IRIS ANITA ROEBUCK (NPI# 1730368424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730368424 |
| Entity Type | Individual |
| Full Name | IRIS ANITA ROEBUCK |
| Practice Address |
921 S Beacon St San Pedro CA 90731-3740 |
| Practice Telephone | 3105473341 |
| Mailing Telephone | 3105473341 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
921 S BEACON ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-3740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078969 | Allan I Larner | Family Medicine | 921 S Beacon St, San Pedro, CA 90731-3740 | 2005-07-28 |
| 1902460207 | Cecelia Monzon | Case Manager/Care Coordinator | 921 S Beacon St, San Pedro, CA 90731-3740 | 2019-04-23 |
| 1104388248 | Margarita Lekhtsikava | Counselor | 921 S Beacon St, San Pedro, CA 90731-3740 | 2019-04-05 |
| 1427519586 | Maimunata Jones | Licensed Vocational Nurse | 921 S Beacon St, San Pedro, CA 90731-3740 | 2019-03-29 |
| 1558859660 | Krystal Michelle Cvitanovich | Case Manager/Care Coordinator | 921 S Beacon St, San Pedro, CA 90731-3740 | 2018-04-24 |
| 1598268203 | Taneka Johnson | Licensed Vocational Nurse | 921 S Beacon St, San Pedro, CA 90731-3740 | 2018-03-09 |
| 1518417211 | Christina Suan | Student in an Organized Health Care Education/Training Program | 921 S Beacon St, San Pedro, CA 90731-3740 | 2016-10-06 |
| 1548639461 | Mika Ozawa | Student in an Organized Health Care Education/Training Program | 921 S Beacon St, San Pedro, CA 90731-3740 | 2015-09-22 |
| 1518347046 | Karen Diane Figgins | Case Manager/Care Coordinator | 921 S Beacon St, San Pedro, CA 90731-3740 | 2015-05-29 |
| 1346642287 | Sonam Kapadia | Student in an Organized Health Care Education/Training Program | 921 S Beacon St, San Pedro, CA 90731-3740 | 2014-09-23 |
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| 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 | 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 |
|---|---|---|---|---|
| 1255675898 | Melissa Renee Martinez | Counselor | 1056 W 15th St, Apt. 3, San Pedro, CA 90731-3959 | 2012-11-20 |
| 1689289399 | Claudia R Del Valle | Counselor | 150 W 7th St, San Pedro, CA 90731-3320 | 2020-09-10 |
| 1801410881 | Matthew Mcnece | Counselor | 270 W 14th St, San Pedro, CA 90731-4396 | 2020-06-04 |
| 1104456128 | Erica Alejandra Figueroa | Counselor | 590 W 8th St, San Pedro, CA 90731-3120 | 2020-01-17 |
| 1710355318 | Micheal Huonder | Counselor | 599 W 9th St, San Pedro, CA 90731-3105 | 2015-09-14 |
| 1891030391 | Kathryn Cummins | Counselor | 2403 S Moray Ave, San Pedro, CA 90732-4342 | 2012-12-10 |
| 1154681765 | Margaret Lentz Reavey | Counselor | 505 S Pacific Ave, San Pedro, CA 90731-2656 | 2012-05-17 |
| 1760756712 | Kristen Marie Meyer | Counselor | 599 W 9th St, San Pedro, CA 90731-3105 | 2012-03-07 |
| 1558675934 | Jennifer Lynn Lively | Counselor | 704 W 8th St, San Pedro, CA 90731-3017 | 2010-07-28 |
| 1326372970 | Erica Cachu | Counselor | 704 W 8th St, San Pedro, CA 90731-3017 | 2009-09-30 |
| 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.