | Mark Cole | Counselor | 11900 Avalon Blvd, Suite 200, Los Angeles, CA 90061-2866 | 2008-03-25 |
| 1841489440 | Jack Azad | General Practice | 11900 Avalon Blvd, #100, Los Angeles, CA 90061-2867 | 2007-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882782 | Golden State Recuperative Care, Inc. | Lodging | 153 E. 110th St, Los Angeles, CA 90061 | 2020-02-05 |
| 1235695974 | Phyllis Kirby Tisdale | Nurse Practitioner | 145 E 124th Street, Los Angeles, CA 90061 | 2019-02-19 |
| 1003160003 | Alicia Vera | Counselor | 245 E 120th Street, Los Angeles, CA 90061 | 2012-10-30 |
| 1194044974 | Helping Kids To Recover, Inc. | Substance Abuse Rehabilitation Facility | 12628 Avalon Boulevard, Los Angeles, CA 90061 | 2010-05-19 |
| 1124202817 | David Anthony Martinez | Counselor | 11900 S. Avalon Blvd, 1, Los Angeles, CA 90061 | 2007-12-18 |
| 1255538690 | Ceed Security Services Inc | Durable Medical Equipment & Medical Supplies | 12815 South Avalon Blvd, Los Angeles, CA 90061 | 2007-06-29 |
| 1134335128 | Parklane Medical Group | Family Medicine | 12900 South Avalon Bl., Los Angeles, CA 90061 | 2007-05-15 |
| 1598892184 | Jose Rodriguez | Counselor | 11900 S. Avalon Blvd., Suite 200, Los Angeles, CA 90061 | 2007-02-28 |
| 1619169406 | Emmanuel A Ayodele | General Practice | 11126 S Main St, Los Angeles, CA 90061 | 2007-08-15 |
| 1003033556 | Khashayar Khodadadi Dds Inc | Dentist | 11900 S. Avalon Blvd., Suite 101, Los Angeles, CA 90061 | 2007-04-19 |
| Find all providers in zip 90061 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| 1578179941 | Leo Vasquezawarez | Counselor | 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 | 2020-09-21 |
| 1801401963 | Manuel Gambino | Counselor | 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 | 2020-09-14 |
| 1871107219 | Frances Field | Counselor | 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 | 2020-09-02 |
| 1730707985 | Lucia Miguel | Counselor | 1428 W 59th St, Los Angeles, CA 90047-1209 | 2020-07-13 |
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1376168070 | Mercedes Elkoff | Counselor | 1745 Warnall Ave, Los Angeles, CA 90024-5358 | 2020-06-09 |
| 1508481201 | Jeanine Ingram | Counselor | 3815 Lockland Dr, Los Angeles, CA 90008-3533 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90061 |
Please comment or provide details below to improve the information on MR. LUIS RABAGO.
| 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.