GUY MARTIN SHERK (NPI# 1073124905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073124905 |
| Entity Type | Individual |
| Full Name | GUY MARTIN SHERK |
| Practice Address |
18646 Oxnard St Tarzana CA 91356-1411 |
| Mailing Address |
345 Ivins Rd Frazier Park CA 93225-9466 |
| Practice Telephone | 8189961051 |
| Mailing Telephone | 7472659715 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| 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 |
18646 OXNARD ST |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841202066 | Desiree Ginette Gonzalez Long | Marriage & Family Therapist | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2006-08-13 |
| 1407456155 | Amber Ruiz | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-10-30 |
| 1265032932 | Jason R Oster | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1486 | 2020-10-30 |
| 1194322487 | Briana Johnson | Case Manager/Care Coordinator | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-10-08 |
| 1487261780 | Alison Benson | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-09-30 |
| 1558978056 | Erica Hernandez | Case Manager/Care Coordinator | 18646 Oxnard St, Tarzana, CA 91356-1486 | 2020-09-28 |
| 1538770615 | Breek Sundy | Licensed Vocational Nurse | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-08-12 |
| 1336759364 | David Lundberg | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1486 | 2020-08-04 |
| 1740890193 | Teresa Lynn Herrera | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-07-31 |
| 1164031332 | Corrie Leanne Gradney | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1486 | 2020-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386169985 | Laura A Melton | Counselor | 5700 Etiwanda Ave Unit 184, Tarzana, CA 91356-2539 | 2017-08-04 |
| 1295159515 | Kenton Hutchison | Counselor | 19562 Ventura Blvd Ste 233, Tarzana, CA 91356-6059 | 2014-02-06 |
| 1689916827 | Progressions Tlc LLC | Counselor | 5510 Wilbur Ave, Tarzana, CA 91356-3219 | 2013-03-26 |
| 1568742427 | Rosalinda Elizalde Rodriguez | Counselor | 18700 Oxnard Street, Tarzana, CA 91356 | 2011-08-24 |
| 1245482769 | Richard J Olivarez | Counselor | 18646 Oxnard Street, Tarzana, CA 91356 | 2008-10-15 |
| 1750400529 | Joann M. Sabin | Counselor | 18646 Oxnard St., Tarzana, CA 91356 | 2007-03-29 |
| 1407456155 | Amber Ruiz | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-10-30 |
| 1265032932 | Jason R Oster | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1486 | 2020-10-30 |
| 1487261780 | Alison Benson | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-09-30 |
| 1932711801 | Aundrea Delacruz-aguilar | Counselor | 18700 Oxnard St, Tarzana, CA 91356-1413 | 2020-08-20 |
| Find all providers in TARZANA | ||||
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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.