JOSEPH PETTY JR. (NPI# 1700235884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700235884 |
| Entity Type | Individual |
| Full Name | JOSEPH PETTY JR. |
| Practice Address |
599 W 9th St San Pedro CA 90731-3105 |
| Practice Telephone | 3108310331 |
| Practice Fax Number | 3108310004 |
| Mailing Telephone | 3108310331 |
| Mailing Fax Number | 3108310004 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881159135 | Joseph Kenneth Petty | Counselor | 2819 Barker Ave Apt J33, Bronx, NY 10467-7185 | 2019-01-31 |
| 1235286543 | Joseph V Petty IIi | Anesthesiology | 7500 S 91st St, Lincoln, NE 68526-9437 | 2007-01-05 |
| 1063856029 | Joseph D Petty | Social Worker | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1068 | 2013-04-22 |
| 1649461211 | Joseph Lee Petty | Obstetrics & Gynecology | 22999 Highway 59 N, Suite 250, Kingwood, TX 77339-4412 | 2007-08-07 |
| Street Address |
599 W 9TH ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114172640 | Harbor Area Substance Abuse Treatment Center | Community/Behavioral Health | 599 W 9th St, San Pedro, CA 90731-3105 | 2008-11-25 |
| 1104373158 | Consuelo Cantu | Counselor | 599 W 9th St, San Pedro, CA 90731-3105 | 2016-09-07 |
| 1023565256 | Allison Arkfeld | Counselor | 599 W 9th St, San Pedro, CA 90731-3105 | 2016-09-06 |
| 1578018123 | Cassie Conlin | Counselor | 599 W 9th St, San Pedro, CA 90731-3105 | 2016-08-23 |
| 1306399720 | Whitney Rose Acquafresca I | Counselor | 599 W 9th St, San Pedro, CA 90731-3105 | 2016-08-02 |
| 1275987273 | Briana Annette Harris | Counselor | 599 W 9th St, San Pedro, CA 90731-3105 | 2016-04-16 |
| 1295196004 | Julie Rodriguez | Counselor | 599 W 9th St, San Pedro, CA 90731-3105 | 2016-03-08 |
| 1710355318 | Micheal Huonder | Counselor | 599 W 9th St, San Pedro, CA 90731-3105 | 2015-09-14 |
| 1477939635 | Kirsten Yabuta | Student in an Organized Health Care Education/Training Program | 599 W 9th St, San Pedro, CA 90731-3105 | 2015-08-10 |
| 1265810246 | Johnny Jones | Counselor | 599 W 9th St, San Pedro, CA 90731-3105 | 2015-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140158 | Elizabeth Ortiz Mcghee | Counselor | 505 N Pacific Ave, San Pedro, CA 90731-2021 | 2020-03-26 |
| 1164071650 | Jeffrey Andersen | Counselor | 270 W 14th St # 27, San Pedro, CA 90731-4396 | 2019-09-06 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1598278517 | Christina Marie Ramirez | Counselor | 936 S Centre St, San Pedro, CA 90731-3737 | 2017-11-13 |
| 1265955942 | Ryan Michael Smith | Counselor | 1003 S Beacon St, San Pedro, CA 90731-4324 | 2017-07-25 |
| 1255782983 | Myrra Alo | Counselor | 235 W 9th St, San Pedro, CA 90731-3711 | 2016-06-23 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1700281128 | Monica Reynoso | Counselor | 222 S Cabrillo Ave Apt 106, San Pedro, CA 90731-2453 | 2014-10-28 |
| 1811331259 | Shirley Elaine Robinson | Counselor | 972 W 24th St, #5, San Pedro, CA 90731-5759 | 2013-04-27 |
| 1245545441 | Paul Miller | Counselor | 565 W 15th St, San Pedro, CA 90731-4786 | 2010-08-11 |
| Find all providers in SAN PEDRO | ||||
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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.