ELLIANA IXTA MADERA (NPI# 1922432319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922432319 |
| Entity Type | Individual |
| Full Name | ELLIANA IXTA MADERA |
| Practice Address |
509 E Rosecrans Ave Compton CA 90221 |
| Mailing Address |
509 E Rosecrans Ave Compton CA 90221-2056 |
| Practice Telephone | 2133855100 |
| Mailing Telephone | 2133855100 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
63242 | CA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 63242 | CA | Behavioral Health & Social Service Providers |
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 649 E Albertoni St, Carson, CA 907461538 | 3104369300 |
| Street Address |
509 E ROSECRANS AVE |
| City | COMPTON |
| State | CA |
| Zip Code | 90221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750597936 | Dana P Marion | Marriage & Family Therapist | 509 E Rosecrans Ave, Compton, CA 90221 | 2007-05-15 |
| 1841837721 | Mauricio Emanuel Lopez | Case Manager/Care Coordinator | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2019-12-10 |
| 1174088017 | Rosalba Lizeth Estrella Sr. | Student in an Organized Health Care Education/Training Program | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2019-02-05 |
| 1538624739 | Theresa Gartner | Social Worker | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2019-02-01 |
| 1255801866 | Viridiana Pacheco | Case Manager/Care Coordinator | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2018-11-27 |
| 1982189346 | Ashley G. Nelik | Social Worker | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2018-10-01 |
| 1295211845 | Gloria Gastelum | Case Manager/Care Coordinator | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2018-07-17 |
| 1245734565 | Alma Elizabeth Garcia | Marriage & Family Therapist | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2018-03-21 |
| 1861993495 | Lilian Maricela Garcia | Case Manager/Care Coordinator | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2018-02-28 |
| 1629594197 | Gerreka Gilliam | Marriage & Family Therapist | 509 E Rosecrans Ave, Compton, CA 90221 | 2017-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619448313 | Yong Wung Yoo | Acupuncturist | 2787 E. Del Amo Blvd, G-1, Rancho Dominguez, CA 90221 | 2018-12-07 |
| 1962920231 | Sara Alsabbagh | Counselor | 600 Alameda Street, East, Compton, CA 90221 | 2017-09-06 |
| 1780109462 | Lisete Gomez | Social Worker | 509 E Rosecrans Avenue, Compton, CA 90221 | 2017-08-03 |
| 1821528175 | Jataja Patterson | Behavior Technician | 15531 South Gibson Avenue, Compton, CA 90221 | 2017-06-19 |
| 1316318439 | Yuin University | Health Maintenance Organization | 2007 E Compton Blvd, Compton, CA 90221 | 2015-10-15 |
| 1609245125 | Bryttani Schlater | Marriage & Family Therapist | 600 Alameda Street East, Compton, CA 90221 | 2015-09-15 |
| 1750757480 | Colleen Flores | Marriage & Family Therapist | 509 East Rosecrans Avenue, Compton, CA 90221 | 2015-08-17 |
| 1447686399 | Sarah Hamblet | Counselor | 509 E. Rosecrans Ave., Compton, CA 90221 | 2013-09-24 |
| 1558671222 | Joyce Redor Lim | Adult Companion | 1680 Tartar Lane, 22, Compton, CA 90221 | 2010-10-15 |
| 1730407099 | Natasha Ashley | Counselor | 15727 S. Atlantic Ave., A204, Compton, CA 90221 | 2010-05-12 |
| Find all providers in zip 90221 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709609 | Breanna Vincent | Counselor | 19009 S Laurel Park Rd Spc 24, Compton, CA 90220-6054 | 2020-08-05 |
| 1962920231 | Sara Alsabbagh | Counselor | 600 Alameda Street, East, Compton, CA 90221 | 2017-09-06 |
| 1821543455 | Sherry Ellis | Counselor | 12611 S Willowbrook Ave Ste 505, Compton, CA 90222-1527 | 2016-08-24 |
| 1194100263 | Yesenia Flores Millan | Counselor | 901 W. Victoria Ave, Unit F & G, Compton, CA 90220-5807 | 2015-07-29 |
| 1154701373 | Hilario Enrique Ramirez | Counselor | 901 W Victoria St Ste Fng, Compton, CA 90220 | 2015-06-03 |
| 1366841306 | Jessica Lisbet Diaz | Counselor | 901 W Victoria St. Suite F & G, Compton, CA 90220 | 2014-08-15 |
| 1447686399 | Sarah Hamblet | Counselor | 509 E. Rosecrans Ave., Compton, CA 90221 | 2013-09-24 |
| 1881966307 | Nancy Urena | Counselor | 901 W. Victoria St Suite F & G, Compton, CA 90220 | 2012-01-30 |
| 1134350655 | Cristabel Palomarez | Counselor | 4108 E. Mcmillan Street, Compton, CA 90221 | 2009-07-31 |
| 1851533343 | Laia Vicens-fuste | Counselor | 901 W Victoria St Ste G, Compton, CA 90220-5819 | 2009-03-30 |
| Find all providers in COMPTON | ||||
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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.