JEZEREY MANALO (NPI# 1588947972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588947972 |
Entity Type | Individual |
Full Name | JEZEREY MANALO |
Practice Address |
2414 N Broadway Ste 201 Los Angeles CA 90031-2359 |
Practice Telephone | 3236442000 |
Mailing Telephone | 3236442000 |
Enumeration Date | 2011-09-22 |
Last Update Date | 2011-09-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | PT35302 | CA | Nursing Service Providers |
Street Address |
2414 N BROADWAY STE 201 |
City | LOS ANGELES |
State | CA |
Zip Code | 90031-2359 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477844249 | Claudia Bridgette Stedman | Licensed Vocational Nurse | 2414 N Broadway Ste 201, Los Angeles, CA 90031-2359 | 2011-04-27 |
1023362928 | Tamu H Moore | Rehabilitation Practitioner | 2414 N Broadway Ste 201, Los Angeles, CA 90031-2359 | 2012-10-31 |
1952659021 | Lilyan Guillen | Rehabilitation Practitioner | 2414 N Broadway Ste 201, Los Angeles, CA 90031-2359 | 2012-08-21 |
1689961427 | Antonia Cervantes | Licensed Psychiatric Technician | 2414 N Broadway Ste 201, Los Angeles, CA 90031-2359 | 2011-06-30 |
1073809067 | Donara Gasanova | Registered Nurse | 2414 N Broadway Ste 201, Los Angeles, CA 90031-2359 | 2011-06-28 |
1407147143 | Colleen Reyes | Rehabilitation Practitioner | 2414 N Broadway Ste 201, Los Angeles, CA 90031-2359 | 2011-04-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194247031 | James Han | Counselor | 2010 Lincoln Park Ave., Los Angeles, CA 90031 | 2017-07-12 |
1457712200 | Arturo Ibarra D.d.s. Inc | Dentist | 2407 North Broadway, Los Angeles, CA 90031 | 2016-03-08 |
1083081780 | Blair Evans James | Social Worker | 434 E Avenue 28 Ste 106, Los Angeles, CA 90031 | 2015-08-28 |
1538578133 | Si Xu | Acupuncturist | 2415 Pasadena Ave, Los Angeles, CA 90031 | 2014-08-07 |
1346583309 | Arlene Mary Juarez | Counselor | 2309 Daly Street, Masa Youth Center, Los Angeles, CA 90031 | 2013-03-28 |
1770858250 | Rama Paliwal | Pediatrics | 1025 Daly St, Jchs, Los Angeles, CA 90031 | 2012-03-15 |
1033482476 | Eloisa Padilla | Social Worker | 2309 Daly St ., Los Angeles, CA 90031 | 2012-02-15 |
1851601975 | Edmond Hwan Kim | Acupuncturist | 330 W. Avenue 26, #328, Los Angeles, CA 90031 | 2010-10-08 |
1629209382 | Dante Almendral Md, A Medical Corporation | Ophthalmology | 2425 North Broadway St., Los Angeles, CA 90031 | 2009-07-29 |
1003044090 | Sindy K. Ramos | Counselor | 1721 Griffin Ave., Los Angeles, CA 90031 | 2009-06-29 |
Find all providers in zip 90031 |
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 |
---|---|---|---|---|
1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
1255716098 | Grace Junko Gerardo | Licensed Psychiatric Technician | 226 S. Ave. 52, Los Angeles, CA 90042-4504 | 2015-07-22 |
1457786147 | Griselda Flores | Licensed Psychiatric Technician | 2600 Wilshire Blvd, Los Angeles, CA 90057-3400 | 2013-09-12 |
1427104728 | Leslie Michelle Blakeney | Licensed Psychiatric Technician | 529 S Maple Ave., Los Angeles, CA 90013 | 2007-01-27 |
1467064717 | Jessica Vazquez | Licensed Psychiatric Technician | 679 S New Hampshire Ave Ste 400, Los Angeles, CA 90005-1355 | 2020-08-18 |
1558996512 | Yvonne Elisa Molina | Licensed Psychiatric Technician | 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 | 2020-03-10 |
1407403439 | Leanna Lynn Ramirez | Licensed Psychiatric Technician | 1711 W Temple St, Los Angeles, CA 90026-5421 | 2019-08-23 |
1992357404 | Bernadette Chavez | Licensed Psychiatric Technician | 5201 S Vermont Ave, Los Angeles, CA 90037-3527 | 2019-07-15 |
1366000556 | Tyler Shirk | Licensed Psychiatric Technician | 600 St Paul Ave Ste 200, Los Angeles, CA 90017-5686 | 2019-06-03 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90031 |
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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.