JERMAINE DICKERSON (NPI# 1669657979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669657979 |
| Entity Type | Individual |
| Full Name | JERMAINE DICKERSON |
| Practice Address |
13192 Herrick Ave Sylmar CA 91342-3931 |
| Mailing Address |
3943 Denker Ave Los Angeles CA 90062-1141 |
| Practice Telephone | 8183673235 |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
13192 HERRICK AVE |
| City | SYLMAR |
| State | CA |
| Zip Code | 91342-3931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366676413 | Laura A Schwarz Green | Rehabilitation Practitioner | 13192 Herrick Ave, Sylmar, CA 91342-3931 | 2009-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| 1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
| 1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
| 1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
| 1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
| 1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
| 1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
| 1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
| 1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
| 1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
| Find all providers in zip 91342 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949986 | Vanessa Lopez | Counselor | 10607 Foothill Blvd, Sylmar, CA 91342-6819 | 2020-10-15 |
| 1588030662 | Liz Ornelas | Counselor | 12585 Telfair Ave, Sylmar, CA 91342-3739 | 2015-08-12 |
| 1760513428 | Hathaway-sycamores | Counselor | 8955 Gold Creek Rd, Sylmar, CA 91342-5902 | 2007-03-07 |
| 1669541629 | Salvador Mariscal Moreno | Counselor | 13584 De Garmo Ave, Sylmar, CA 91342-1210 | 2006-11-06 |
| 1629678867 | Shengzi Sun | Counselor | 12087 Lopez Canyon Rd # 128, Sylmar, CA 91342-6063 | 2020-10-27 |
| 1447800743 | Jessica Dolores Bernal | Counselor | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2019-09-18 |
| 1912379512 | Debbie Quinteros | Counselor | 14659 Olive View Dr, Sylmar, CA 91342 | 2015-10-22 |
| 1528452778 | Jose Destajo | Counselor | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2015-03-25 |
| 1205118387 | Maria C. Chan Huynh | Counselor | 12669 Encinitas Ave, Sylmar, CA 91342-3635 | 2011-09-14 |
| 1275664567 | Monica Rangel | Counselor | 8955 Gold Creek Rd, Sylmar, CA 91342-5902 | 2007-03-08 |
| Find all providers in SYLMAR | ||||
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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.