DIANA FRANCES TRAVIS (NPI# 1538426929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538426929 |
| Entity Type | Individual |
| Full Name | DIANA FRANCES TRAVIS |
| Practice Address |
4760 Sepulveda Blvd Culver City CA 90230-4820 |
| Practice Telephone | 3103906612 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 36289 | CA | Nursing Service Providers |
| Street Address |
4760 SEPULVEDA BLVD |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90230-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255302436 | Robert A. Chernoff | Psychologist | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2006-01-27 |
| 1588262844 | Miriam Paula Rubenson | Student in an Organized Health Care Education/Training Program | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-10-09 |
| 1487251005 | Tiffany Monique Perkins | Counselor | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-10-06 |
| 1699381608 | Stephanie Urbina | Counselor | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-09-16 |
| 1639784291 | Christy Zeegen | Student in an Organized Health Care Education/Training Program | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-09-10 |
| 1467065011 | Eunice Lee | Counselor | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-08-24 |
| 1689287229 | Cristina Reyes | Student in an Organized Health Care Education/Training Program | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-08-24 |
| 1316557994 | Rebeka Davidson | Student in an Organized Health Care Education/Training Program | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-08-07 |
| 1477163004 | Derik Hossepian | Student in an Organized Health Care Education/Training Program | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-08-07 |
| 1629688213 | Alina Rochelle Scott | Student in an Organized Health Care Education/Training Program | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822064 | Smilemax Dental Center | Dentist | 10814 Jefferson Blvd. #g, Culver City, CA 90230 | 2019-03-27 |
| 1023532595 | Mary Alice Haye | Marriage & Family Therapist | 550 S. Vermont Ave., 7th Floor, 700, Los Angeles, CA 90230 | 2017-07-27 |
| 1902342074 | Dorene Lehavi | Social Worker | 5106 S Slauson Ave, Suite 192, Los Angeles, CA 90230 | 2017-01-13 |
| 1548634553 | Kimberly Henck | Speech-Language Pathologist | 607 Bristol Pkwy, Ste 105, Culver City, CA 90230 | 2015-11-15 |
| 1346628898 | Stephan Sepernia | Marriage & Family Therapist | 5601 W. Slavson Ave. #192, Culver City, CA 90230 | 2015-05-15 |
| 1558749291 | Sean Steven Mcknee | Chiropractor | 5839 Green Valley Cir Ste 102, Culver City, CA 90230 | 2015-05-14 |
| 1821484841 | Jasmine Lee | Family Medicine | 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 | 2015-04-07 |
| 1043609191 | Carrie Mays | Counselor | 4760 Sepulvda Blvd., Culver City, CA 90230 | 2015-01-13 |
| 1457759375 | Monquenta Felicia Young | Case Manager/Care Coordinator | 666 Green Valley Circle, Culver City, CA 90230 | 2014-12-09 |
| 1972902724 | Shana Chan Pope | Marriage & Family Therapist | 11949 Jefferson Blvd #106, Culver City, CA 90230 | 2014-08-18 |
| Find all providers in zip 90230 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119212 | Ruth Jurado | Licensed Psychiatric Technician | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
| 1689297624 | Rebecca D Cruz | Licensed Psychiatric Technician | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-05-26 |
| 1386291524 | Christopher Gray | Licensed Psychiatric Technician | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2019-08-22 |
| 1689142879 | Robert Quero Bayani | Licensed Psychiatric Technician | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2018-11-06 |
| 1063902914 | Lillie D Dickinson | Licensed Psychiatric Technician | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2018-05-16 |
| 1942706460 | Brittany Payne | Licensed Psychiatric Technician | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2018-04-03 |
| 1124482047 | Tiffany Forte | Licensed Psychiatric Technician | 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 | 2016-04-06 |
| 1306206941 | Kimberley Harris | Licensed Psychiatric Technician | 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 | 2016-02-24 |
| 1801273081 | Madalyn Ngo | Licensed Psychiatric Technician | 9808 Venice Blvd, Culver City, CA 90232 | 2015-04-27 |
| 1013315332 | Naol Gutta | Licensed Psychiatric Technician | 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 | 2014-12-18 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90230 |
Please comment or provide details below to improve the information on DIANA FRANCES TRAVIS.
| 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.