MICHAEL C. MENTARI (NPI# 1568673564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568673564 |
| Entity Type | Individual |
| Full Name | MICHAEL C. MENTARI |
| Credential | M.D. |
| Practice Address |
600 St Paul Ave #101 Los Angeles CA 90017-2038 |
| Practice Telephone | 2135422800 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
243446 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
222469 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
127120 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
243446 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
600 ST PAUL AVE #101 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326123944 | Paola Ledwin | Case Manager/Care Coordinator | 600 St Paul Ave, Suite 100, Los Angeles, CA 90017-2038 | 2006-10-25 |
| 1861910267 | Soo Jin Lee | Marriage & Family Therapist | 600 St Paul Ave, Los Angeles, CA 90017-2038 | 2017-09-06 |
| 1548780851 | Tracey R Bledsoe-brewer | Counselor | 600 St Paul Ave, Suite 200, Los Angeles, CA 90017 | 2017-06-27 |
| 1891215703 | Jorge Antonio Medrano Jr. | Licensed Vocational Nurse | 600 St Paul Ave, Suite 200, Los Angeles, CA 90017 | 2017-06-21 |
| 1023540242 | Michelle Obando | Counselor | 600 St Paul Ave, Suite 200, Los Angeles, CA 90017-2038 | 2017-03-28 |
| 1881136208 | Christina O'hara | Licensed Psychiatric Technician | 600 St Paul Ave, Suite 200, Los Angeles, CA 90017-2038 | 2016-11-16 |
| 1548718075 | Fabiola Argentina Garcia | Counselor | 600 St Paul Ave, Ste 200, Los Angeles, CA 90017-2038 | 2016-09-13 |
| 1154876878 | Yessenia Campos | Licensed Psychiatric Technician | 600 St Paul Ave, Los Angeles, CA 90017-2038 | 2016-08-23 |
| 1245688134 | Jose Gutierrez Jr. | Counselor | 600 St Paul Ave, Suite 200, Los Angeles, CA 90017-2038 | 2016-06-01 |
| 1861849374 | Amy Pineda | Counselor | 600 St Paul Ave, 200, Los Angeles, CA 90017-2038 | 2016-05-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1225302755 | Joseph Naylor Kenan | Psychiatry & Neurology | 12424 Wilshire Blvd Ste 1130, Los Angeles, CA 90025-1064 | 2012-03-01 |
| 1962786947 | Shirah Vollmer | Psychiatry & Neurology | 941 Westwood Blvd Ste 204, Los Angeles, CA 90024-2940 | 2011-10-07 |
| 1639469489 | Daniel J Siegel | Psychiatry & Neurology | 11980 San Vicente Blvd Ste 809, Los Angeles, CA 90049-6606 | 2011-04-13 |
| 1689800690 | Le Tran Notarfrancesco | Psychiatry & Neurology | 4700 W Sunset Blvd Fl 5, Los Angeles, CA 90027-6082 | 2009-06-04 |
| 1942479688 | Sharon O'neil | Psychiatry & Neurology | 4650 W Sunset Blvd # Ms 354, Los Angeles, CA 90027-6062 | 2008-02-27 |
| 1295946465 | Carolanne Kelly Phelan | Psychiatry & Neurology | 12424 Wilshire Blvd # 1010, Los Angeles, CA 90025-1052 | 2007-05-26 |
| 1477761310 | Lauren Burr Ozbolt | Psychiatry & Neurology | 12301 Wilshire Blvd Ste 202, Los Angeles, CA 90025-1023 | 2007-05-21 |
| 1841415544 | Edward Ross Ritvo | Psychiatry & Neurology | 10570 Rocca Way, Los Angeles, CA 90077-2906 | 2007-04-16 |
| 1831217264 | Anandhi Narasimhan | Psychiatry & Neurology | 10850 Wilshire Blvd Ste 200, Los Angeles, CA 90024-4315 | 2007-03-26 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on MICHAEL C. MENTARI.
| 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.