BORROWED STAR PSYCHOLOGY GROUP, INC (NPI# 1003020231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003020231 |
| Entity Type | Organization |
| Organization Name | BORROWED STAR PSYCHOLOGY GROUP, INC |
| Practice Address |
1294 W 6th St Suite 105 San Pedro CA 90731-2987 |
| Practice Telephone | 3109026089 |
| Practice Fax Number | 3109882883 |
| Mailing Telephone | 3109026089 |
| Mailing Fax Number | 3109882883 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2009-01-21 |
| Authorized Official Name | MELISSA ARIZPE (DIRECTOR) |
| Authorized Official Telephone | 3109026089 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY17402 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1294 W 6TH ST SUITE 105 |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-2987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346295391 | Andrew P Novom | Specialist | 1294 W 6th St, Ste#102, San Pedro, CA 90731-2987 | 2006-05-24 |
| 1093379091 | Graham Gage | Physical Therapist | 1294 W 6th St, San Pedro, CA 90731-2987 | 2019-04-24 |
| 1891197208 | Brandon Edenedo | Physical Therapist | 1294 W 6th St, Suite 101, San Pedro, CA 90731-2987 | 2014-09-17 |
| 1619213485 | Der-how Huang | Physical Therapist | 1294 W 6th St, 101, San Pedro, CA 90731-2987 | 2012-12-21 |
| 1023340627 | Alice Wang | Physical Therapist | 1294 W 6th St, Suite 101, San Pedro, CA 90731-2987 | 2010-02-05 |
| 1134380249 | Kimberly R Walton Md Inc | Obstetrics & Gynecology | 1294 W 6th St, 201-a, San Pedro, CA 90731-2987 | 2008-06-20 |
| 1962629162 | Great Harbor Family & Sports Medicine, Inc | General Practice | 1294 W 6th St, Suite 200, San Pedro, CA 90731-2987 | 2007-04-19 |
| 1851425417 | Cindy Baldonado | Physician Assistant | 1294 W 6th St, Suite 200, San Pedro, CA 90731-2987 | 2007-03-15 |
| 1699806703 | Shannon Farrell | Chiropractor | 1294 W 6th St, Suite 203, San Pedro, CA 90731-2987 | 2007-03-08 |
| 1518074160 | Genesa Wagoner | Pediatrics | 1294 W 6th St, Suite 104, San Pedro, CA 90731-2987 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356474084 | Janet Aurora Vivero | Psychologist | 803 S Averill Ave, San Pedro, CA 90732-3815 | 2007-03-13 |
| 1447294194 | Liana Delikyan | Psychologist | 2403 S Moray Ave, Suite 1, San Pedro, CA 90732-4342 | 2006-06-15 |
| 1962014431 | Trayvonne Mcvay | Psychologist | 624 W 9th St Ste 103, San Pedro, CA 90731-3158 | 2020-08-17 |
| 1770066607 | Sarah Chang Soncrant | Psychologist | 150 W 7th St, San Pedro, CA 90731-3320 | 2018-09-06 |
| 1578928271 | Pam Ajang | Psychologist | 803 S Averill Ave, San Pedro, CA 90732-3815 | 2015-12-22 |
| 1891071890 | Said Shehadeh | Psychologist | 454 W 6th St, San Pedro, CA 90731-2632 | 2011-10-23 |
| 1467617142 | Dianne E. Bohorquez | Psychologist | 593 W 6th St, San Pedro, CA 90731-2521 | 2008-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
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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.