MISS MARAL DERKHORENIAN (NPI# 1336693019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336693019 |
Entity Type | Individual |
Full Name | MISS MARAL DERKHORENIAN |
Practice Address |
160 S 7th Ave La Puente CA 91746-3211 |
Mailing Address |
1534 Morada Pl Altadena CA 91001-3232 |
Practice Telephone | 6269740770 |
Mailing Telephone | 8184428489 |
Enumeration Date | 2016-08-10 |
Last Update Date | 2016-09-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 638416 | CA | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95004328 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
160 S 7TH AVE |
City | LA PUENTE |
State | CA |
Zip Code | 91746-3211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245384296 | Enki Health Services, Inc. | Community/Behavioral Health | 160 S 7th Ave, La Puente, CA 91746-3211 | 2007-01-23 |
1447851886 | Carolyn Molina | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746-3211 | 2020-11-03 |
1720690589 | Brianna Janice Quintana | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746-3211 | 2020-08-21 |
1639787310 | Ying-an Chi | Student in an Organized Health Care Education/Training Program | 160 S 7th Ave, La Puente, CA 91746-3211 | 2020-07-17 |
1669098786 | Kassaundra Mae Perez | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746-3211 | 2020-06-24 |
1326671181 | Diana Mendoza Reynoso | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746-3211 | 2020-02-19 |
1902442668 | Carolann Hirayama | Rehabilitation Practitioner | 160 S 7th Ave, La Puente, CA 91744-3699 | 2019-11-18 |
1326698754 | Elisa Estrada | Counselor | 160 S 7th Ave, La Puente, CA 91746-3211 | 2019-09-17 |
1700446291 | Esdras R Alvizures | Psychologist | 160 S 7th Ave, La Puente, CA 91746-3211 | 2019-06-17 |
1912565417 | Michael Steven Valenzuela I | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746-3211 | 2019-05-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891291688 | Kelsey Harrold | Marriage & Family Therapist | 13200 Crossroads Pkwy, #335, City of Industry, CA 91746 | 2018-04-02 |
1013428804 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 13139 Don Julian Rd., La Puente, CA 91746 | 2017-10-19 |
1982733689 | Fenghua Fu D.d.s., A Professional Corporation | Dentist | 13704 Amar Rd, La Puente, CA 91746 | 2007-03-06 |
1306989942 | Kira Kristine Au | Specialist/Technologist | 14301 Fairgrove Ave, La Puente, CA 91746 | 2007-02-14 |
1609978055 | Los Angeles Dental Office | Dentist | 13704 E Anar Rd, La Puente, CA 91746 | 2006-09-05 |
1639140346 | Professional Nurses Group, Inc. | Homemaker | 13181 Crossroads Pkwy N Ste 322, City of Industry, CA 91746 | 2006-01-30 |
1083801682 | Terry Ann Taylor | Social Worker | 1101 Baldwin Park Blvd, Baldwin Park, CA 91746 | 2007-09-27 |
1962924837 | Miriam Yvette Barrientos | Social Worker | 13846 Nolandale St, La Puente, CA 91746-1039 | 2017-07-12 |
1275070666 | Edgar Mendez | Behavior Technician | 1527 Van Wig Ave, La Puente, CA 91746-1051 | 2017-01-24 |
1336338920 | Ryan M Magno | Counselor | 1510 Edanruth Ave, La Puente, CA 91746-1136 | 2007-10-18 |
Find all providers in zip 91746 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073949863 | Brenda Ann Tabone | Nurse Practitioner | 160 S. Seventh Avenue, La Puente, CA 91744 | 2013-09-25 |
1760999114 | Irine Niuke Achuamang | Nurse Practitioner | 160 S 7th Ave, La Puente, CA 91746-3211 | 2018-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
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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.