PLAYA MEDICAL MANAGEMENT LLC (NPI# 1689100745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689100745 |
| Entity Type | Organization |
| Organization Name | PLAYA MEDICAL MANAGEMENT LLC |
| Practice Address |
5450 Lincoln Blvd Playa Vista CA 90094-2002 |
| Mailing Address |
4712 Admiralty Way Marina Del Rey CA 90292-6905 |
| Practice Telephone | 3103059200 |
| Practice Fax Number | 3103052800 |
| Mailing Telephone | 3103059200 |
| Mailing Fax Number | 3103052800 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | GLADYS HAPPER (ADMINISTRATOR) |
| Authorized Official Telephone | 3103059200 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 405300000X | Prevention Professional | E4361 | CA | Other Service Providers |
| Y | 405300000X | Prevention Professional | A66385 | CA | Other Service Providers |
| Street Address |
5450 LINCOLN BLVD |
| City | PLAYA VISTA |
| State | CA |
| Zip Code | 90094-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430669 | Pacific Medical Group | Surgery | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2020-09-02 |
| 1437784873 | Yeranui Stepanyan | Nurse Practitioner | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2020-03-05 |
| 1972025948 | Silicon Beach Surgery Center Inc | Clinic/Center | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2017-07-12 |
| 1285168955 | Marina Nikiforova | Chiropractor | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2017-04-19 |
| 1760876783 | Rmpm Group Inc | Podiatrist | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2015-03-27 |
| 1649315508 | Casper Glenn | Personal Emergency Response Attendant | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225408586 | Merle Morgan | Acupuncturist | 12871 W. Runway Rd, Unit 1, Playa Vista, CA 90094 | 2015-09-30 |
| 1134518004 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 12746 W Jefferson Blvd, Ste 3160, Playa Vista, CA 90094 | 2015-01-15 |
| 1619170537 | Ivette Osorio | Speech-Language Pathologist | 13080 Pacific Promenade, #213, Playa Vista, CA 90094 | 2007-06-07 |
| 1033201363 | Nancy Lee Rosser | Psychiatry & Neurology | 200 S. Barrington Ave., 1907, Los Angeles, CA 90094 | 2006-09-28 |
| 1134570476 | Mahsa Eghbali | Pharmacist | 12746 W Jefferson Blvd, Playa Vista, CA 90094 | 2016-06-28 |
| 1871960708 | Cassandra Wong | Nurse Practitioner | 12746 W Jefferson Blvd, Playa Vista, CA 90094 | 2015-08-26 |
| 1336505460 | West Coast Surgical Associates | Clinic/Center | 5450 Pacific Coast Hwy, 545, Playa Vista, CA 90094-2002 | 2016-01-05 |
| 1225308729 | Stephanie Cohen | Social Worker | 13175 Fountain Park Dr, A-420, Playa Vista, CA 90094-2023 | 2011-12-31 |
| 1598711566 | Playa Physical Therapy | Clinic/Center | 13163 Fountain Park Dr, Suite A, Playa Vista, CA 90094-2040 | 2006-05-25 |
| 1790035632 | Terry Chu | Physical Therapist | 13163 Fountain Park Dr, Suite A, Playa Vista, CA 90094-2040 | 2012-09-19 |
| Find all providers in zip 90094 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023572641 | Eunhee Kim | Prevention Professional | 807 W Glenwood Cir, Fullerton, CA 92832-1017 | 2019-01-28 |
| 1467943647 | Bcdc Anger Management | Prevention Professional | 9901 Paramount Blvd Ste 114, Downey, CA 90240-3852 | 2018-05-23 |
| 1396248043 | Holly Hartley | Prevention Professional | 4325 S Higuera St, San Luis Obispo, CA 93401-7701 | 2018-03-08 |
| 1245740810 | Iu-mien Community Services | Prevention Professional | 5625 Stockton Blvd, Sacramento, CA 95824-1611 | 2017-10-09 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1548797806 | Alejandro Munoz | Prevention Professional | 3930 Fourth Ave Suite 200, San Diego, CA 92103 | 2017-05-17 |
| 1225564008 | Elizabeth Ann Silva Melo | Prevention Professional | 562 Northwood St, Escalon, CA 95320-9675 | 2017-05-11 |
| 1538695762 | Chinfu Chen | Prevention Professional | 1549 Stone Creek Dr, San Jose, CA 95132-1950 | 2017-05-09 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1740713452 | Jami Johnson | Prevention Professional | 74451 Hill Rd, Covelo, CA 95428-9615 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
| City | PLAYA VISTA |
| Zip Code | 90094 |
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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.