MR. WAVERLY JOHNSON II (NPI# 1639415235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639415235 |
| Entity Type | Individual |
| Full Name | MR. WAVERLY JOHNSON II |
| Practice Address |
1726 E. 117th St. Los Angeles CA 90059 |
| Mailing Address |
6002 5th Ave Los Angeles CA 90043-4212 |
| Practice Telephone | 3235661965 |
| Mailing Telephone | 3237780223 |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | CA | Other Service Providers |
| Street Address |
1726 E. 117TH ST. |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068264 | Anais Jauregui | Health Educator | 2422 Lincoln High Dr, Los Angeles, CA 90031-2839 | 2020-06-17 |
| 1386269512 | Erika M Gonzalez | Health Educator | 1515 N Vermont Ave Ste 410, Los Angeles, CA 90027-5337 | 2020-06-12 |
| 1629612247 | Fullfill, Inc. | Health Educator | 10866 Wilshire Blvd Ste 400, Los Angeles, CA 90024-4338 | 2019-11-06 |
| 1376049403 | Melissa J Costa | Health Educator | 3404 Waverly Dr, Los Angeles, CA 90027-2527 | 2018-04-05 |
| 1407363856 | Laura Baetscher | Health Educator | 3530 Wilshire Blvd Fl 8, Los Angeles, CA 90010-2343 | 2018-01-08 |
| 1023542313 | John Montgomerie | Health Educator | 12231 Lawler St, Los Angeles, CA 90066-1907 | 2017-04-13 |
| 1457894636 | Marcos White | Health Educator | 2503 Buckingham Rd, Los Angeles, CA 90016-1605 | 2016-11-21 |
| 1063886539 | Abk Ventures, Inc | Health Educator | 1539 Sawtelle Blvd, Suite #10, Los Angeles, CA 90025-3267 | 2015-11-21 |
| 1063840361 | Body Boxing Bootcamp | Health Educator | 142 S Wetherly Dr Apt 302, Los Angeles, CA 90048-2928 | 2013-10-23 |
| 1043656234 | Young Men's Christian Association of Metropolitan Los Angeles | Health Educator | 625 S New Hampshire Ave, Los Angeles, CA 90005-1342 | 2013-05-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
Please comment or provide details below to improve the information on MR. WAVERLY JOHNSON II.
| 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.