EASTER SEALS SOUTHERN CALIFORNIA (NPI# 1346698404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346698404 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS SOUTHERN CALIFORNIA |
| Practice Address |
6076 Bristol Pkwy Suite 105 Culver City CA 90230-6600 |
| Practice Telephone | 3106427700 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Authorized Official Name | MAIA CUBOS (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 3106427700 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 14598 | CA | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437456316 | Easter Seals Southern California | Behavioral Analyst | 1801 E. Edinger Ave., Ste 190, Santa Ana, CA 92705 | 2011-02-11 |
| 1902260367 | Easter Seals Southern California | Preferred Provider Organization | 6076 Bristol Pkwy, Suite 105, Culver City, CA 90230-6600 | 2016-04-11 |
| Street Address |
6076 BRISTOL PKWY SUITE 105 |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90230-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649429572 | Accord Home Health Services Inc | Home Health | 6076 Bristol Pkwy, Suite 202, Culver City, CA 90230-6600 | 2008-09-16 |
| 1154887735 | Jihan A Everett | Speech-Language Pathologist | 6076 Bristol Pkwy, Culver City, CA 90230-6600 | 2019-02-19 |
| 1164908133 | Chelsea M Carter | Behavioral Analyst | 6076 Bristol Pkwy, Culver City, CA 90230-6600 | 2018-07-12 |
| 1225553092 | Kanyinsola Adenike Banigo | Behavioral Analyst | 6076 Bristol Pkwy, Culver City, CA 90230-6600 | 2017-08-13 |
| 1679010417 | Pivac Asc LLC | Clinic/Center | 6076 Bristol Pkwy, Suite 108, Culver City, CA 90230-6600 | 2017-01-31 |
| 1356888655 | Clarissa Calzada | Speech-Language Pathologist | 6076 Bristol Pkwy, Suite 105, Culver City, CA 90230-6600 | 2017-01-24 |
| 1295278232 | Shakisha Bradley Walker | Behavioral Analyst | 6076 Bristol Pkwy, Suite 105, Culver City, CA 90230-6600 | 2016-11-23 |
| 1902260367 | Easter Seals Southern California | Preferred Provider Organization | 6076 Bristol Pkwy, Suite 105, Culver City, CA 90230-6600 | 2016-04-11 |
| 1427466952 | Maria Lucas | Occupational Therapist | 6076 Bristol Pkwy, Suite 105, Culver City, CA 90230-6600 | 2014-07-28 |
| 1649692260 | Carol Suzuki | Occupational Therapist | 6076 Bristol Pkwy, Suite 105, Culver City, CA 90230-6600 | 2014-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822064 | Smilemax Dental Center | Dentist | 10814 Jefferson Blvd. #g, Culver City, CA 90230 | 2019-03-27 |
| 1023532595 | Mary Alice Haye | Marriage & Family Therapist | 550 S. Vermont Ave., 7th Floor, 700, Los Angeles, CA 90230 | 2017-07-27 |
| 1902342074 | Dorene Lehavi | Social Worker | 5106 S Slauson Ave, Suite 192, Los Angeles, CA 90230 | 2017-01-13 |
| 1548634553 | Kimberly Henck | Speech-Language Pathologist | 607 Bristol Pkwy, Ste 105, Culver City, CA 90230 | 2015-11-15 |
| 1346628898 | Stephan Sepernia | Marriage & Family Therapist | 5601 W. Slavson Ave. #192, Culver City, CA 90230 | 2015-05-15 |
| 1558749291 | Sean Steven Mcknee | Chiropractor | 5839 Green Valley Cir Ste 102, Culver City, CA 90230 | 2015-05-14 |
| 1821484841 | Jasmine Lee | Family Medicine | 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 | 2015-04-07 |
| 1043609191 | Carrie Mays | Counselor | 4760 Sepulvda Blvd., Culver City, CA 90230 | 2015-01-13 |
| 1457759375 | Monquenta Felicia Young | Case Manager/Care Coordinator | 666 Green Valley Circle, Culver City, CA 90230 | 2014-12-09 |
| 1972902724 | Shana Chan Pope | Marriage & Family Therapist | 11949 Jefferson Blvd #106, Culver City, CA 90230 | 2014-08-18 |
| Find all providers in zip 90230 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902260367 | Easter Seals Southern California | Preferred Provider Organization | 6076 Bristol Pkwy, Suite 105, Culver City, CA 90230-6600 | 2016-04-11 |
| 1568710333 | A Sabbagh-fard Dds & P. Mastour Dds Inc | Preferred Provider Organization | 5620 Sawtelle Blvd, Culver City, CA 90230-5508 | 2012-08-27 |
| 1972796571 | Walden Yu, Dds, Apc | Preferred Provider Organization | 11491 Jefferson Blvd, Culver City, CA 90230-6115 | 2007-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961142 | Hoag Physcian Partners | Preferred Provider Organization | 16148 Sand Canyon Ave Fl 2, Irvine, CA 92618-3700 | 2020-01-08 |
| 1356806525 | Premierone Plus Aco | Preferred Provider Organization | 1210 N Jefferson St Ste D, Anaheim, CA 92807-1630 | 2019-02-01 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1184100471 | Care Allies Ipa, Inc | Preferred Provider Organization | 1211 W La Palma Ave Ste 309, Anaheim, CA 92801-2811 | 2018-07-19 |
| 1245723071 | Pacific Associates Medical Group, Inc. | Preferred Provider Organization | 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 | 2018-06-06 |
| 1821585266 | Anthony Nguyen Dds Inc | Preferred Provider Organization | 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 | 2018-04-20 |
| 1275038051 | Ryan Lange D.m.d. Inc. | Preferred Provider Organization | 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 | 2018-03-26 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
| City | CULVER CITY |
| Zip Code | 90230 |
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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.