EASTER SEALS SOUTHERN CALIFORNIA


Address: 6076 Bristol Pkwy, Suite 105, Culver City, CA 90230-6600
Phone: 3106427700

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization 14598 CA Managed Care Organizations

Other Provider IDs and Locations

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

Office Location

Street Address 6076 BRISTOL PKWY
SUITE 105
City CULVER CITY
State CA
Zip Code 90230-6600

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City CULVER CITY
Zip Code 90230

Improve Information

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Dataset Information

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.

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