VA GREATER LA HEALTHCARE SYSTEM (NPI# 1386002509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386002509 |
| Entity Type | Organization |
| Organization Name | VA GREATER LA HEALTHCARE SYSTEM |
| Practice Address |
8736 Mccallum St Downey CA 90242-2611 |
| Mailing Address |
11301 Wilshire Blvd Los Angeles CA 90073-1003 |
| Practice Telephone | 9168622354 |
| Mailing Telephone | 3104783711 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | MRS. JESSICA ANNE LOWE (SOCIAL WORKER) |
| Authorized Official Telephone | 9168622354 |
| Authorized Official Credential | ACSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | ASW34895 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154431096 | Va Greater La Healthcare System | Medicare Defined Swing Bed Unit | 1825 N Kingsley Dr, Los Angeles, CA 90027-3762 | 2006-08-30 |
| Street Address |
8736 MCCALLUM ST |
| City | DOWNEY |
| State | CA |
| Zip Code | 90242-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117182 | Andy Vo Osborne | Respiratory Therapist, Registered | 9333 E Imperial High Way, Downey, CA 90242 | 2020-09-04 |
| 1639783459 | Enrique Robles Soto | Behavior Technician | 12432 Bellflower Blvd., Downey, CA 90242 | 2020-08-31 |
| 1043842461 | Paul Yokoyama | Pharmacist | 9542 Dalen Street, Downey, CA 90242 | 2020-02-05 |
| 1639727837 | Demontay Deon High | Behavior Technician | 12342 Bellflower Blvd, Downey, CA 90242 | 2019-08-30 |
| 1467922328 | Nurisha Ficklin | Behavior Technician | 12342 Bellflower Blvd., Downey, CA 90242 | 2018-12-04 |
| 1235622358 | Marlene Castaneda | Occupational Therapist | 12555 Lakewood Blvd Ste D, Downey, CA 90242 | 2018-06-13 |
| 1942727383 | Arhtur Lozano | Non-emergency Medical Transport (VAN) | 13109 Woodruff Ave, Downey, CA 90242 | 2017-08-26 |
| 1336665983 | Laura E Del Val | Nurse Practitioner | 12207 Rives Ave, Downey, CA 90242 | 2017-08-16 |
| 1982127288 | Tiffany Chiyeko Yonemoto | Recreation Therapist | 7601 E. Imperial Hwy., Downey, CA 90242 | 2017-07-19 |
| 1265955504 | Julie Helgren | Recreation Therapist | 7601 E. Imperial Highway, Jpi Building Rm 1124, Downey, CA 90242 | 2017-07-19 |
| Find all providers in zip 90242 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992367304 | Rayon Tyler | Community/Behavioral Health | 9122 Hall Rd, Downey, CA 90241-5307 | 2019-07-05 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1730687401 | Community Family Guidance Center | Community/Behavioral Health | 11040 Brookshire Ave, Downey, CA 90241-3816 | 2018-01-29 |
| 1164681532 | Pathways Community Services LLC | Community/Behavioral Health | 7285 East Quill Dr, Downey, CA 90242-2001 | 2008-06-02 |
| 1871617308 | Pacific Clinics | Community/Behavioral Health | 7285 East Quill Drive, Downey, CA 90242-2001 | 2007-03-19 |
| 1477688141 | Community Family Guidance Center | Community/Behavioral Health | 8320 Iowa Street, Suite 201, Downey, CA 90241-4928 | 2007-02-22 |
| 1902060296 | Counseling & Research Associates, Inc. | Community/Behavioral Health | 7285 East Quill Drive, Downey, CA 90242-2001 | 2008-07-15 |
| 1639364862 | Pathways Community Services LLC | Community/Behavioral Health | 9901 Paramount Blvd, Suite 250, Downey, CA 90240-3880 | 2007-09-11 |
| 1730393463 | Community Family Guidance Center | Community/Behavioral Health | 8320 Iowa St, Suite 201, Downey, CA 90241 | 2007-05-10 |
| 1659597490 | A To Z Family Services Inc. | Community/Behavioral Health | 36 Main Street, Downey, ID 83234 | 2007-04-18 |
| Find all providers in DOWNEY | ||||
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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.