VIA AVANTA (NPI# 1639610462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639610462 |
| Entity Type | Organization |
| Organization Name | VIA AVANTA |
| Practice Address |
4760 Sepulveda Blvd Culver City CA 90230 |
| Practice Telephone | 3103906612 |
| Mailing Telephone | 3103906612 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Authorized Official Name | MAYLI EUNICE TORRES (ASSISTANT COUNSLER) |
| Authorized Official Telephone | 8185619415 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
172V00000X | CA | Ambulatory Health Care Facilities |
| Street Address |
4760 SEPULVEDA BLVD |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255302436 | Robert A. Chernoff | Psychologist | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2006-01-27 |
| 1588262844 | Miriam Paula Rubenson | Student in an Organized Health Care Education/Training Program | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-10-09 |
| 1487251005 | Tiffany Monique Perkins | Counselor | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-10-06 |
| 1699381608 | Stephanie Urbina | Counselor | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-09-16 |
| 1639784291 | Christy Zeegen | Student in an Organized Health Care Education/Training Program | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-09-10 |
| 1467065011 | Eunice Lee | Counselor | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-08-24 |
| 1689287229 | Cristina Reyes | Student in an Organized Health Care Education/Training Program | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-08-24 |
| 1316557994 | Rebeka Davidson | Student in an Organized Health Care Education/Training Program | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-08-07 |
| 1477163004 | Derik Hossepian | Student in an Organized Health Care Education/Training Program | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-08-07 |
| 1629688213 | Alina Rochelle Scott | Student in an Organized Health Care Education/Training Program | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822064 | Smilemax Dental Center | Dentist | 10814 Jefferson Blvd. #g, Culver City, CA 90230 | 2019-03-27 |
| 1023532595 | Mary Alice Haye | Marriage & Family Therapist | 550 S. Vermont Ave., 7th Floor, 700, Los Angeles, CA 90230 | 2017-07-27 |
| 1902342074 | Dorene Lehavi | Social Worker | 5106 S Slauson Ave, Suite 192, Los Angeles, CA 90230 | 2017-01-13 |
| 1548634553 | Kimberly Henck | Speech-Language Pathologist | 607 Bristol Pkwy, Ste 105, Culver City, CA 90230 | 2015-11-15 |
| 1346628898 | Stephan Sepernia | Marriage & Family Therapist | 5601 W. Slavson Ave. #192, Culver City, CA 90230 | 2015-05-15 |
| 1558749291 | Sean Steven Mcknee | Chiropractor | 5839 Green Valley Cir Ste 102, Culver City, CA 90230 | 2015-05-14 |
| 1821484841 | Jasmine Lee | Family Medicine | 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 | 2015-04-07 |
| 1043609191 | Carrie Mays | Counselor | 4760 Sepulvda Blvd., Culver City, CA 90230 | 2015-01-13 |
| 1457759375 | Monquenta Felicia Young | Case Manager/Care Coordinator | 666 Green Valley Circle, Culver City, CA 90230 | 2014-12-09 |
| 1972902724 | Shana Chan Pope | Marriage & Family Therapist | 11949 Jefferson Blvd #106, Culver City, CA 90230 | 2014-08-18 |
| Find all providers in zip 90230 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417490236 | Venice Family Clinic | Clinic/Center | 4401 Elenda St, Culver City, CA 90230-4101 | 2016-11-28 |
| 1831287978 | Westside Family Health Center | Clinic/Center | 3861 Sepulveda Blvd, Culver City, CA 90230-4605 | 2006-10-11 |
| 1003842360 | Venice Family Clinic | Clinic/Center | 4700 Inglewood Blvd, #102, Culver City, CA 90230-5896 | 2006-06-25 |
| 1992966782 | Venice Family Clinic - Colen Family Health Center | Clinic/Center | 4700 Inglewood Blvd, #102, Culver City, CA 90230-5896 | 2008-06-24 |
| 1992964746 | Venice Family Clinic | Clinic/Center | 4700 Inglewood Blvd, #102, Culver City, CA 90230-5896 | 2008-06-06 |
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| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| Find all providers with the same taxonomy | ||||
| City | CULVER CITY |
| Zip Code | 90230 |
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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.