ELIZABETH PETRISCA (NPI# 1548542962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548542962 |
| Entity Type | Individual |
| Full Name | ELIZABETH PETRISCA |
| Credential | PHD |
| Practice Address |
1000 Goodrich Blvd Commerce CA 90022 |
| Mailing Address |
1000 Goodrich Blvd Commerce CA 90022-5103 |
| Practice Telephone | 2138329795 |
| Mailing Telephone | 2138329795 |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSB 94020069 | CA | Behavioral Health & Social Service Providers |
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1000 GOODRICH BLVD |
| City | COMMERCE |
| State | CA |
| Zip Code | 90022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386253565 | Zuleyka Santiago Lopez | Student in an Organized Health Care Education/Training Program | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2020-07-23 |
| 1720600257 | Sasha Carina Melendez-goldman | Marriage & Family Therapist | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2020-05-06 |
| 1952948168 | Keila Scarlet Farias | Counselor | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2019-12-06 |
| 1811541048 | Krista Tilly | Student in an Organized Health Care Education/Training Program | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2019-07-25 |
| 1245882901 | Anthony Zepeda | Counselor | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2019-07-12 |
| 1730747965 | Melissa Hernandez | Case Manager/Care Coordinator | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2019-06-03 |
| 1346807245 | Valerie M Chacon | Contractor | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2019-05-26 |
| 1679032098 | Sherry Marie Gonzalez | Marriage & Family Therapist | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2019-03-15 |
| 1619447059 | Torsten Chester Werner Keil-long | Counselor | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2018-11-28 |
| 1093292302 | Abigail Romero | Marriage & Family Therapist | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2018-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700405701 | Altamed Health Services Corp | Pharmacy | 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 | 2020-04-10 |
| 1033699426 | Reachwell Home Health Inc | Home Health | 236 1/4 S Atlantic Blvd, Los Angeles, CA 90022 | 2018-08-15 |
| 1326528704 | Shelli Hernandez | Community Health Worker | Enki Health & Research Systems Inc., 1000 Goodrich Blvd., Commerce, CA 90022 | 2018-08-15 |
| 1477071660 | East Los Angeles Womens Center | Counselor | 1431 S. Atlantic Blvd, Los Angeles, CA 90022 | 2017-09-07 |
| 1467974824 | Ena Vilma Hernandez | Registered Nurse | 245 S Fetterly St, Los Angeles, CA 90022 | 2017-07-07 |
| 1437688843 | Maud D Legaspi | Social Worker | 5425 E. Pomona Blvd, Los Angeles, CA 90022 | 2017-06-08 |
| 1548793920 | Harbor Chiropractic, Inc., A Bahan Company | Chiropractor | 5301 Whittier Blvd, Atrium Lower Level, Los Angeles, CA 90022 | 2017-04-04 |
| 1326590423 | Via Care Community Health Center | Clinic/Center | 501 S. Woods Ave, Los Angeles, CA 90022 | 2016-10-25 |
| 1780057950 | Monica Poomiwatracanont | Pharmacist | 5176 E. Whittier Blvd., Los Angeles, CA 90022 | 2015-11-10 |
| 1609277433 | Ethan C. A Lee Dental Inc. | Dentist | 6046 Whittier Blvd., Los Angeles, CA 90022 | 2014-09-11 |
| Find all providers in zip 90022 | ||||
| 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 |
|---|---|---|---|---|
| 1154831618 | Calira Moore | Rehabilitation Practitioner | 6055 E Washington Blvd Bldg Ste 900, Commerce, CA 90040-2449 | 2017-10-10 |
| 1457881104 | Magdalena Ruiz | Rehabilitation Practitioner | 6055 E Washington Bvd, Suite 900, Commerce, CA 90040-2435 | 2017-06-15 |
| 1578815072 | Martha Rose Lopez | Rehabilitation Practitioner | 2450 South Atlantic Blvd., Suite #101, Commerce, CA 90040 | 2012-10-08 |
| 1366716524 | Elizabeth De La Cruz | Rehabilitation Practitioner | 2450 S Atlantic Blvd Ste 100, Commerce, CA 90040-1200 | 2012-03-05 |
| 1699940296 | Carolyn Coolidge | Rehabilitation Practitioner | 6055 E. Washingtonblvd., Suite 900, Commerce, CA 90040 | 2008-04-24 |
| 1710193636 | Steve Feigenbaum | Rehabilitation Practitioner | 6055 E. Washington Blvd., Suite 900, Commerce, CA 90040 | 2007-05-15 |
| 1558581892 | Charlene Robinson | Rehabilitation Practitioner | 6055 E Washington Blvd Ste 900, Commerce, CA 90040-2453 | 2007-04-27 |
| 1295851921 | Karla Mclean | Rehabilitation Practitioner | 6055 E Washington Blvd, Suite 900, Commerce, CA 90040-2449 | 2007-03-22 |
| 1801920285 | Lynetta Louise Hale | Rehabilitation Practitioner | 2057 S Atlantic Blvd, Commerce, CA 90040-1348 | 2007-03-15 |
| 1295866317 | Derek Miyamoto | Rehabilitation Practitioner | 5701 S Eastern Ave, 550, Commerce, CA 90040-2934 | 2007-03-08 |
| Find all providers in COMMERCE | ||||
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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.