TOTAL FAMILY SUPPORT CLINIC (NPI# 1376776385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376776385 |
| Entity Type | Organization |
| Organization Name | TOTAL FAMILY SUPPORT CLINIC |
| Practice Address |
1618 W 184th St Gardena CA 90248-3803 |
| Mailing Address |
830 S Olive St Los Angeles CA 90014-3006 |
| Practice Telephone | 2132130581 |
| Practice Fax Number | 2132130580 |
| Mailing Telephone | 2132130581 |
| Mailing Fax Number | 2132130580 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2011-06-24 |
| Authorized Official Name | MRS. MARINA VERKHOVSKY (DIRECTOR OF HR) |
| Authorized Official Telephone | 2132130581 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 196834 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699110981 | Total Family Support Clinic | Case Management | 1001 Arroyo St, San Fernando, CA 91340-1817 | 2013-05-01 |
| 1346590072 | Total Family Support Clinic | Case Management | 2019 Pico Blvd, Santa Monica, CA 90405-1731 | 2012-09-10 |
| 1295085934 | Total Family Support Clinic | Case Management | 740 N Pacific Ave, C1 & C2, San Pedro, CA 90731-1630 | 2012-09-10 |
| 1184983231 | Total Family Support Clinic | Case Management | 1921 Maple Ave, Los Angeles, CA 90011-1036 | 2012-05-10 |
| 1639438799 | Total Family Support Clinic | Case Management | 2450a Glendale Blvd, Los Angeles, CA 90039-3240 | 2012-05-10 |
| 1548529605 | Total Family Support Clinic | Case Management | 1924 S Los Angeles St, Los Angeles, CA 90011-1031 | 2012-05-10 |
| 1851650972 | Total Family Support Clinic | Case Management | 3701 E Willow St, Long Beach, CA 90815-1732 | 2012-05-09 |
| 1871852996 | Total Family Support Clinic | Case Management | 11133 Omelveny Ave, Room #506, San Fernando, CA 91340-4426 | 2012-05-09 |
| 1255699708 | Total Family Support Clinic | Case Management | 1646 S Olive St, Los Angeles, CA 90015-3507 | 2012-05-02 |
| 1750649208 | Total Family Support Clinic | Case Management | 7850 Melrose Ave, Los Angeles, CA 90046-7210 | 2012-05-02 |
| Street Address |
1618 W 184TH ST |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568709103 | American Drug Recovery Program Inc. | Community/Behavioral Health | 1618 W 184th St, Gardena, CA 90248-3803 | 2013-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962954024 | Fred Jefferson Moreno | Case Management | 152 W Walnut St, Suite 150, Gardena, CA 90248-3141 | 2016-10-25 |
| 1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
| 1245500297 | Ricardo Pangilinan Josafat | Case Management | 1029 W 168th St Apt B, Gardena, CA 90247-5189 | 2012-01-09 |
| 1073848107 | Tessie Cleveland Community Services Corporation | Case Management | 18220 S Broadway St, Gardena, CA 90248-3501 | 2009-10-07 |
| 1831233907 | Stars Behavorial Group | Case Management | 17705 S Western Ave Spc 95, Gardena, CA 90248-3226 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687627 | Rosa Blue Hospice . Inc | Case Management | 6400 E Washington Blvd # 101, Commerce, CA 90040-1820 | 2020-10-21 |
| 1336747013 | Advanced Healthcare Administration | Case Management | 124 N Tustin Ave, Anaheim, CA 92807-2764 | 2020-10-14 |
| 1760080691 | Primocare, LLC | Case Management | 1 Embarcadero Ctr Ste 400, San Francisco, CA 94111-3619 | 2020-10-13 |
| 1184222044 | Shs Senior Care Los Angeles Inc | Case Management | 8939 S Sepulveda Blvd Ste 350, Los Angeles, CA 90045-3657 | 2020-10-13 |
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1407463961 | Helping Hands Inspire Happy Hearts, LLC | Case Management | 7083 Hollywood Blvd Ste 4069, Los Angeles, CA 90028-8901 | 2020-09-29 |
| 1487272688 | Caring About Lives | Case Management | 4197 4th Ave, Los Angeles, CA 90008-3901 | 2020-07-14 |
| 1679191977 | Modiv Health LLC. | Case Management | 1195 Linda Vista Dr Ste H, San Marcos, CA 92078-3824 | 2020-07-13 |
| 1104442805 | Tanya &steve Professional Services Inc | Case Management | 11123 Lemay St, North Hollywood, CA 91606-2008 | 2020-06-18 |
| 1740805100 | Dhruv Manchala | Case Management | 13970 Albar Ct, Saratoga, CA 95070-9718 | 2020-06-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TOTAL FAMILY SUPPORT CLINIC.
| 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.