NICOLE SAHOURI (NPI# 1992940019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992940019 |
| Entity Type | Individual |
| Full Name | NICOLE SAHOURI |
| Practice Address |
36 S Kinneloa Ave Suite 200 Pasadena CA 91107-3853 |
| Practice Telephone | 6268443033 |
| Practice Fax Number | 8662373895 |
| Mailing Telephone | 6268443033 |
| Mailing Fax Number | 8662373895 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| 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 |
36 S KINNELOA AVE SUITE 200 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780706770 | Stephanie D. Bennett | Marriage & Family Therapist | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2007-04-03 |
| 1891334504 | Kevin Miguel Gomez | Licensed Vocational Nurse | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2019-12-27 |
| 1184272106 | Bridgette Tsekani Frazier | Counselor | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2019-09-03 |
| 1801443585 | Evelyn De La Cruz | Student in an Organized Health Care Education/Training Program | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2019-08-19 |
| 1205482510 | Izabella Bagdasarian | Counselor | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2019-08-13 |
| 1205493806 | Cedric Jones Sr. | Counselor | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2019-05-20 |
| 1902462013 | Laura Manning | Counselor | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2019-05-14 |
| 1053884908 | Charmaine Hurst | Counselor | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2019-01-03 |
| 1457840373 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2018-05-07 |
| 1295237907 | Ashley Ayanna Wilson | Rehabilitation Practitioner | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2018-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| 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 |
|---|---|---|---|---|
| 1669008991 | Delman Lee Williams | Rehabilitation Practitioner | 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 | 2020-03-18 |
| 1548805344 | Aimee Isabelle Rodriguez | Rehabilitation Practitioner | 100 W Walnut St Ste 375110, Pasadena, CA 91103-3697 | 2019-11-15 |
| 1518427830 | Samantha Jo Elvira Haun | Rehabilitation Practitioner | 867 N Fair Oaks Ave # 867, Pasadena, CA 91103-3050 | 2019-03-22 |
| 1477041580 | Imani Nicole Glenn | Rehabilitation Practitioner | 1575 E Washington Blvd, Pasadena, CA 91104-2675 | 2018-04-24 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1366821613 | Claudia Boileu-flores | Rehabilitation Practitioner | 940 Avenue, 64, Pasadena, CA 91105 | 2015-05-20 |
| 1497161756 | Marine Bambakyan | Rehabilitation Practitioner | 66 Hurlbut St Fl 2, Pasadena, CA 91105-4026 | 2014-07-08 |
| Find all providers in PASADENA | ||||
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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.