WESLEY JARASUNAS (NPI# 1780008953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780008953 |
| Entity Type | Individual |
| Full Name | WESLEY JARASUNAS |
| Practice Address |
11600 Eldridge Ave Lake View Terrace CA 91342-6506 |
| Mailing Address |
407 Birmingham Rd Burbank CA 91504-3908 |
| Practice Telephone | 8186863000 |
| Mailing Telephone | 8186698987 |
| Enumeration Date | 2014-02-09 |
| Last Update Date | 2014-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Street Address |
11600 ELDRIDGE AVE |
| City | LAKE VIEW TERRACE |
| State | CA |
| Zip Code | 91342-6506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235283722 | Phoenix Houses of Los Angeles, Inc. | Substance Abuse Rehabilitation Facility | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2007-01-22 |
| 1093326787 | Stella Dorin | Student in an Organized Health Care Education/Training Program | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-08-14 |
| 1235740226 | Elizabeth Catherine Wight | Student in an Organized Health Care Education/Training Program | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-08-12 |
| 1881205870 | Julissa Nohemi Pelayo | Student in an Organized Health Care Education/Training Program | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-08-12 |
| 1992322325 | Lizeth Elena Lomeli | Social Worker | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-07-01 |
| 1467075051 | Timothy Oh | Student in an Organized Health Care Education/Training Program | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-05-19 |
| 1649892654 | Jennifer Miranda Kashou | Student in an Organized Health Care Education/Training Program | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-05-13 |
| 1710509625 | Araceli L Pimentel | Student in an Organized Health Care Education/Training Program | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-05-13 |
| 1790306785 | Julian Rocha | Student in an Organized Health Care Education/Training Program | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-04-30 |
| 1194367110 | Florencia Lucy Gonzalez | Counselor | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2019-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| 1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
| 1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
| 1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
| 1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
| 1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
| 1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
| 1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
| 1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
| 1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
| Find all providers in zip 91342 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700226685 | Phoenix Houses of Los Angeles | Substance Abuse Rehabilitation Facility | 11465 Kagel Canyon St, Lake View Terrace, CA 91342-6505 | 2013-06-25 |
| 1235283722 | Phoenix Houses of Los Angeles, Inc. | Substance Abuse Rehabilitation Facility | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2007-01-22 |
| 1427594639 | Phoenix Houses of Los Angeles, Inc. | Substance Abuse Rehabilitation Facility | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2017-01-11 |
| 1639506520 | Phoenix House Foundation | Substance Abuse Rehabilitation Facility | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2013-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275620 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 80 W Nicasio, San Geronimo, CA 94963 | 2020-11-05 |
| 1013518042 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 1208 Via Aracena, Camarillo, CA 93010-7440 | 2020-11-05 |
| 1609477645 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 1850 Calle Alberca, Camarillo, CA 93010-1811 | 2020-11-05 |
| 1467053736 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 615 Bugeia Ln, Novato, CA 94945-1517 | 2020-11-04 |
| 1376144642 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 100 Avocado Pl, Camarillo, CA 93010-8467 | 2020-11-04 |
| 1285235556 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 7210 Johnston Rd, Pleasanton, CA 94588-9466 | 2020-11-04 |
| 1780282988 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 2891 I Street Ext, Petaluma, CA 94952-9521 | 2020-10-12 |
| 1720692577 | Muir Wood, LLC. | Substance Abuse Rehabilitation Facility | 1743 Skillman Lane, Petaluma, CA 94952-9495 | 2020-08-31 |
| 1598376816 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 6868 Cold Springs Rd, Penngrove, CA 94951-9722 | 2020-08-11 |
| 1770194060 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 195 S Peralta Hills Dr, Anaheim, CA 92807-3424 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | LAKE VIEW TERRACE |
| Zip Code | 91342 |
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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.