AMERICAN HEALTH SERVICES LLC (NPI# 1366512550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366512550 |
| Entity Type | Organization |
| Organization Name | AMERICAN HEALTH SERVICES LLC |
| Other Organization Name | VENICE |
| Practice Address |
717 Lincoln Blvd Venice CA 90291-2845 |
| Mailing Address |
Po Box 801809 Valencia CA 91380-1809 |
| Practice Telephone | 3103999883 |
| Practice Fax Number | 3103999678 |
| Mailing Telephone | 6612546630 |
| Mailing Fax Number | 6612546644 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | SEANJAY R SHARMA (C E O) |
| Authorized Official Telephone | 6612546630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
19 142 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 19-142 | 05 | |
| CA | 6737 | 05 | |
| CA | HDC70055F | 05 |
| Other Name | Type Code |
|---|---|
| VENICE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023404357 | American Health Services LLC | Substance Abuse Rehabilitation Facility | 65675 Sullivan Rd., Joshua Tree, CA 92252 | 2015-04-14 |
| 1205222536 | American Health Services LLC | Substance Abuse Rehabilitation Facility | 234/236, 300, 304 and 308e Fredricks Street, Barstow, CA 92311 | 2015-04-14 |
| 1861562068 | American Health Services LLC | Clinic/Center | 21505 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2006-11-08 |
| 1528138872 | American Health Services LLC | Clinic/Center | 1010 1/2 S Union Ave, Bakersfield, CA 93307-3642 | 2006-11-08 |
| 1891865069 | American Health Services LLC | Clinic/Center | 6265 Sepulveda Blvd Ste 9, Van Nuys, CA 91411-1126 | 2006-11-08 |
| 1588065205 | American Health Services LLC | Clinic/Center | 26460 Summit Cir, Santa Clarita, CA 91350-2991 | 2014-09-12 |
| 1073944591 | American Health Services LLC | Clinic/Center | 609 E 18th St, Bakersfield, CA 93305-5616 | 2013-12-09 |
| 1861562019 | American Health Services LLC | Clinic/Center | 2720 E Palmdale Blvd, Suites 129 130 131, Palmdale, CA 93550-4930 | 2006-11-08 |
| 1881764033 | American Health Services LLC | Clinic/Center | 5015 W Pico Blvd, Los Angeles, CA 90019-4127 | 2006-11-08 |
| Street Address |
717 LINCOLN BLVD |
| City | VENICE |
| State | CA |
| Zip Code | 90291-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114096872 | El Dorado Community Service Center | Clinic/Center | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2006-11-07 |
| 1194323659 | Antonio De Jesus Sanchez | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2020-10-15 |
| 1093360331 | Sandra Diane Kellar | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2019-08-05 |
| 1215405816 | John Edward Rudegeair | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2018-11-13 |
| 1922511401 | Christiana Dorian Grotlisch | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2017-11-07 |
| 1184144826 | Estefania Bernabe | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2017-06-23 |
| 1730636598 | Daniel Bolander | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2016-09-08 |
| 1184179525 | American Health Services | Exclusive Provider Organization | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2016-08-15 |
| 1588016489 | Cesia Delacruz | Licensed Vocational Nurse | 717 Lincoln Blvd, Venice, CA 90291 | 2016-07-05 |
| 1851774913 | Wade Taylor | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2015-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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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.