SOLE PROPRIETOR (NPI# 1760882336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760882336 |
| Entity Type | Organization |
| Organization Name | SOLE PROPRIETOR |
| Practice Address |
4401 Santa Anita Ave El Monte CA 91731-1611 |
| Mailing Address |
300 Abery Ave La Puente CA 91744-6101 |
| Practice Telephone | 6262410008 |
| Mailing Telephone | 6262410008 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |
| Authorized Official Name | MR. ABRAHAM CORTEZ JR. (CHILD FAMILY SERVICES) |
| Authorized Official Telephone | 6262410008 |
| Authorized Official Credential | B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568845832 | Sole Proprietor | Clinic/Center | 510 Locust Ave, Washington, PA 15301-3331 | 2015-07-06 |
| 1891187852 | Sole Proprietor | Community/Behavioral Health | 610 Willis Ave Apt 1f, Williston Park, NY 11596-1221 | 2015-02-28 |
| 1215462627 | Sole Proprietor | Student in an Organized Health Care Education/Training Program | 701 W 5th St, Odessa, TX 79763-4206 | 2017-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOLE PROPRIETOR | 612 S Lincoln St Apt 206, Spokane, WA 99204-2939 |
| System for Award Management (SAM) Entities | SOLE PROPRIETORS | Avenida De Los Planetas # 62, Y Centauro, Quito, PICHINCHA, ECU |
| System for Award Management (SAM) Entities | SOLE PROPRIETORSHIP | 5614 Freedom St, Hollywood, FL 33021-2745 |
| Street Address |
4401 SANTA ANITA AVE |
| City | EL MONTE |
| State | CA |
| Zip Code | 91731-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154456903 | Adriana Luquin | Counselor | 4401 Santa Anita Ave, Suite 100, El Monte, CA 91731-1611 | 2007-02-22 |
| 1598279622 | Deborah S Lemus | Social Worker | 4401 Santa Anita Ave, El Monte, CA 91731-1611 | 2017-11-28 |
| 1689068959 | Lionel Garcia | Rehabilitation Practitioner | 4401 Santa Anita Ave, Suite 100, El Monte, CA 91731-1611 | 2015-03-25 |
| 1750775029 | Virginia Siegler | Rehabilitation Practitioner | 4401 Santa Anita Ave, El Monte, CA 91731-1611 | 2015-03-25 |
| 1760876031 | Monica Abad | Rehabilitation Practitioner | 4401 Santa Anita Ave, Suite 100, El Monte, CA 91731-1611 | 2015-03-25 |
| 1831592617 | Kelly Velasquez | Case Manager/Care Coordinator | 4401 Santa Anita Ave, El Monte, CA 91731-1611 | 2014-10-07 |
| 1114357431 | Edwin Quiles Jr. | Rehabilitation Practitioner | 4401 Santa Anita Ave, Ste. 211, El Monte, CA 91731-1611 | 2013-11-22 |
| 1033541602 | Erica Huizar | Counselor | 4401 Santa Anita Ave, Suite 100, El Monte, CA 91731-1611 | 2013-08-06 |
| 1629400627 | Kelly Ann Havlin | Counselor | 4401 Santa Anita Ave, El Monte, CA 91731-1611 | 2013-08-01 |
| 1174964472 | Karina Ramos | Counselor | 4401 Santa Anita Ave, El Monte, CA 91731-1611 | 2013-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154965994 | Anahi Mora | Case Manager/Care Coordinator | 3629 Santa Anita Ave, El Monte, CA 91731 | 2019-11-05 |
| 1346882321 | Rosemary Pespisa | Technician | 10558 Emery St., El Monte, CA 91731 | 2019-10-11 |
| 1962058123 | Maria Jesusa Gabriel | Licensed Vocational Nurse | 11041 E. Valley Blvd., El Monte, CA 91731 | 2019-08-14 |
| 1346720679 | Ivan Bustamante | Counselor | 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA 91731 | 2018-08-16 |
| 1891213229 | Abbye Williams | Counselor | 11100 Valley Blvd Suite 116, El Monte, CA 91731 | 2017-09-06 |
| 1215467279 | All Health Alliance Medical Group, Inc. | Physical Medicine & Rehabilitation | 10505 Valley Boulevard, #238, El Monte, CA 91731 | 2017-06-13 |
| 1427416486 | Mai Le | Counselor | 11041 E. Valley Blvd, El Monte, CA 91731 | 2016-02-05 |
| 1235526724 | Kristine Malana | Social Worker | 10418 E. Valley Blvd., Suite A, El Monte, CA 91731 | 2015-04-22 |
| 1376980250 | Aura Hernandez | Rehabilitation Practitioner | 9865 Baldwin Pl., El Monte, CA 91731 | 2013-05-31 |
| 1639411754 | Roxana Yaneth De Paz | Nurse's Aide | 10481 Valley Blvd., El Monte, CA 91731 | 2013-03-27 |
| Find all providers in zip 91731 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437707833 | D'veal Family and Youth Services | Community/Behavioral Health | 1001 Durfee Ave, El Monte, CA 91733-4409 | 2019-08-28 |
| 1275181679 | D'veal Family and Youth Services | Community/Behavioral Health | 4921 Cedar Ave # 1035, El Monte, CA 91732-1035 | 2019-08-28 |
| 1417410945 | Alma Family Services | Community/Behavioral Health | 12347 Ramona Blvd., Main Office Building (therapy Room #1), El Monte, CA 91732-2569 | 2019-04-11 |
| 1487105813 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 3426 Cogswell Rd, El Monte, CA 91732-2785 | 2016-10-20 |
| 1962884304 | Star View Behavioral Health Inc. | Community/Behavioral Health | 9040 Telstar Avenue, Suite 101 & 102, El Monte, CA 91731-2838 | 2015-06-22 |
| 1477982296 | Sgvc | Community/Behavioral Health | 11046 Valley Mall, El Monte, CA 91731-2617 | 2013-11-02 |
| 1114297827 | Hacc Inc | Community/Behavioral Health | 3300 Gilman Rd, El Monte, CA 91732-3226 | 2012-01-11 |
| 1134499841 | Hacc Inc | Community/Behavioral Health | 12460 Fineview St, El Monte, CA 91732-3930 | 2012-01-11 |
| 1346510807 | Hacc Inc | Community/Behavioral Health | 11919 Magnolia St, El Monte, CA 91732-3401 | 2011-12-30 |
| 1639357478 | Pacific Clinics | Community/Behavioral Health | 5050 Kings Row, El Monte, CA 91731-5405 | 2008-02-04 |
| Find all providers in EL MONTE | ||||
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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.