KAYNE ERAS CENTER, INC (NPI# 1952430696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952430696 |
| Entity Type | Organization |
| Organization Name | KAYNE ERAS CENTER, INC |
| Practice Address |
5350 Machado Ln Culver City CA 90230-8800 |
| Practice Telephone | 3107379393 |
| Practice Fax Number | 3107377944 |
| Mailing Telephone | 3107379393 |
| Mailing Fax Number | 3107377944 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RALPH WALTER (INTERIM EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3107379393 |
| Authorized Official Credential | D. PHIL. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
5350 MACHADO LN |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90230-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942861430 | Sylvia Hahn | Community Health Worker | 5350 Machado Ln, Culver City, CA 90230-8800 | 2019-06-25 |
| 1366003881 | Ebony Isaac | Community Health Worker | 5350 Machado Ln, Culver City, CA 90230-8800 | 2019-06-25 |
| 1104487859 | Roberto Nunez | Case Manager/Care Coordinator | 5350 Machado Ln, Culver City, CA 90230-8800 | 2019-06-24 |
| 1063978039 | Temi Treibatch | Community Health Worker | 5350 Machado Ln, Culver City, CA 90230-8800 | 2019-02-14 |
| 1699239285 | Victoria Leigh Johnson | Community Health Worker | 5350 Machado Ln, Culver City, CA 90230-8800 | 2019-01-28 |
| 1023582467 | Angelique Borden | Community Health Worker | 5350 Machado Ln, Culver City, CA 90230-8800 | 2019-01-18 |
| 1922596287 | Amy Jimenez | Behavior Technician | 5350 Machado Ln, Culver City, CA 90230-8800 | 2018-04-23 |
| 1396242830 | Evelin Lopez | Community Health Worker | 5350 Machado Ln, Culver City, CA 90230-8800 | 2018-04-11 |
| 1750888608 | Damian Castro | Community Health Worker | 5350 Machado Ln, Culver City, CA 90230-8800 | 2018-04-08 |
| 1104365873 | Viannae Carmona Nelkin | Assistant Behavior Analyst | 5350 Machado Ln, Culver City, CA 90230-8800 | 2017-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822064 | Smilemax Dental Center | Dentist | 10814 Jefferson Blvd. #g, Culver City, CA 90230 | 2019-03-27 |
| 1023532595 | Mary Alice Haye | Marriage & Family Therapist | 550 S. Vermont Ave., 7th Floor, 700, Los Angeles, CA 90230 | 2017-07-27 |
| 1902342074 | Dorene Lehavi | Social Worker | 5106 S Slauson Ave, Suite 192, Los Angeles, CA 90230 | 2017-01-13 |
| 1548634553 | Kimberly Henck | Speech-Language Pathologist | 607 Bristol Pkwy, Ste 105, Culver City, CA 90230 | 2015-11-15 |
| 1346628898 | Stephan Sepernia | Marriage & Family Therapist | 5601 W. Slavson Ave. #192, Culver City, CA 90230 | 2015-05-15 |
| 1558749291 | Sean Steven Mcknee | Chiropractor | 5839 Green Valley Cir Ste 102, Culver City, CA 90230 | 2015-05-14 |
| 1821484841 | Jasmine Lee | Family Medicine | 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 | 2015-04-07 |
| 1043609191 | Carrie Mays | Counselor | 4760 Sepulvda Blvd., Culver City, CA 90230 | 2015-01-13 |
| 1457759375 | Monquenta Felicia Young | Case Manager/Care Coordinator | 666 Green Valley Circle, Culver City, CA 90230 | 2014-12-09 |
| 1972902724 | Shana Chan Pope | Marriage & Family Therapist | 11949 Jefferson Blvd #106, Culver City, CA 90230 | 2014-08-18 |
| Find all providers in zip 90230 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114548328 | Demus & Mayrant LLC | Community/Behavioral Health | 5916 Stoneview Dr, Culver City, CA 90232-3017 | 2020-04-28 |
| 1255692455 | Westside Infant-family Network | Community/Behavioral Health | 5721 W Slauson Ave, Suite 200, Culver City, CA 90230-6554 | 2012-06-04 |
| 1023149077 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 11133 Washington Blvd, Culver City, CA 90232-3918 | 2007-03-08 |
| 1588793160 | Dw Management Enterprises Inc. | Community/Behavioral Health | 11936 Jefferson Blvd, Suite B, Culver City, CA 90230-6333 | 2007-03-02 |
| 1821132317 | Aspira Foster & Family Services - Los Angeles | Community/Behavioral Health | 5730 Uplander Way, Suite 202, Culver City, CA 90230-6617 | 2007-02-16 |
| 1770623241 | Exodus Recovery Inc | Community/Behavioral Health | 10811 Washington Blvd Ste 300, Culver City, CA 90232-3619 | 2007-02-07 |
| 1306265954 | Lat Intensive Outpatient Programs Inc | Community/Behavioral Health | 11936 Jefferson Blvd, Suite B, Culver City, CA 90230-6333 | 2014-04-10 |
| 1205254950 | Exodus Recovery Inc | Community/Behavioral Health | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2014-03-31 |
| 1386072304 | Exodus Recovery Inc | Community/Behavioral Health | 9808 Venice Blvd, Ste 300 and Patio, Culver City, CA 90232-2750 | 2013-10-30 |
| 1649605049 | Advanced Iop Therapies, LLC | Community/Behavioral Health | 11936 Jefferson Blvd Ste B, Culver City, CA 90230-6333 | 2013-09-05 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90230 |
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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.