MICHAEL TAYLOR FITZGERALD JR. (NPI# 1417149725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417149725 |
| Entity Type | Individual |
| Full Name | MICHAEL TAYLOR FITZGERALD JR. |
| Practice Address |
921 S Beacon St San Pedro CA 90731-3740 |
| Practice Telephone | 3109843055 |
| Practice Fax Number | 3109843066 |
| Mailing Telephone | 3109843055 |
| Mailing Fax Number | 3109843066 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2014-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497251946 | Michael Fitzgerald | Student in an Organized Health Care Education/Training Program | 2513 John R St, Detroit, MI 48201-3158 | 2018-04-03 |
| 1487982195 | Michael Fitzgerald | Counselor | The Brien Center 1 Fenn St, Administrative Offices, Pittsfield, MA 01201 | 2009-11-19 |
| 1336393578 | Michael William Fitzgerald | Psychiatry & Neurology | 474 W Vermont Ave Suite 100, Escondido, CA 92025 | 2008-11-14 |
| 1295985414 | Michael Joseph Fitzgerald | Psychologist | 1038 Meadowood Lane, Jefferson, WI 53549-1910 | 2008-09-24 |
| 1891989877 | Michael James Fitzgerald | Physical Therapy Assistant | 22 Carlson Ln, Gardner, MA 01440-4225 | 2007-08-31 |
| 1831308212 | Michael J Fitzgerald | Dentist | 110 W Main Street, Barrington, IL 60010 | 2007-05-22 |
| 1871665760 | Michael W Fitzgerald | Chiropractor | 342 Union Blvd, Totowa, NJ 07512-2554 | 2006-11-15 |
| 1386742971 | Michael Paul Fitzgerald | Physician Assistant | 135 East 38 Th, Erie, PA 16504 | 2006-09-20 |
| 1083634109 | Michael A Fitzgerald | Internal Medicine | 4870 Broad Rd, Suite 3q, Syracuse, NY 13215-2206 | 2006-07-20 |
| 1205894045 | Michael Timothy Fitzgerald | Physical Therapist | 16819 Torrence Ave, Lansing, IL 60438-6019 | 2006-05-02 |
| Street Address |
921 S BEACON ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-3740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078969 | Allan I Larner | Family Medicine | 921 S Beacon St, San Pedro, CA 90731-3740 | 2005-07-28 |
| 1902460207 | Cecelia Monzon | Case Manager/Care Coordinator | 921 S Beacon St, San Pedro, CA 90731-3740 | 2019-04-23 |
| 1104388248 | Margarita Lekhtsikava | Counselor | 921 S Beacon St, San Pedro, CA 90731-3740 | 2019-04-05 |
| 1427519586 | Maimunata Jones | Licensed Vocational Nurse | 921 S Beacon St, San Pedro, CA 90731-3740 | 2019-03-29 |
| 1558859660 | Krystal Michelle Cvitanovich | Case Manager/Care Coordinator | 921 S Beacon St, San Pedro, CA 90731-3740 | 2018-04-24 |
| 1598268203 | Taneka Johnson | Licensed Vocational Nurse | 921 S Beacon St, San Pedro, CA 90731-3740 | 2018-03-09 |
| 1518417211 | Christina Suan | Student in an Organized Health Care Education/Training Program | 921 S Beacon St, San Pedro, CA 90731-3740 | 2016-10-06 |
| 1548639461 | Mika Ozawa | Student in an Organized Health Care Education/Training Program | 921 S Beacon St, San Pedro, CA 90731-3740 | 2015-09-22 |
| 1518347046 | Karen Diane Figgins | Case Manager/Care Coordinator | 921 S Beacon St, San Pedro, CA 90731-3740 | 2015-05-29 |
| 1346642287 | Sonam Kapadia | Student in an Organized Health Care Education/Training Program | 921 S Beacon St, San Pedro, CA 90731-3740 | 2014-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077806 | Elaine Scenters-zapico | Rehabilitation Practitioner | 222 W 6th St Ste 230, San Pedro, CA 90731-3332 | 2019-08-08 |
| 1063809218 | Jessica Nicole Johnson | Rehabilitation Practitioner | 1891 N Gaffey St, Suite 221, San Pedro, CA 90731-1267 | 2015-04-24 |
| 1497906036 | Dessire Douglas | Rehabilitation Practitioner | 222 W 6th St, San Pedro, CA 90731 | 2008-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092447 | Isaiah Daniel Clark | Rehabilitation Practitioner | 33600 Mapleton Ave # D2018, Murrieta, CA 92563-4434 | 2020-10-31 |
| 1760089122 | Leslie Ann Showalter | Rehabilitation Practitioner | 6720 Tampa Ave, Reseda, CA 91335-5014 | 2020-10-07 |
| 1508477019 | Brenda Cabrera | Rehabilitation Practitioner | 127 W Hillcrest Blvd, Inglewood, CA 90301-2623 | 2020-08-10 |
| 1669082202 | Brenda Vargas | Rehabilitation Practitioner | 16650 Sherman Way # 201, Van Nuys, CA 91406-3782 | 2020-08-07 |
| 1629696042 | Ashlie Renee Javier | Rehabilitation Practitioner | 1266 Calle Estrella, San Dimas, CA 91773-4080 | 2020-07-13 |
| 1861013757 | Terrisa Noel-rivera Luna | Rehabilitation Practitioner | 11303 Wilshire Blvd Bld 116, Los Angeles, CA 90025-5069 | 2020-05-01 |
| 1780212852 | Isaiah Sanchez | Rehabilitation Practitioner | 10535 Zelzah Ave, Granada Hills, CA 91344-5902 | 2020-04-01 |
| 1235766015 | Theresa Matheson | Rehabilitation Practitioner | 15533 Ryon Ave, Bellflower, CA 90706-3624 | 2020-03-24 |
| 1669008991 | Delman Lee Williams | Rehabilitation Practitioner | 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 | 2020-03-18 |
| 1356976864 | Millea Jewel Betts | Rehabilitation Practitioner | 801 E Chapman Ave # Sut203, Fullerton, CA 92831-3839 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHAEL TAYLOR FITZGERALD JR..
| 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.