JAKE ALEXANDER WALKER (NPI# 1023553948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023553948 |
| Entity Type | Individual |
| Full Name | JAKE ALEXANDER WALKER |
| Practice Address |
15305 Rayen St North Hills CA 91343-5117 |
| Practice Telephone | 8188923423 |
| Practice Fax Number | 8188934509 |
| Mailing Telephone | 8188923423 |
| Mailing Fax Number | 8188934509 |
| Enumeration Date | 2017-01-01 |
| Last Update Date | 2017-01-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | #95-2633765 | 01 |
| Street Address |
15305 RAYEN ST |
| City | NORTH HILLS |
| State | CA |
| Zip Code | 91343-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881793313 | Penny Lane Centers | Case Management | 15305 Rayen St, North Hills, CA 91343-5117 | 2006-09-21 |
| 1669099289 | Jakuta M Ptah | Marriage & Family Therapist | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-06-30 |
| 1609404128 | Kimberly Jimenez | Rehabilitation Practitioner | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-03-30 |
| 1134754179 | Leanna Alexis Ramos | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-03-10 |
| 1295369288 | Edwin Javier Olmedo | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-02-27 |
| 1457985442 | Cristal Torres | Rehabilitation Practitioner | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-02-27 |
| 1295369411 | Emanuel Huerta Serna | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-02-26 |
| 1558991539 | Eduardo Garcia | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-01-19 |
| 1568002020 | Jaspreet Singh | Counselor | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-01-13 |
| 1720627433 | Jennifer Tobon | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2019-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261681 | Esperanza Armenta | Case Manager/Care Coordinator | 16861 Parthenia Street, North Hills, CA 91343 | 2020-09-30 |
| 1295355758 | Island One and Associates | Social Worker | 9528 Lemona Ave, North Hills, CA 91343 | 2020-04-24 |
| 1154951416 | Estefanie Ramos | Case Manager/Care Coordinator | 16861 Parthenia St., North Hills, CA 91343 | 2020-01-24 |
| 1336793728 | Mitra Minovi | Dentist | 9444 Ruffner Ave, Northridge, CA 91343 | 2019-07-24 |
| 1649762600 | Reza Akbar, Dds, Inc. | Dentist | 15300 Parthenia St, North Hills, CA 91343 | 2018-06-05 |
| 1073002663 | Golmah Zarinkhou | Student in an Organized Health Care Education/Training Program | Va Sepulveda Ambulatory Care Center, 16111 Plummer, Street Dental Services (160), Bldg 10 Rm 1c-100, North Hills, CA 91343 | 2018-05-09 |
| 1740729037 | Ophelia Sanchez | Case Manager/Care Coordinator | 15305 Rayen, North Hills, CA 91343 | 2017-02-20 |
| 1386001519 | Ada Angeles | Dietitian, Registered | 15210 Parthenia, North Hills, CA 91343 | 2016-01-19 |
| 1043691371 | Valley Grace Home, Inc. | Skilled Nursing Facility | 16052 Chase St, North Hills, CA 91343 | 2015-06-11 |
| 1063828234 | Joshua Tree Healthcare, Inc. | Home Health | 16909 Parthenia St Ste 302a, Northridge, CA 91343 | 2014-07-08 |
| Find all providers in zip 91343 | ||||
| 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 |
|---|---|---|---|---|
| 1083028872 | Junior Aparicio | Rehabilitation Practitioner | 8545 Burnet Ave Unit J, North Hills, CA 91343-6029 | 2014-06-19 |
| 1700182185 | Joaquin Alberto Cornejo | Rehabilitation Practitioner | 9831 Sepulveda Blvd, 22, North Hills, CA 91343-3363 | 2011-02-02 |
| 1093839193 | Phyllis Shapiro | Rehabilitation Practitioner | 15914 Rayen St, North Hills, CA 91343-4812 | 2007-03-16 |
| 1518008119 | Monique Paulani Dunlap-speed | Rehabilitation Practitioner | 8915 Debra Ave, North Hills, CA 91343-4103 | 2007-02-08 |
| 1548876683 | Wendy Rosibel Aparicio | Rehabilitation Practitioner | 8545 Burnet Ave Unit J, North Hills, CA 91343-6029 | 2020-09-22 |
| 1609404128 | Kimberly Jimenez | Rehabilitation Practitioner | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-03-30 |
| 1457985442 | Cristal Torres | Rehabilitation Practitioner | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-02-27 |
| 1831734227 | Raven Alannah Ward | Rehabilitation Practitioner | 15305 Rayen St, North Hills, CA 91343-5117 | 2019-11-09 |
| 1518524537 | Irene Martinez | Rehabilitation Practitioner | 15305 Rayen St, North Hills, CA 91343-5117 | 2019-05-24 |
| 1811454846 | Celina Torres | Rehabilitation Practitioner | 15305 Rayen St, North Hills, CA 91343-5117 | 2019-02-26 |
| Find all providers in NORTH HILLS | ||||
| City | NORTH HILLS |
| Zip Code | 91343 |
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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.