CARMEN CONDON (NPI# 1619355369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619355369 |
| Entity Type | Individual |
| Full Name | CARMEN CONDON |
| Practice Address |
11303 W Washington Blvd Ste 027 Culver City CA 90066-6003 |
| Practice Telephone | 3104866667 |
| Mailing Telephone | 3104826667 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2017-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
11303 W WASHINGTON BLVD STE 027 |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90066-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457759375 | Monquenta Felicia Young | Case Manager/Care Coordinator | 666 Green Valley Circle, Culver City, CA 90230 | 2014-12-09 |
| 1780878249 | Kiyatana Sapp | Case Manager/Care Coordinator | 4760 South Sepulveda Blvd., Culver City, CA 90230 | 2007-08-28 |
| 1851502520 | Elizabeth G Hartigan | Case Manager/Care Coordinator | 6666 Green Valley Circle, Culver City, CA 90230-7068 | 2007-05-24 |
| 1932228095 | Mary Kate Mccauley | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2007-03-28 |
| 1700486735 | Ethan Luke Mcmurray | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2020-10-28 |
| 1801493119 | Justin John Hicks | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2020-10-08 |
| 1053926832 | Brent Andrew Owen | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2020-09-09 |
| 1548879927 | Ali Azad | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2020-07-30 |
| 1780202523 | Kevin Christopher Gleason | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2020-07-08 |
| 1427675123 | Bojidar Todorov Marinov | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2020-06-29 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on CARMEN CONDON.
| 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.