WENDI JESSICA AVILA (NPI# 1982188900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982188900 |
Entity Type | Individual |
Full Name | WENDI JESSICA AVILA |
Credential | MSW, ASW |
Practice Address |
12099 W Washington Blvd Los Angeles CA 90066-5882 |
Practice Telephone | 3107511012 |
Mailing Telephone | 3107511012 |
Enumeration Date | 2018-09-17 |
Last Update Date | 2019-07-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
892333 | CA | Behavioral Health & Social Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
3031 S Vermont Ave, Los Angeles, CA 900073033 | 3233732400 |
Street Address |
12099 W WASHINGTON BLVD |
City | LOS ANGELES |
State | CA |
Zip Code | 90066-5882 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699717462 | Jose L Villagomez | Emergency Medicine | 12099 W Washington Blvd, Ste 400, Los Angeles, CA 90066-5882 | 2006-06-13 |
1346854403 | Adrianna Franco | Student in an Organized Health Care Education/Training Program | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2020-09-04 |
1861036956 | Kenia P Martinez | Case Manager/Care Coordinator | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2019-10-31 |
1881243178 | Jenny Pinto | Student in an Organized Health Care Education/Training Program | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2019-09-09 |
1508411125 | Desiree Pacheco | Rehabilitation Practitioner | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2019-08-09 |
1720633183 | Bianca Jaelyn Collazo | Marriage & Family Therapist | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2019-08-02 |
1295296580 | Shugar Jones | Case Manager/Care Coordinator | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2019-03-28 |
1609382308 | Karina Del Campo | Case Manager/Care Coordinator | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2017-12-18 |
1467982280 | Kevin Emilio Perez | Rehabilitation Practitioner | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2017-06-14 |
1225561822 | Deborah A Gill | Case Manager/Care Coordinator | 12099 W Washington Blvd, Suite 200, Los Angeles, CA 90066-5882 | 2017-04-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
Find all providers in zip 90066 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912506361 | Kathryn A Miller | Counselor | 1965 1/2 N Bronson Ave, Los Angeles, CA 90068-5601 | 2020-10-17 |
1669088464 | Bethel Los Angeles Community Development Corporation | Counselor | 7900 S Western Ave, Los Angeles, CA 90047-2715 | 2020-09-17 |
1346855244 | Sorenson Psychological and Assessment Services | Counselor | 12301 Wilshire Blvd Ste 413, Los Angeles, CA 90025-1051 | 2020-09-09 |
1841800190 | Daniela Sanchez | Counselor | 5081 Borland Rd, Los Angeles, CA 90032-3950 | 2020-08-02 |
1649888512 | David John Laing | Counselor | 3100 Riverside Dr Apt 220, Los Angeles, CA 90027-1481 | 2020-07-16 |
1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
1083231435 | Leslie Gluck | Counselor | 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 | 2020-07-01 |
1104441112 | Barbara R Ponse | Counselor | 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 | 2020-06-15 |
1033734264 | Shelley Baird Smith | Counselor | 265 S St Andrews Pl, Los Angeles, CA 90004-5029 | 2020-06-12 |
1801411566 | Tyler Grant Daly | Counselor | 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 | 2020-06-09 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90066 |
Please comment or provide details below to improve the information on WENDI JESSICA AVILA.
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.