GREGORY WILLETT MD, A PROFESSIONAL CORPORATION (NPI# 1881774743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881774743 |
| Entity Type | Organization |
| Organization Name | GREGORY WILLETT MD, A PROFESSIONAL CORPORATION |
| Practice Address |
4477 W 118th St 400 Hawthorne CA 90250-2255 |
| Mailing Address |
3521 Lomita Blvd Ste 103 Torrance CA 90505-5041 |
| Practice Telephone | 3109780884 |
| Mailing Telephone | 3105349131 |
| Mailing Fax Number | 3105346132 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-02-22 |
| Authorized Official Name | THOMAS GREGORY WILLETT (PRESIDENT) |
| Authorized Official Telephone | 3109780884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A22826 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4477 W 118TH ST 400 |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942290937 | Janice Maria Knight-cooper | Pharmacist | 4477 W 118th St, #100, Hawthorne, CA 90250-2255 | 2005-10-21 |
| 1861867715 | Maria Montessa Tinoco | Nurse Practitioner | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2255 | 2015-12-03 |
| 1164868931 | Nona Pacatang Santos | Nurse Practitioner | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2255 | 2013-05-20 |
| 1952655656 | M.r.das, M.d., Inc. | Internal Medicine | 4477 W 118th St, Ste 409, Hawthorne, CA 90250-2255 | 2012-11-01 |
| 1639440878 | Meridian Holdings, Inc | Internal Medicine | 4477 W 118th St, 304, Hawthorne, CA 90250-2255 | 2012-01-19 |
| 1225328610 | Pooja Kumar | Internal Medicine | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2255 | 2011-04-19 |
| 1306149083 | Drayton P Graham A Medical Corporation | Internal Medicine | 4477 W 118th St, Ste. 401, Hawthorne, CA 90250-2255 | 2010-12-17 |
| 1891949681 | Rajender Singh Dabas | Physician Assistant | 4477 W 118th St, Suite 303, Hawthorne, CA 90250-2255 | 2008-11-06 |
| 1558542449 | Ronald Thomas Kaufmann | Physician Assistant | 4477 W 118th St, Suite #303, Hawthorne, CA 90250-2255 | 2007-11-19 |
| 1528255684 | Primax Healthcare Associates, Inc. | Specialist | 4477 W 118th St, Suite 302, Hawthorne, CA 90250-2255 | 2007-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033364930 | Aldo Joseph Porco Md | Psychiatry & Neurology | 500 Linda Ave., Hawthorne, NY 10532 | 2008-11-20 |
| 1225297971 | Rozy Aurora | Psychiatry & Neurology | 7 Skyline Dr Ste 350, Hawthorne, NY 10532 | 2008-06-07 |
| 1962444182 | Frederick Kurth | Psychiatry & Neurology | 4477 W. 118th St, #400a, Hawthorne, CA 90250-2255 | 2006-06-12 |
| 1235750654 | Ocd and Anxiety Psychiatry of Westchester, P.C. | Psychiatry & Neurology | 7 Skyline Dr Ste 350, Hawthorne, NY 10532-2162 | 2020-04-27 |
| 1134513609 | Harry Tan Do | Psychiatry & Neurology | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2015-03-23 |
| 1861694267 | Carla S. Dixon | Psychiatry & Neurology | 500 Linda Ave, Linden Hill Rtf -- J.b.f.c.s., Hawthorne, NY 10532-1313 | 2007-06-05 |
| 1144394149 | James Jung | Psychiatry & Neurology | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2006-11-20 |
| 1649352121 | Eram Baig | Psychiatry & Neurology | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2006-10-20 |
| 1740229483 | Thomas G. Willett | Psychiatry & Neurology | 4477 W 118th St, 400, Hawthorne, CA 90250-2255 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1053910158 | Open Mind Mental Health Inc | Psychiatry & Neurology | 5241 Alzeda Dr, La Mesa, CA 91941-5726 | 2020-10-20 |
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1730794223 | Margarita Alonso Md LLC | Psychiatry & Neurology | 4401 Manchester Ave Ste 101, Encinitas, CA 92024-4938 | 2020-09-10 |
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1326658204 | Michael Martyna | Psychiatry & Neurology | 401 Quarry Road, Room 2208, Stanford Neuropsychiatry Fellowship Program Department, Stanford, CA 94305-5723 | 2020-08-05 |
| 1568072767 | Capitol City Psychiatry | Psychiatry & Neurology | 300 Harding Blvd Ste 118, Roseville, CA 95678-2472 | 2020-08-03 |
| 1164031530 | Katherine Ann Valdivia | Psychiatry & Neurology | 710 Madison St # A, Watsonville, CA 95076-2702 | 2020-07-30 |
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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.