SUCCESS CENTER (NPI# 1659667053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659667053 |
| Entity Type | Organization |
| Organization Name | SUCCESS CENTER |
| Practice Address |
8515 Penfield Ave Winnetka CA 91306-1403 |
| Practice Telephone | 8188822659 |
| Mailing Telephone | 8188822659 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |
| Authorized Official Name | TERRY LEE BRUSSEL (DIRECTOR) |
| Authorized Official Telephone | 8188822659 |
| Authorized Official Credential | PHD, CCHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SH1100X |
Clinical Nurse Specialist Specialization: Holistic |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUCCESS CENTER SAN FRANCISCO, INC. | 146 S Spruce Ave, South San Francisco, CA 94080-4519 |
| Connecticut Business Registrations | SUCCESS CENTER USA LLC | 49 Daggett Street, Moosup, CT 06354 |
| New York State Corporations | SUCCESS CENTERS INTERNATIONAL INCORPORATED | 25 Main Street, Honeyoye, Ny 144710747 |
| Oklahoma Business Registrations | SUCCESS CENTERS, INC. | 2755 Ne Loop 286, Paris, TX 75460-3427 |
| Street Address |
8515 PENFIELD AVE |
| City | WINNETKA |
| State | CA |
| Zip Code | 91306-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856555 | California Physician Network LLC | Non-emergency Medical Transport (VAN) | 7657 Winnetka #712, Winnetka, CA 91306 | 2017-08-08 |
| 1073069373 | Mostafa Ahady | Optometrist | 7044 Oakdale Ave., Winnetka, CA 91306 | 2016-08-28 |
| 1922457340 | Evelin Garcia Psy.d. A Psychological Corporation | Community/Behavioral Health | 20832 Roscoe Blvd. Ste.202, Winnetka, CA 91306 | 2016-06-07 |
| 1104290485 | Edmond Reyhani | Pharmacist | 20839 W Roscoe Blvd, Winnetka, CA 91306 | 2015-11-24 |
| 1558730770 | Lester Antonio Marlin | Rehabilitation Practitioner | 20325 Sherman Way, Apt44, Winnetka, CA 91306 | 2015-09-17 |
| 1336578228 | Charmaine Fermin | Counselor | 20225 Cohasset St, Winnetka, CA 91306 | 2013-11-01 |
| 1669740429 | Robert Hazany | Dentist | 20832 Roscoe Blvd #101, Canoga Park, CA 91306 | 2011-12-08 |
| 1912223983 | Intrepid Anesthesia Associates Corporation | Anesthesiology | 427 W. Pueblo St., Santa Barbara, CA 91306 | 2010-04-15 |
| 1235315656 | Angelica Yerena | Marriage & Family Therapist | 20233 Lanark, Winnetka, CA 91306 | 2008-01-16 |
| 1205054434 | Winnetka Medical Group Inc | Family Medicine | 6742 Winnetka Ave, Winnetka, CA 91306 | 2007-04-23 |
| Find all providers in zip 91306 | ||||
| Taxonomy Code | 364SH1100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Holistic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700289709 | Eilbert Medical Corporation | Clinical Nurse Specialist | 125 Columbia Ste A, Aliso Viejo, CA 92656-4157 | 2014-10-03 |
| 1073938049 | Divine Enlightenment Holistic Inc | Clinical Nurse Specialist | 10722 Arrow Rte, Suite 520, Rancho Cucamonga, CA 91730-4808 | 2014-02-27 |
Please comment or provide details below to improve the information on SUCCESS CENTER.
| 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.