SOUTH BAY CHILDREN'S HEALTH CENTER (NPI# 1982721916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982721916 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY CHILDREN'S HEALTH CENTER |
| Practice Address |
410 South Camino Real Redondo Beach CA 90277-3815 |
| Practice Telephone | 3103161212 |
| Practice Fax Number | 3103164411 |
| Mailing Telephone | 3103161212 |
| Mailing Fax Number | 3103164411 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2013-06-28 |
| Authorized Official Name | MS. CHRISTINA J HARRIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3103161212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
960000038 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL NUMBER | 000007220 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225178924 | South Bay Children's Health Center | Counselor | 1617 Cravens Ave, Torrance, CA 90501-3203 | 2007-02-08 |
| Street Address |
410 SOUTH CAMINO REAL |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821462151 | Kelli Washington | Counselor | 407 Avenue G Apt 31, Redondo Beach, CA 90277-5920 | 2015-11-24 |
| 1356763528 | Amy Noelle Mccauley | Counselor | 1711 Via El Prado Ste 204, Redondo Beach, CA 90277-5721 | 2014-01-07 |
| 1033468046 | Jacqueline H Kao | Counselor | 1200 Aviation Blvd Ste 100, Redondo Beach, CA 90278-4059 | 2012-09-05 |
| 1760713812 | Jennifer Surjue-bowens | Counselor | 901 N PCh Hwy Ste 200a204a, Redondo Beach, CA 90277-2162 | 2010-01-28 |
| 1124218896 | Abigail Withee | Counselor | 1848 S Elena Ave # 105, Redondo Beach, CA 90277 | 2007-07-30 |
| 1376663500 | Jill Marie Morgan | Counselor | 212 N Catalina Ave, Apt A, Redondo Beach, CA 90277-2853 | 2007-03-30 |
| 1023151289 | Beverly Jean Scott | Counselor | 326 S Pacific Coast Hwy, Suite 201, Redondo Beach, CA 90277-3737 | 2007-02-15 |
| 1265571319 | Mary Jane Jane Landrock | Counselor | 1719 Ford Avenue, Redondo Beach, CA 90278-2714 | 2007-02-05 |
| 1215026364 | Anita Lerner Harris | Counselor | 1107 S Pacific Coast Hwy, Redondo Beach, CA 90277-4903 | 2006-10-12 |
| 1730119652 | Patsie Lee Trowbridge | Counselor | 1826 S Elena Ave, D, Redondo Beach, CA 90277-5718 | 2006-07-04 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
Please comment or provide details below to improve the information on SOUTH BAY CHILDREN'S HEALTH CENTER.
| 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.