MARCO A QUEZADA (NPI# 1720448277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720448277 |
Entity Type | Individual |
Full Name | MARCO A QUEZADA |
Practice Address |
11501 Dolan Ave Downey CA 90241-4921 |
Practice Telephone | 5629237894 |
Mailing Telephone | 5629237894 |
Enumeration Date | 2016-02-26 |
Last Update Date | 2018-09-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 5145-R | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033775325 | Marco Quezada | Behavioral Analyst | 30343 Canwood St Ste 100, Agoura, CA 91301-4328 | 2019-05-13 |
Street Address |
11501 DOLAN AVE |
City | DOWNEY |
State | CA |
Zip Code | 90241-4921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508941170 | Southern California Alcohol and Drug Programs, Inc. | Substance Abuse Rehabilitation Facility | 11501 Dolan Ave, Downey, CA 90241-4921 | 2006-10-25 |
1205440740 | Ernesto William Gonzales | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2020-09-02 |
1417574542 | Douglas M Harris | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2020-07-06 |
1023633302 | Paul William Luna | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2020-06-11 |
1225659741 | Alfonso Gudino Jr. | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2020-05-06 |
1275154379 | Masina Masina | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2020-04-29 |
1639722978 | Melyssa Rivas | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2019-07-16 |
1518441211 | Omar Hernandez | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2018-09-18 |
1497251821 | Irvin Anthony Alatorre | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2018-04-04 |
1811496086 | Dante Hammons | Case Manager/Care Coordinator | 11501 Dolan Ave, Downey, CA 90241-4921 | 2018-02-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
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Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851751770 | Carmen Alina Moreno | Counselor | 8220 Priscilla St, Downey, CA 90242-4337 | 2016-03-04 |
1053771592 | Rebecca Ortiz | Counselor | 7322 Florence Ave Apt 12, Downey, CA 90240-3663 | 2016-02-25 |
1992952428 | George H. Bridges | Counselor | 10927 Downey Ave., #c, Downey, CA 90241 | 2008-08-27 |
1891825691 | Alejandra Ramirez | Counselor | 10620 Western Ave, #h, Downey, CA 90241-3465 | 2007-03-07 |
1518327212 | Gabriela Rivas | Counselor | 11500 Paramount Blvd, Downey, CA 90241-4530 | 2016-02-24 |
1831498799 | Roberto Cabrera | Counselor | 11500 Paramount Blvd, Downey, CA 90241-4530 | 2011-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972104628 | Ann Egan | Counselor | 207 Cole St, San Francisco, CA 94117-1915 | 2020-11-07 |
1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
1184224693 | Enrique L Hinojosa | Counselor | 817 S Fairmont Ave, Lodi, CA 95240-5116 | 2020-10-26 |
1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
1114526407 | David Arthur Lee | Counselor | 1819 Idaho Ave, Santa Monica, CA 90403-3301 | 2020-10-19 |
1235737271 | Jeannie Dulberg | Counselor | 540 Wagnon Rd, Sebastopol, CA 95472-9204 | 2020-10-12 |
1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
1467059105 | Paul Benjamin Mannes | Counselor | 59922 La Brisa Dr, Yucca Valley, CA 92284-9351 | 2020-10-06 |
1689271454 | Skycare Cuidado Del Cielo LLC | Counselor | 7890 E Spring St Unit 10d, Long Beach, CA 90815-1622 | 2020-10-05 |
1396342135 | Lima Karim | Counselor | 4109 Broadmoor Cmn Apt 207, Fremont, CA 94538-7013 | 2020-10-05 |
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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.