NINA GONZAGA (NPI# 1033589155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033589155 |
| Entity Type | Individual |
| Full Name | NINA GONZAGA |
| Practice Address |
4401 Crendshaw Blvd #300 Los Angeles CA 90043 |
| Mailing Address |
1520 Rodney Dr Apt 309 Los Angeles CA 90027-5326 |
| Practice Telephone | 3237662345 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2016-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
4401 CRENDSHAW BLVD #300 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| 1649577206 | Wings of Refuge, Inc. | Exclusive Provider Organization | 2516 W. 54th Street, Los Angeles, CA 90043 | 2011-02-17 |
| Find all providers in zip 90043 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326645 | Jamie Bracco | Marriage & Family Therapist | 564 Lillian Way, Los Angeles, CA 90004-1106 | 2020-11-02 |
| 1174123160 | Namita Individual Family and Child Therapists & Associates, Inc. | Marriage & Family Therapist | 357 S Curson Ave # 47-4e, Los Angeles, CA 90036-5201 | 2020-10-28 |
| 1972103398 | Vera Mae Rodriguez | Marriage & Family Therapist | 124 N Townsend Ave, Los Angeles, CA 90063-2334 | 2020-10-26 |
| 1639778319 | Ep Marriage Therapy, Inc. | Marriage & Family Therapist | 504 S Normandie Ave Apt 105, Los Angeles, CA 90020-3023 | 2020-10-22 |
| 1306445499 | Maythal H Eshaghian | Marriage & Family Therapist | 100 N Wetherly Dr Apt 2d, Los Angeles, CA 90048-1833 | 2020-10-20 |
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1528666005 | Paul Felipe Estopier | Marriage & Family Therapist | 3630 Marathon St Apt 318, Los Angeles, CA 90026-2869 | 2020-10-15 |
| 1245837970 | Catherine Pancheri | Marriage & Family Therapist | 616 N Curson Ave, Los Angeles, CA 90036-1812 | 2020-10-06 |
| 1003423500 | Rachel Goldstein | Marriage & Family Therapist | 11700 National Blvd # L129, Los Angeles, CA 90064-3669 | 2020-09-28 |
| 1326655473 | Robert A Garcia | Marriage & Family Therapist | 515 E 9th St, Los Angeles, CA 90015-1817 | 2020-09-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
Please comment or provide details below to improve the information on NINA GONZAGA.
| 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.