ROSS GORDON REAY (NPI# 1891206967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891206967 |
| Entity Type | Individual |
| Full Name | ROSS GORDON REAY |
| Credential | CADC-II |
| Practice Address |
3323 Marengo Ave Altadena CA 91001-4039 |
| Mailing Address |
340 Burchett St Apt 112 Glendale CA 91203-1314 |
| Practice Telephone | 6267659600 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A044030317 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3323 MARENGO AVE |
| City | ALTADENA |
| State | CA |
| Zip Code | 91001-4039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669825535 | Ridgeview Drive Ranch, LLC | Substance Abuse Rehabilitation Facility | 3323 Marengo Ave, Altadena, CA 91001 | 2016-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518455302 | Pax House Inc. | Clinic/Center | 2052 Lake Ave Ste F, Altadena, CA 91001 | 2018-04-26 |
| 1629592506 | Alfredo Manuel Mercado Jr. | Rehabilitation Practitioner | Tobinworld Mental Health, 920 E Boradway Street, Glendale, CA 91001 | 2017-08-01 |
| 1477000909 | Christopher Harris Jr. | Case Manager/Care Coordinator | 856 Figueroa Dr, Altadena, CA 91001 | 2016-09-01 |
| 1962864363 | Laura Peterson | Internal Medicine | 2225 Midwick Dr, Altadena, CA 91001 | 2016-03-24 |
| 1750741484 | Greta Francine Johnson | Psychiatry & Neurology | 800 S. Barranca, Covina, CA 91001 | 2016-02-23 |
| 1205211463 | Oscar Morales Aguirre | Licensed Vocational Nurse | 2145 North Marengo Ave, Altadena, CA 91001 | 2015-07-29 |
| 1811308703 | Growing Pains Individual, Family, and Couples Theraputic Services | Community/Behavioral Health | 29b Altadena Drive, Altadena, CA 91001 | 2014-05-13 |
| 1851727325 | Jennifer Sue-rurng Chen | Student in an Organized Health Care Education/Training Program | 2046 North Allen Avenue, Altadena, CA 91001 | 2013-09-17 |
| 1124366406 | Ridgeview Drive Ranch, LLC | Clinic/Center | 741 W Woodbury Rd, Altadena, CA 91001 | 2013-01-22 |
| 1164730784 | James Thomas Klotzle | Counselor | 161 Purple Sage Ln, Altadena, CA 91001 | 2010-09-16 |
| Find all providers in zip 91001 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932673563 | Jordan T. Desimone | Counselor | 460 E Sacramento St, Altadena, CA 91001-2915 | 2019-01-16 |
| 1215060009 | Charles Nathaniel Shedrick | Counselor | 3085 Ridgeview Dr, Altadena, CA 91001-4527 | 2007-03-13 |
| 1295369171 | James Little Jr. | Counselor | 2052 Lake Ave Ste F, Altadena, CA 91001-2460 | 2020-02-28 |
| 1861052946 | Victor Daniel Ortega | Counselor | 2052 Lake Ave Ste F, Altadena, CA 91001-2460 | 2019-06-19 |
| 1760042030 | Jessica L Steinard | Counselor | 2052 Lake Ave Ste F, Altadena, CA 91001-2460 | 2019-06-18 |
| 1922667831 | James Burnett | Counselor | 2052 Lake Ave Ste F, Altadena, CA 91001-2460 | 2019-06-13 |
| 1902465586 | Marcia Louise Burnett | Counselor | 2052 Lake Ave Ste F, Altadena, CA 91001-2460 | 2019-06-07 |
| 1699334250 | Karim Abdel-wahab | Counselor | 2052 Lake Ave, Altadena, CA 91001-2460 | 2019-06-07 |
| 1164088696 | Heshan Wijegunaratne | Counselor | 3085 Ridgeview Dr, Altadena, CA 91001-4527 | 2019-05-09 |
| 1912479304 | Alan Young | Counselor | 3085 Ridgeview Dr, Altadena, CA 91001-4527 | 2018-12-22 |
| Find all providers in ALTADENA | ||||
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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.