BYRON SMITH SR. SR. (NPI# 1326407958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326407958 |
Entity Type | Individual |
Full Name | BYRON SMITH SR. SR. |
Practice Address |
1770 E 118th St Los Angeles CA 90059-2518 |
Practice Telephone | 3237932375 |
Mailing Telephone | 3237932375 |
Enumeration Date | 2016-02-10 |
Last Update Date | 2019-04-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
PCCI2672 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 7721 | 05 | |
CA | 1326407958 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
5300 Angeles Vista Blvd, View Park, CA 900431648 | 3232954555 |
Street Address |
1770 E 118TH ST |
City | LOS ANGELES |
State | CA |
Zip Code | 90059-2518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881895720 | Jeanna-marie Pollard | Marriage & Family Therapist | 1770 E 118th St, Mental Health Division, Los Angeles, CA 90059-2518 | 2007-05-29 |
1306397443 | Jasmine Smith | Case Manager/Care Coordinator | 1770 E 118th St, Los Angeles, CA 90059-2518 | 2016-10-24 |
1720448327 | Tamara Hardin | Case Manager/Care Coordinator | 1770 E 118th St, Los Angeles, CA 90059-2518 | 2016-02-25 |
1578922779 | Ambrije Swafford | Social Worker | 1770 E 118th St, Los Angeles, CA 90059-2518 | 2016-02-16 |
1114392099 | Daisy Morales | Case Manager/Care Coordinator | 1770 E 118th St, Los Angeles, CA 90059-2518 | 2015-12-03 |
1740534858 | Jennifer Sarah Zidow | Community/Behavioral Health | 1770 E 118th St, Los Angeles, CA 90059-2518 | 2012-10-29 |
1447522313 | Eric Barbosa | Marriage & Family Therapist | 1770 E 118th St, Los Angeles, CA 90059-2518 | 2012-02-07 |
1467731489 | Dustin Leigh Seltzer | Marriage & Family Therapist | 1770 E 118th St, Los Angeles, CA 90059-2518 | 2011-08-08 |
1780879890 | Drew Child Cevelopment Corporation | Community/Behavioral Health | 1770 E 118th St, Los Angeles, CA 90059-2518 | 2007-09-11 |
1639364748 | Shirley Anne Yarber | Social Worker | 1770 E 118th St, Los Angeles, CA 90059-2518 | 2007-09-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
Find all providers in zip 90059 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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1912506361 | Kathryn A Miller | Counselor | 1965 1/2 N Bronson Ave, Los Angeles, CA 90068-5601 | 2020-10-17 |
1669088464 | Bethel Los Angeles Community Development Corporation | Counselor | 7900 S Western Ave, Los Angeles, CA 90047-2715 | 2020-09-17 |
1346855244 | Sorenson Psychological and Assessment Services | Counselor | 12301 Wilshire Blvd Ste 413, Los Angeles, CA 90025-1051 | 2020-09-09 |
1841800190 | Daniela Sanchez | Counselor | 5081 Borland Rd, Los Angeles, CA 90032-3950 | 2020-08-02 |
1649888512 | David John Laing | Counselor | 3100 Riverside Dr Apt 220, Los Angeles, CA 90027-1481 | 2020-07-16 |
1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
1083231435 | Leslie Gluck | Counselor | 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 | 2020-07-01 |
1104441112 | Barbara R Ponse | Counselor | 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 | 2020-06-15 |
1033734264 | Shelley Baird Smith | Counselor | 265 S St Andrews Pl, Los Angeles, CA 90004-5029 | 2020-06-12 |
1801411566 | Tyler Grant Daly | Counselor | 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 | 2020-06-09 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90059 |
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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.