BREANDA BANOTH (NPI# 1962984385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962984385 |
| Entity Type | Individual |
| Full Name | BREANDA BANOTH |
| Practice Address |
14624 Sherman Way Ste 404 Van Nuys CA 91405-2289 |
| Practice Telephone | 8187785406 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
14624 SHERMAN WAY STE 404 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-2289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457694135 | Olga Frances Garcia | Marriage & Family Therapist | 14624 Sherman Way Ste 404, Van Nuys, CA 91405-2289 | 2013-04-01 |
| 1013566900 | Gabriela Najera | Student in an Organized Health Care Education/Training Program | 14624 Sherman Way Ste 404, Van Nuys, CA 91405-2289 | 2019-09-04 |
| 1942857123 | Denise Romero | Rehabilitation Practitioner | 14624 Sherman Way Ste 404, Van Nuys, CA 91405-2289 | 2019-08-22 |
| 1508412719 | Alissa Rose | Rehabilitation Practitioner | 14624 Sherman Way Ste 404, Van Nuys, CA 91405-2289 | 2019-08-13 |
| 1083266209 | Gabriella Albor | Rehabilitation Practitioner | 14624 Sherman Way Ste 404, Van Nuys, CA 91405-2289 | 2019-07-09 |
| 1053973164 | Fawn Hart | Rehabilitation Practitioner | 14624 Sherman Way Ste 404, Van Nuys, CA 91405-2289 | 2019-06-28 |
| 1578026415 | Saray Ceja | Rehabilitation Practitioner | 14624 Sherman Way Ste 404, Van Nuys, CA 91405-2289 | 2019-04-08 |
| 1801365721 | Karyna E Gonzalez | Rehabilitation Practitioner | 14624 Sherman Way Ste 404, Van Nuys, CA 91405-2289 | 2018-11-20 |
| 1508352444 | Daisy Aceves Martinez | Rehabilitation Practitioner | 14624 Sherman Way Ste 404, Van Nuys, CA 91405-2289 | 2018-07-03 |
| 1215452933 | Armine Amy Kechedjian | Rehabilitation Counselor | 14624 Sherman Way Ste 404, Van Nuys, CA 91405-2289 | 2017-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
| Find all providers in zip 91405 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082202 | Brenda Vargas | Rehabilitation Practitioner | 16650 Sherman Way # 201, Van Nuys, CA 91406-3782 | 2020-08-07 |
| 1235601014 | Katherine Buckley | Rehabilitation Practitioner | 5900 Sepulveda Blvd Ste 104, Van Nuys, CA 91411-2511 | 2018-12-18 |
| 1902398951 | Roland Hinds | Rehabilitation Practitioner | 16360 Roscoe Blvd # 2, Van Nuys, CA 91406 | 2018-06-05 |
| 1710478581 | Adriana Abraamyan | Rehabilitation Practitioner | 14515 Hamlin St Ste 103, Van Nuys, CA 91411 | 2018-05-28 |
| 1578050290 | Keren Khait | Rehabilitation Practitioner | 6501 Van Nuys Blvd # 103, Van Nuys, CA 91401-1425 | 2018-04-18 |
| 1083115844 | Stephanie Kurowski | Rehabilitation Practitioner | 14515 Hamlin St Ste 201, Van Nuys, CA 91411-1608 | 2018-02-26 |
| 1902328693 | Jeffrey Kohn | Rehabilitation Practitioner | 14600 Sherman Way Ste 100-d, Van Nuys, CA 91405-2283 | 2017-07-13 |
| 1497286025 | Jessenia Tovar | Rehabilitation Practitioner | 16650 Sherman Way Ste 200, Van Nuys, CA 91406-3782 | 2017-03-24 |
| 1841730504 | Maria Montoya | Rehabilitation Practitioner | 6330 Halbrent Ave, Van Nuys, CA 91411-1914 | 2017-02-28 |
| 1013460427 | Lizbeth Avila | Rehabilitation Practitioner | 8133 Sepulveda Blvd, 103, Van Nuys, CA 91402-4345 | 2016-08-02 |
| Find all providers in VAN NUYS | ||||
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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.