RYAN SHIMOKUBO (NPI# 1407383169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407383169 |
| Entity Type | Individual |
| Full Name | RYAN SHIMOKUBO |
| Credential | CADCI |
| Practice Address |
3440 Torrance Blvd Ste 104 Torrance CA 90503-5805 |
| Mailing Address |
4388 Katella Ave Los Alamitos CA 90720-3565 |
| Practice Telephone | 3107871335 |
| Practice Fax Number | 3107871809 |
| Mailing Telephone | 5625960050 |
| Mailing Fax Number | 5625960058 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CI27950819 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 27281 Las Ramblas Ste 140, Mission Viejo, CA 926916387 | 9495400170 | 9495400173 |
| Street Address |
3440 TORRANCE BLVD STE 104 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861828600 | Twin Town Corporation | Clinic/Center | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2013-09-25 |
| 1215537121 | Dmitriy Victor Puchkarev | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2020-10-29 |
| 1790392876 | Ashraf Jamal Abdelkarim | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2020-09-23 |
| 1992310916 | Kailey Nicole Stapel | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2020-09-15 |
| 1710511274 | Natalie Michelle Radovich | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2020-02-24 |
| 1316597388 | Leticia Isabel Ashelford | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2019-09-12 |
| 1942720545 | Caitlin Janell Flohr | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2017-06-23 |
| 1639620370 | Oscar Gudino | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2016-10-18 |
| 1972958833 | Keith Miller | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2016-04-28 |
| 1083080436 | Mayra Patricia Martinez | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2015-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639646854 | Jamie Elizabeth Brown | Counselor | 1124 W Carson St Bldg N33, Torrance, CA 90502-2006 | 2018-10-25 |
| 1902325517 | Diane Elizabeth Rogers | Counselor | 20300 S. Vermont Ave, Suite 275, Torrance, CA 90501 | 2017-09-14 |
| 1194246819 | Rebecca Senter | Counselor | 1124 W. Carson St N33, Torrance, CA 90501 | 2017-07-03 |
| 1447771563 | Sylvia Patricia Becerra-prossor | Counselor | 1124 W Carson St # N33, Torrance, CA 90502-2006 | 2017-06-28 |
| 1295255636 | Darlene M Walker | Counselor | 1124 W Carson St # 33, Torrance, CA 90502-2006 | 2017-06-27 |
| 1346760618 | Gabriela Solorio | Counselor | 1124 W Carson St Bldg N-33, Torrance, CA 90502-2006 | 2017-06-27 |
| 1033646831 | Melissa Hogan | Counselor | 20300 S Vermont Ave, Ste. 245, Torrance, CA 90502-1338 | 2017-05-11 |
| 1184161333 | Shelley Sago | Counselor | 19401 S. Vermont, C100, Torrance, CA 90520 | 2017-01-26 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| 1912441098 | April Almeida | Counselor | 1548 W 207th St, Apt. 1, Torrance, CA 90501-1914 | 2016-12-08 |
| Find all providers in TORRANCE | ||||
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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.