TRACEY DAVENPORT (NPI# 1003254780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003254780 |
| Entity Type | Individual |
| Full Name | TRACEY DAVENPORT |
| Practice Address |
5012 S La Brea Ave Ste 2 Los Angeles CA 90056-1863 |
| Practice Telephone | 3232900200 |
| Practice Fax Number | 3232900202 |
| Mailing Telephone | 3232900200 |
| Mailing Fax Number | 3232900202 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114033826 | Tracey M Davenport | Internal Medicine | 7301 N Lincoln Ave, Lincolnwood, IL 60712-1709 | 2006-08-23 |
| Street Address |
5012 S LA BREA AVE STE 2 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90056-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972807246 | Theresa Gray | Counselor | 5012 S La Brea Ave Ste 2, Los Angeles, CA 90056-1863 | 2010-12-30 |
| 1225394141 | Aridelsi Galeas | Counselor | 5012 S La Brea Ave Ste 2, Los Angeles, CA 90056-1863 | 2012-04-04 |
| 1821387168 | Stephanie Castellon | Counselor | 5012 S La Brea Ave Ste 2, Los Angeles, CA 90056-1863 | 2011-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255588026 | Miriam Gutierrez | Psychologist | 5110 W. Goldleaf Circle, Los Angeles, CA 90056 | 2008-08-25 |
| 1699800136 | Burl Roddy Moore | Social Worker | 5317 Corning Ave., Los Angeles, CA 90056 | 2007-02-23 |
| 1821462722 | Daniela Covel Zanich | Social Worker | 5105 W Goldleaf Cir, Los Angeles, CA 90056 | 2015-11-16 |
| 1467652727 | Melissa Lowry Tran | Marriage & Family Therapist | 5105 W Goldleaf Cir, Los Angeles, CA 90056 | 2007-07-24 |
| 1821204058 | Thc - Orange County, LLC | General Practice | 5525 W Slauson Ave, Los Angeles, CA 90056 | 2007-05-15 |
| 1447335146 | Thc - Orange County, LLC | Long Term Care Hospital | 5525 W Slauson Ave, Los Angeles, CA 90056 | 2006-10-25 |
| 1033390463 | Phillip Gordon Mckinley | Emergency Medicine | 5219 Reynier Ave, Los Angeles, CA 90056-1018 | 2007-11-14 |
| 1508852518 | William Robert Reeve | Pharmacist | 5231 Senford Ave, Los Angeles, CA 90056-1024 | 2005-09-25 |
| 1417083791 | James L Meltzer | Internal Medicine | 5525 West Flauson Ave Kindred Hospital, Los Angeles, CA 90056-1047 | 2007-02-23 |
| 1952363012 | Glenview Pathology Medical Group | Pathology | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2006-04-04 |
| Find all providers in zip 90056 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| 1578179941 | Leo Vasquezawarez | Counselor | 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 | 2020-09-21 |
| 1801401963 | Manuel Gambino | Counselor | 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 | 2020-09-14 |
| 1871107219 | Frances Field | Counselor | 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 | 2020-09-02 |
| 1730707985 | Lucia Miguel | Counselor | 1428 W 59th St, Los Angeles, CA 90047-1209 | 2020-07-13 |
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1376168070 | Mercedes Elkoff | Counselor | 1745 Warnall Ave, Los Angeles, CA 90024-5358 | 2020-06-09 |
| 1508481201 | Jeanine Ingram | Counselor | 3815 Lockland Dr, Los Angeles, CA 90008-3533 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90056 |
Please comment or provide details below to improve the information on TRACEY DAVENPORT.
| 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.