WADE TAYLOR (NPI# 1851774913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851774913 |
| Entity Type | Individual |
| Full Name | WADE TAYLOR |
| Credential | CADC-CAS |
| Practice Address |
717 Lincoln Blvd Venice CA 90291-2845 |
| Practice Telephone | 3103999883 |
| Practice Fax Number | 3103999678 |
| Mailing Telephone | 3103999883 |
| Mailing Fax Number | 3103999678 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083779458 | Wade Alan Taylor | Chiropractor | 1810 Pinion Rd, Elko, NV 89801-4393 | 2006-12-26 |
| 1215425038 | Wade Randolph Taylor | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2018-04-26 |
| 1659428571 | Wade Taylor | Marriage & Family Therapist | 433 S 500 E, American Fork, UT 84003-2527 | 2007-01-04 |
| Street Address |
717 LINCOLN BLVD |
| City | VENICE |
| State | CA |
| Zip Code | 90291-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114096872 | El Dorado Community Service Center | Clinic/Center | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2006-11-07 |
| 1194323659 | Antonio De Jesus Sanchez | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2020-10-15 |
| 1093360331 | Sandra Diane Kellar | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2019-08-05 |
| 1215405816 | John Edward Rudegeair | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2018-11-13 |
| 1922511401 | Christiana Dorian Grotlisch | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2017-11-07 |
| 1184144826 | Estefania Bernabe | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2017-06-23 |
| 1730636598 | Daniel Bolander | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2016-09-08 |
| 1184179525 | American Health Services | Exclusive Provider Organization | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2016-08-15 |
| 1588016489 | Cesia Delacruz | Licensed Vocational Nurse | 717 Lincoln Blvd, Venice, CA 90291 | 2016-07-05 |
| 1689067894 | Stan Carl Perryman II | Case Manager/Care Coordinator | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2015-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1073758926 | Charles Jeffrey Sandoz | Counselor | 530 Us Highway 41 Byp S, Suite 4a, Venice, FL 34285-4750 | 2008-12-06 |
| 1801865977 | Tara Elizabeth Jacobson | Counselor | 2210 S Tamiami Trail, #10, Venice, FL 34293 | 2006-03-14 |
| 1194323659 | Antonio De Jesus Sanchez | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2020-10-15 |
| 1164045886 | Vincent Giovanni Cruz | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2020-05-28 |
| 1699397125 | Gerardo Rojas | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2020-05-06 |
| 1750926408 | Michel Ferguson | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-11-15 |
| 1881239739 | Barron Lesean Carter | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-11-14 |
| 1457901589 | Daniel John Bouchard | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-09-20 |
| 1093360331 | Sandra Diane Kellar | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2019-08-05 |
| Find all providers in VENICE | ||||
Please comment or provide details below to improve the information on WADE TAYLOR.
| 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.