MR. KERMIT ROBERT BOYD JR. (NPI# 1972827491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972827491 |
| Entity Type | Individual |
| Full Name | MR. KERMIT ROBERT BOYD JR. |
| Practice Address |
130 W Victoria St Gardena CA 90248-3523 |
| Practice Telephone | 3107152020 |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2013-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
130 W VICTORIA ST |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-3523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619055175 | Ellinor Nepomuceno Soriano | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2006-11-01 |
| 1427597731 | Gladis Rendon | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2017-02-20 |
| 1982080016 | Ivette Nava | Rehabilitation Practitioner | 130 W Victoria St, Gardena, CA 90248-3523 | 2015-07-30 |
| 1437555752 | Rosalinda Erazo | Counselor | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-11-13 |
| 1588060081 | Maria Borja | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-11-10 |
| 1114320173 | Guadalupe Solache | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-10-06 |
| 1225431539 | Taklai Li | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-09-30 |
| 1710301650 | Mireya Nohemy Romero | Rehabilitation Practitioner | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-02-12 |
| 1437572872 | Vanessa Denisse Fernandez | Rehabilitation Practitioner | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-01-21 |
| 1548690811 | Elizabeth Prado | Rehabilitation Practitioner | 130 W Victoria St, Gardena, CA 90248-3523 | 2013-11-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| 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 |
|---|---|---|---|---|
| 1295266609 | Maria Amezcua | Rehabilitation Practitioner | 108 W Victoria Street, Gardena, CA 90047 | 2017-03-27 |
| 1184860389 | Antwuan M. Giddens | Rehabilitation Practitioner | 515 W Gardena Blvd Unit 74, Gardena, CA 90248-2670 | 2008-12-18 |
| 1972632487 | Frank Lucas Salceda | Rehabilitation Practitioner | 130 W. Victoria Street, Gardena, CA 90248 | 2007-03-02 |
| 1891319554 | Perla Judith Medina Meza | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2020-05-29 |
| 1619507365 | Diego E. Flores | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2020-01-22 |
| 1790325736 | Amy Alejo | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2020-01-07 |
| 1760026348 | Sean Paul Guilford | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-11-06 |
| 1588205470 | Karina Noemi Garcia | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-10-02 |
| 1588229249 | Yazmin Dianna Alvarez | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-05-07 |
| 1033671573 | Gladys Cota | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-04-03 |
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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.