MRS. MARIA LARA WYATT (NPI# 1497809347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497809347 |
| Entity Type | Individual |
| Full Name | MRS. MARIA LARA WYATT |
| Other Name | MARIA ISABEL LARA |
| Practice Address |
1295 W State St Ste 102 El Centro CA 92243-2881 |
| Mailing Address |
667 Lee Rd Imperial CA 92251-9503 |
| Practice Telephone | 7603530763 |
| Practice Fax Number | 7603524061 |
| Mailing Telephone | 7603550044 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1295 W STATE ST STE 102 |
| City | EL CENTRO |
| State | CA |
| Zip Code | 92243-2881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720262306 | Patricia Adriela Castillo | Rehabilitation Counselor | 1295 W State St Ste 102, El Centro, CA 92243-2881 | 2007-12-19 |
| 1770622532 | Gilbert Ramirez Jr. | Counselor | 1295 W State St Ste 102, El Centro, CA 92243-2881 | 2007-02-06 |
| 1194863878 | Angela Jean Marlow | Counselor | 1295 W State St Ste 102, El Centro, CA 92243-2881 | 2007-02-02 |
| 1043357502 | Richard Luna | Counselor | 1295 W State St Ste 102, El Centro, CA 92243-2881 | 2007-01-31 |
| 1366597643 | Juan Fernando Velarde | Counselor | 1295 W State St Ste 102, El Centro, CA 92243-2881 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1346856671 | Ana Lilia Solorio | Health Educator | 1415 Ross Ave., El Centro, CA 92243 | 2020-09-22 |
| 1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
| 1831723030 | Guadalupe Heredia | Registered Nurse | 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 | 2020-02-26 |
| 1851948061 | Hamlet Khachatryan Dds, Inc. | Dentist | 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 | 2019-08-22 |
| 1104478924 | Courtney Barker | Occupational Therapist | 1161 Main St., El Centro, CA 92243 | 2019-07-11 |
| 1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
| 1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
| 1114494861 | Alba Care Mental Health Serrvices | Counselor | 1498 Main Street, El Centro, CA 92243 | 2018-10-31 |
| 1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
| Find all providers in zip 92243 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396860011 | Scarlett Jean Guizar | Counselor | 1331 S Clark Rd # 3, El Centro, CA 92243-9516 | 2007-03-20 |
| 1942340245 | Sean Johnson | Counselor | 1295 State St. Suite 205, El Centro, CA 92243 | 2007-02-07 |
| 1205982170 | Imperial County Behavioral Health Services Alcohol and Drug | Counselor | 1295 W State St, El Centro, CA 92243-2845 | 2007-01-25 |
| 1508491366 | Anna Gabrielle De La Torre | Counselor | 202 N 8th St, El Centro, CA 92243-2302 | 2020-03-11 |
| 1578197224 | Warren Betancourt Sanchez | Counselor | 202 N 8th St, El Centro, CA 92243-2302 | 2020-03-02 |
| 1417589896 | Perla Varela | Counselor | 202 N 8th St, El Centro, CA 92243-2302 | 2020-02-04 |
| 1841821386 | Eduardo Chavez | Counselor | 202 N 8th St, El Centro, CA 92243-2302 | 2020-02-03 |
| 1417419334 | German Duran | Counselor | 200 S 5th St, El Centro, CA 92243-3013 | 2019-04-01 |
| 1588129811 | Stephanie Nicole Talamantes | Counselor | 202 N 8th St, El Centro, CA 92243-2302 | 2019-01-31 |
| 1366910275 | Daniel Gustavo Valadez | Counselor | 200 S 5th St, El Centro, CA 92243-3013 | 2018-11-08 |
| Find all providers in EL CENTRO | ||||
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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.