DR. MARY JO GUSTIN (NPI# 1447365655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447365655 |
| Entity Type | Individual |
| Full Name | DR. MARY JO GUSTIN |
| Credential | D.C. |
| Practice Address |
11710 Wilshire Blvd Los Angeles CA 90025-1503 |
| Practice Telephone | 3108734422 |
| Practice Fax Number | 3108734434 |
| Mailing Telephone | 3108734422 |
| Mailing Fax Number | 3108734434 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2015-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 263-0796 | NH | Chiropractic Providers |
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
17484 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30251443 | 05 |
| Street Address |
11710 WILSHIRE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609862606 | Lotus Physical Therapy Inc | Physical Therapist | 11710 Wilshire Blvd, Los Angeles, CA 90025-1503 | 2005-09-25 |
| 1508471731 | Stephen J. Torres, M.d., A Medical Corporation | Orthopaedic Surgery | 11710 Wilshire Blvd, Los Angeles, CA 90025-1503 | 2020-09-14 |
| 1982237376 | Nicolas Andrew Bartolotta | Physical Therapist | 11710 Wilshire Blvd, Los Angeles, CA 90025-1503 | 2020-02-13 |
| 1063076180 | Tara Tolooee | Physical Therapy Assistant | 11710 Wilshire Blvd, Los Angeles, CA 90025-1503 | 2019-04-24 |
| 1023513991 | Jacob Cowan | Physical Therapy Assistant | 11710 Wilshire Blvd, Los Angeles, CA 90025-1503 | 2018-03-24 |
| 1982106878 | Ortho On Demand P.C. | Orthopaedic Surgery | 11710 Wilshire Blvd, Los Angeles, CA 90025-1503 | 2018-03-06 |
| 1174078927 | Cheri Gross | Acupuncturist | 11710 Wilshire Blvd, Los Angeles, CA 90025-1503 | 2016-08-22 |
| 1992156988 | Kimberly Kenyon | Physical Therapist | 11710 Wilshire Blvd, Los Angeles, CA 90025-1503 | 2016-06-30 |
| 1932542107 | Jonathan Harley Koenig | Orthopaedic Surgery | 11710 Wilshire Blvd, Los Angeles, CA 90025-1503 | 2013-04-08 |
| 1851623029 | Walter R Obrien Md Inc A Medical Corporation | Family Medicine | 11710 Wilshire Blvd, Los Angeles, CA 90025-1503 | 2010-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568823409 | Bernard Pare | Chiropractor | 1350 N Highland Ave Ste A, Los Angeles, CA 90028-7905 | 2016-03-18 |
| 1477911691 | Souren Alexanian | Chiropractor | 600 N Windsor Blvd, Los Angeles, CA 90004-1415 | 2016-02-02 |
| 1699146126 | Doug Riccio | Chiropractor | 418 N Larchmont Blvd, Los Angeles, CA 90004-3014 | 2015-10-09 |
| 1457747990 | Liddy Health & Fitness Chiropractic Inc | Chiropractor | 6310 San Vicente Blvd Ste 240, Los Angeles, CA 90048-5461 | 2015-04-11 |
| 1891185260 | Fit Med | Chiropractor | 5111 W Pico Blvd, Los Angeles, CA 90019-4133 | 2015-01-23 |
| 1326308198 | Takahashi Chiropractic Co. | Chiropractor | 11340 W Olympic Blvd Ste 340, Los Angeles, CA 90064-1613 | 2012-05-25 |
| 1710194188 | Christopher Alexander Mckinney | Chiropractor | 1663 Colorado Blvd, Los Angeles, CA 90041-1435 | 2007-05-16 |
| 1932324233 | Nanchu Kim | Chiropractor | 3251 W 6th St Ste 107, Los Angeles, CA 90020-5020 | 2007-04-13 |
| 1972642353 | Westside Health Enterprises Inc | Chiropractor | 2001 S Barrington Ave Ste 101, Los Angeles, CA 90025-5337 | 2007-02-05 |
| 1093868382 | Jeffrey D. James | Chiropractor | 2001 S Barrington Ave Ste 103, Los Angeles, CA 90025-5337 | 2007-01-19 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
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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.