DAVID CEVALLOS MD INC (NPI# 1689039760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689039760 |
| Entity Type | Organization |
| Organization Name | DAVID CEVALLOS MD INC |
| Practice Address |
616 St Paul Ave Apt. 417 Los Angeles CA 90017-2022 |
| Practice Telephone | 3233608421 |
| Practice Fax Number | 6263804743 |
| Mailing Telephone | 3233608421 |
| Mailing Fax Number | 6263804743 |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |
| Authorized Official Name | DAVID CEVALLOS (CEO) |
| Authorized Official Telephone | 3233608421 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | B5688077 | CA | Other Service Providers |
| Street Address |
616 ST PAUL AVE APT. 417 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053794941 | Joel Mendez | Contractor | 521 W 52nd Pl, Los Angeles, CA 90037-3703 | 2015-07-09 |
| 1033598347 | Noah Lowman | Contractor | 901 N Beaudry Ave, Los Angeles, CA 90012-1308 | 2015-05-20 |
| 1952711236 | Julian Kalyani | Contractor | 1746 N Orange Dr Apt 1004, Los Angeles, CA 90028-4367 | 2014-05-07 |
| 1104186857 | Faith Storey | Contractor | 11645 Wilshire Blvd Ste 745, Los Angeles, CA 90025-6800 | 2012-05-29 |
| 1437397205 | Pejman Samouha | Contractor | 1435 S Vermont Ave Ste 100, Los Angeles, CA 90006-4543 | 2009-02-01 |
| 1205032257 | Adlean Mcgee | Contractor | 2300 S Victoria Ave, 203, Los Angeles, CA 90016-1861 | 2007-06-26 |
| 1518188978 | Prince O. Oppong | Contractor | 7404 S Western Ave, Los Angeles, CA 90047-2427 | 2007-05-02 |
| 1538282181 | Tamara Satterwhite | Contractor | 5314 Packard St, Los Angeles, CA 90019-2650 | 2007-04-09 |
| 1376677310 | Dan Ranger Medical Equipment and Supplies, Inc. | Contractor | 6109 S Western Ave, Suite 310, Los Angeles, CA 90047-1458 | 2007-03-14 |
| 1033247515 | Martiros Mishidzhyan | Contractor | 5207 W Sunset Blvd, Los Angeles, CA 90027-5709 | 2007-02-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
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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.