TYRRELL WALTER SCHULTHEIS SR. (NPI# 1023522166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023522166 |
| Entity Type | Individual |
| Full Name | TYRRELL WALTER SCHULTHEIS SR. |
| Practice Address |
11501 Dolan Ave Downey CA 90241-4921 |
| Practice Telephone | 5629237894 |
| Mailing Telephone | 5629237894 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
11501 DOLAN AVE |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-4921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508941170 | Southern California Alcohol and Drug Programs, Inc. | Substance Abuse Rehabilitation Facility | 11501 Dolan Ave, Downey, CA 90241-4921 | 2006-10-25 |
| 1205440740 | Ernesto William Gonzales | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2020-09-02 |
| 1417574542 | Douglas M Harris | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2020-07-06 |
| 1023633302 | Paul William Luna | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2020-06-11 |
| 1225659741 | Alfonso Gudino Jr. | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2020-05-06 |
| 1275154379 | Masina Masina | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2020-04-29 |
| 1639722978 | Melyssa Rivas | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2019-07-16 |
| 1518441211 | Omar Hernandez | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2018-09-18 |
| 1497251821 | Irvin Anthony Alatorre | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2018-04-04 |
| 1811496086 | Dante Hammons | Case Manager/Care Coordinator | 11501 Dolan Ave, Downey, CA 90241-4921 | 2018-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1396394763 | Evonne Desiree Ossorio | Counselor | 10621 Downey Ave, Downey, CA 90241-3426 | 2019-09-09 |
| 1285095729 | Shanae Cobb | Counselor | 10000 Imperial Hwy, F203, Downey, CA 90242-3243 | 2016-03-11 |
| 1871746958 | Julia-alejandra Heredia | Counselor | 9449 Imperial Hwy Ste 201, Downey, CA 90242-2814 | 2008-11-03 |
| 1265552558 | Renee Landacre | Counselor | 8700 Cleta St, Downey, CA 90241-5203 | 2007-03-30 |
| 1710076930 | Southern California Alcohol & Drug Programs, Inc. | Counselor | 11500 Paramount Blvd, Downey, CA 90241-4530 | 2006-10-12 |
| 1891396545 | Lindsey M Cameron | Counselor | 10621 Downey Ave, Downey, CA 90241-3426 | 2020-11-07 |
| 1205440740 | Ernesto William Gonzales | Counselor | 11501 Dolan Ave, Downey, CA 90241-4921 | 2020-09-02 |
| 1740893429 | Brittney Carter | Counselor | 10603 Downey Ave, Downey, CA 90241-3426 | 2020-08-24 |
| Find all providers in DOWNEY | ||||
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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.