KRISTA TILLY (NPI# 1811541048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811541048 |
| Entity Type | Individual |
| Full Name | KRISTA TILLY |
| Practice Address |
1000 Goodrich Blvd Commerce CA 90022-5103 |
| Practice Telephone | 3238329795 |
| Mailing Telephone | 3238329795 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1000 GOODRICH BLVD |
| City | COMMERCE |
| State | CA |
| Zip Code | 90022-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386253565 | Zuleyka Santiago Lopez | Student in an Organized Health Care Education/Training Program | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2020-07-23 |
| 1720600257 | Sasha Carina Melendez-goldman | Marriage & Family Therapist | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2020-05-06 |
| 1952948168 | Keila Scarlet Farias | Counselor | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2019-12-06 |
| 1245882901 | Anthony Zepeda | Counselor | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2019-07-12 |
| 1730747965 | Melissa Hernandez | Case Manager/Care Coordinator | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2019-06-03 |
| 1346807245 | Valerie M Chacon | Contractor | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2019-05-26 |
| 1679032098 | Sherry Marie Gonzalez | Marriage & Family Therapist | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2019-03-15 |
| 1619447059 | Torsten Chester Werner Keil-long | Counselor | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2018-11-28 |
| 1093292302 | Abigail Romero | Marriage & Family Therapist | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2018-07-19 |
| 1326524794 | Alexa Connors | Student in an Organized Health Care Education/Training Program | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700405701 | Altamed Health Services Corp | Pharmacy | 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 | 2020-04-10 |
| 1033699426 | Reachwell Home Health Inc | Home Health | 236 1/4 S Atlantic Blvd, Los Angeles, CA 90022 | 2018-08-15 |
| 1326528704 | Shelli Hernandez | Community Health Worker | Enki Health & Research Systems Inc., 1000 Goodrich Blvd., Commerce, CA 90022 | 2018-08-15 |
| 1477071660 | East Los Angeles Womens Center | Counselor | 1431 S. Atlantic Blvd, Los Angeles, CA 90022 | 2017-09-07 |
| 1467974824 | Ena Vilma Hernandez | Registered Nurse | 245 S Fetterly St, Los Angeles, CA 90022 | 2017-07-07 |
| 1437688843 | Maud D Legaspi | Social Worker | 5425 E. Pomona Blvd, Los Angeles, CA 90022 | 2017-06-08 |
| 1548793920 | Harbor Chiropractic, Inc., A Bahan Company | Chiropractor | 5301 Whittier Blvd, Atrium Lower Level, Los Angeles, CA 90022 | 2017-04-04 |
| 1326590423 | Via Care Community Health Center | Clinic/Center | 501 S. Woods Ave, Los Angeles, CA 90022 | 2016-10-25 |
| 1780057950 | Monica Poomiwatracanont | Pharmacist | 5176 E. Whittier Blvd., Los Angeles, CA 90022 | 2015-11-10 |
| 1609277433 | Ethan C. A Lee Dental Inc. | Dentist | 6046 Whittier Blvd., Los Angeles, CA 90022 | 2014-09-11 |
| Find all providers in zip 90022 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912215773 | Marsil Mitry | Student in an Organized Health Care Education/Training Program | 1436 Goodrich Boulevard, Commerce, CA 90022 | 2010-09-15 |
| 1497946610 | Rhea Lynn Racaza | Student in an Organized Health Care Education/Training Program | Enki Youth and Family Services-margarita Mendez, 1000 Goodrich Boulevard, Commerce, CA 90022 | 2007-08-05 |
| 1386253565 | Zuleyka Santiago Lopez | Student in an Organized Health Care Education/Training Program | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2020-07-23 |
| 1467011981 | Ana Claudia Lesquives | Student in an Organized Health Care Education/Training Program | 1436 Goodrich Blvd, Commerce, CA 90022-5111 | 2019-06-08 |
| 1689151615 | Karina S Salas | Student in an Organized Health Care Education/Training Program | 1436 Goodrich Blvd, Commerce, CA 90022-5111 | 2018-07-23 |
| 1326524794 | Alexa Connors | Student in an Organized Health Care Education/Training Program | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2018-07-18 |
| 1043736358 | Ian Fetterolf | Student in an Organized Health Care Education/Training Program | 1436 Goodrich Blvd, Commerce, CA 90022-5111 | 2017-08-17 |
| 1437600327 | Laura Cruz | Student in an Organized Health Care Education/Training Program | 5628 E Slauson Ave, Commerce, CA 90040-2922 | 2016-10-17 |
| 1881143055 | Jorge Gomez | Student in an Organized Health Care Education/Training Program | 5835 S Eastern Ave, Commerce, CA 90040-4029 | 2016-09-28 |
| 1932551074 | Joe Segal | Student in an Organized Health Care Education/Training Program | 6055 E Washington Blvd Ste 900, Commerce, CA 90040-2453 | 2016-07-12 |
| Find all providers in COMMERCE | ||||
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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.