BRYAN C BENNETT


Address: 3210 W Jefferson Blvd, Los Angeles, CA 90018-3230
Phone: 6265332647

BRYAN C BENNETT (NPI# 1902145683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902145683
Entity Type Individual
Full Name BRYAN C BENNETT
Practice Address 3210 W Jefferson Blvd
Los Angeles
CA 90018-3230
Mailing Address 1501 Hughes Way
Long Beach
CA 90810-1876
Practice Telephone 6265332647
Mailing Telephone 3102216336
Enumeration Date 2013-01-31
Last Update Date 2015-08-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers BRYAN BENNETT

NPI Name Taxonomy Address Enumeration
1699395145 Bryan Bennett Student in an Organized Health Care Education/Training Program 813 Canton St, Troy, PA 16947-1452 2020-04-24
1417424011 Bryan King Bennett Physician Assistant Carl R Darnall Army Medical Center, 36065 Santa Fe Ave., Fort Hood, TX 76544 2018-11-01
1942737549 Bryan Patrick Bennett Student in an Organized Health Care Education/Training Program 205 N East Ave, Jackson, MI 49201-1753 2017-05-15
1255731287 Bryan Bennett Nurse Practitioner 500 Cherry St, Bluefield, WV 24701-3306 2014-08-27

Office Location

Street Address 3210 W JEFFERSON BLVD
City LOS ANGELES
State CA
Zip Code 90018-3230

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063745289 Veda Curry Counselor 3210 W Jefferson Blvd, Los Angeles, CA 90018-3230 2009-09-08
1437574340 Solution Medcal Foundation Community/Behavioral Health 3210 W Jefferson Blvd, Los Angeles, CA 90018-3230 2014-02-28
1073955696 Brian Eugene Petetan Counselor 3210 W Jefferson Blvd, Los Angeles, CA 90018-3230 2013-07-24
1689936643 Cuara Dennis Counselor 3210 W Jefferson Blvd, Los Angeles, CA 90018-3230 2012-06-14
1588926554 Jacqueline Caceres Counselor 3210 W Jefferson Blvd, Los Angeles, CA 90018-3230 2012-06-14
1568737294 Donna Thomas Counselor 3210 W Jefferson Blvd, Los Angeles, CA 90018-3230 2012-03-13
1295009249 Tina Branch Counselor 3210 W Jefferson Blvd, Los Angeles, CA 90018-3230 2012-03-07
1649544008 Aundrea H Scott Counselor 3210 W Jefferson Blvd, Los Angeles, CA 90018-3230 2012-03-02
1932477858 Rikki James Counselor 3210 W Jefferson Blvd, Los Angeles, CA 90018-3230 2011-12-06
1154606804 The Solutions A&d Recovery Foundation Counselor 3210 W Jefferson Blvd, Los Angeles, CA 90018-3230 2011-10-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548753429 Gilda Panales Behavioral Analyst 2919 1/2 South Bronson Ave, Los Angeles, CA 90018 2018-06-14
1083125603 The Dream Catcher Foundation, Inc. Residential Treatment Facility, Emotionally Disturbed Children 3601 2nd Ave, Los Angeles, CA 90018 2017-10-23
1598292351 Brittney Shanice Hinton Counselor 3125 W Adams Blvd, #9, Los Angeles, CA 90018 2017-05-11
1639556632 Erica Gladden Radiologic Technologist 2923 South Dalton Ave, Los Angeles, CA 90018 2015-04-29
1881085942 Tanisha Merriweather Counselor 3521 11th Ave, Los Angeles, CA 90018 2015-02-11
1790088763 Richard Windom Counselor 1361 Exposition Blvd., Los Angeles, CA 90018 2010-12-14
1790095214 Donielle Spencer Rehabilitation Practitioner 1968 W Adams Blvd., Ste 101, Los Angeles, CA 90018 2010-10-18
1780906404 Earl Cooper Internal Medicine 2424 8th Ave., Los Angeles, CA 90018 2010-02-22
1295066207 Gilda Beatriz Gomez Rehabilitation Practitioner 2116 Arlington Ave. Suite 200, Los Angeles, CA 90018 2010-01-15
1922332899 Roberto Carlos Cisnerso Counselor 2357 W. 30th St., Los Angeles, CA 90018 2009-09-25
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285242594 Rocio Jimenez Case Manager/Care Coordinator 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 2020-07-22
1245855725 Ashley Ivette Berumen Case Manager/Care Coordinator 1900 W Slauson Ave, Los Angeles, CA 90047-1129 2020-06-10
1356965776 Jennifer Yanovski Case Manager/Care Coordinator 316 W 2nd St Ste 202, Los Angeles, CA 90012-3527 2020-06-01
1841820560 Kiara Imani Thomas Case Manager/Care Coordinator 226 E 103rd St, Los Angeles, CA 90003-4720 2020-01-22
1023648748 Christopher Rivas Case Manager/Care Coordinator 1410 N Kenmore Ave Apt 5, Los Angeles, CA 90027-5826 2020-01-22
1396383782 Candace Laolagi Case Manager/Care Coordinator 246 E 47th St, Los Angeles, CA 90011-3908 2019-12-16
1902448343 Aster Libasu Case Manager/Care Coordinator 2619 Wilshire Blvd Apt 1005, Los Angeles, CA 90057-3461 2019-10-16
1831749456 Jasmine Lynn Martinez Case Manager/Care Coordinator 6768 Lexington Ave, Los Angeles, CA 90038-1234 2019-09-16
1033762547 John Charles Gutierrez Case Manager/Care Coordinator 4265 S Normandie Ave, Los Angeles, CA 90037-2324 2019-07-23
1609429976 Vianey Colon Case Manager/Care Coordinator 11601 S Western Ave # O, Los Angeles, CA 90047-5006 2019-07-16
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Competitor

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City LOS ANGELES
Zip Code 90018

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Dataset Information

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.

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