MS. CRE-SHA A BEVERLY (NPI# 1932421484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932421484 |
| Entity Type | Individual |
| Full Name | MS. CRE-SHA A BEVERLY |
| Practice Address |
1300 W 155th St Gardena CA 90247-4048 |
| Mailing Address |
1300 W 155th Street Gardena CA 90247-4049 |
| Practice Telephone | 3230000000 |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2013-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1300 W 155TH ST |
| City | GARDENA |
| State | CA |
| Zip Code | 90247-4048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689610768 | Cheryl J Hanks | Physical Therapist | 1300 W 155th St, Suite 203, Gardena, CA 90247 | 2006-06-20 |
| 1588110803 | Sirach Acupuncture Inc | Acupuncturist | 1300 W 155th St, Suite 102, Gardena, CA 90247-4048 | 2016-08-28 |
| 1629350178 | Stance Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 1300 W 155th St, Suite 106, Gardena, CA 90247-4048 | 2011-09-11 |
| 1508164328 | La County Department of Mental Health | Rehabilitation Practitioner | 1300 W 155th St, Ste. #103, Gardena, CA 90247-4048 | 2011-03-02 |
| 1306140637 | Rivy Olasumbo Oseni | Nurse Practitioner | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2010-12-30 |
| 1932409281 | Janice Gregory | Registered Nurse | 1300 W 155th St, 103, Gardena, CA 90247-4048 | 2010-11-02 |
| 1295057792 | Gary David Barnett | Counselor | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2010-02-24 |
| 1629302948 | Etna L Gonzalez | Registered Nurse | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2009-09-21 |
| 1629211396 | Deanna Marie King | Counselor | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2009-04-10 |
| 1003075656 | Bryce K. Yamauchi | Podiatrist | 1300 W 155th St, Suite 210, Gardena, CA 90247-4048 | 2008-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
| 1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
| 1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
| 1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
| Find all providers in zip 90247 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366893935 | Jehrel Andre Bruno | Counselor | 15537 Lemoli Ave, Gardena, CA 90249-4459 | 2016-06-24 |
| 1780058552 | Unique Hayes | Counselor | 18220 S Broadway, Gardena, CA 90248-3534 | 2015-11-17 |
| 1053723866 | Samantha Chhim Maeda | Counselor | 1331 1/2 W 168th St # B, Gardena, CA 90247-5509 | 2014-05-28 |
| 1154523082 | Barra Jones | Counselor | 1428 W 145th St Apt 18, Gardena, CA 90247-2446 | 2007-06-04 |
| 1629286166 | Laura Mejia | Counselor | 130 W. Victoria, Gardena, CA 90248 | 2007-05-18 |
| 1366089716 | Flor Argueta | Counselor | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-12-04 |
| 1295383560 | Ernesto Antonio Parada | Counselor | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-08-29 |
| 1063988517 | Viviana Pereyra | Counselor | 108 W Victoria St, Gardena, CA 90248-3523 | 2018-10-22 |
| 1336629443 | Jose Andres Beltran Jr. | Counselor | 108 W Victoria St, Gardena, CA 90248-3523 | 2018-08-17 |
| 1831679489 | Mailynn Tran | Counselor | 108 W Victoria St, Gardena, CA 90248 | 2018-08-14 |
| Find all providers in GARDENA | ||||
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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.