CHRISTOPHER GANNON (NPI# 1073741906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073741906 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER GANNON |
| Practice Address |
4740 N Grand Ave Covina CA 91724-2005 |
| Mailing Address |
4740 N. Grand Avenue Covina CA 91724 |
| Practice Telephone | 6268592089 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962500207 | Christopher J Gannon | Surgery | 1150 N 35th Ave Ste 650, Hollywood, FL 33021 | 2006-09-20 |
| Street Address |
4740 N GRAND AVE |
| City | COVINA |
| State | CA |
| Zip Code | 91724-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205979960 | Roxana Maselli | Rehabilitation Practitioner | 4740 N Grand Ave, Covina, CA 91724-2005 | 2007-02-14 |
| 1093312266 | Elsa Elizalde | Rehabilitation Practitioner | 4740 N Grand Ave, Covina, CA 91724-2005 | 2020-10-01 |
| 1790382950 | Brandon Funes | Rehabilitation Practitioner | 4740 N Grand Ave, Covina, CA 91724-2005 | 2020-10-01 |
| 1013567999 | Sandra Hernandez-chavez | Counselor | 4740 N Grand Ave, Covina, CA 91724-2005 | 2019-09-12 |
| 1144879370 | Ismael L. Ramirez | Licensed Psychiatric Technician | 4740 N Grand Ave, Covina, CA 91724-2005 | 2019-09-10 |
| 1750849295 | Sylvia Arias | Licensed Psychiatric Technician | 4740 N Grand Ave, Covina, CA 91724-2005 | 2019-03-04 |
| 1912475997 | Erika R Ozuna | Rehabilitation Practitioner | 4740 N Grand Ave, Covina, CA 91724-2005 | 2018-11-07 |
| 1528536760 | Diandra Elise La Croix | Counselor | 4740 N Grand Ave, Covina, CA 91724-2005 | 2018-11-06 |
| 1780164061 | Gabrielle N Kubulan | Counselor | 4740 N Grand Ave, Covina, CA 91724-2005 | 2018-08-16 |
| 1215415096 | Jennifer K Flores | Rehabilitation Practitioner | 4740 N Grand Ave, Covina, CA 91724 | 2018-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902320922 | Kimberly Suzanne Manzanares-mora | Rehabilitation Practitioner | 1359 North Grand Avenue, Covina, CA 91724 | 2017-08-01 |
| 1689194680 | Cynthia Garcia | Counselor | 1359 N. Grand Ave., Covina, CA 91724 | 2017-06-21 |
| 1386191963 | West Covina Group Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1274 Center Court Dr, #208, Covina, CA 91724 | 2016-09-01 |
| 1184094781 | Veronica May Roberts | Licensed Vocational Nurse | 222 S. Wilson Ave, Covina, CA 91724 | 2015-09-25 |
| 1912216292 | Joan Mendoza | Social Worker | 1338 Center Court Dr Ste 107, Covina, CA 91724 | 2010-10-04 |
| 1548583602 | Lille-anne Nzeribe | Rehabilitation Practitioner | 1126 N. Grand Ave. Suite D, Covina, CA 91724 | 2010-03-03 |
| 1154534212 | Verna L Lewis | Marriage & Family Therapist | 420 South Grand Ave., Covina, CA 91724 | 2007-05-07 |
| 1093937310 | Heather Annn Pedevillano | Specialist/Technologist | 1805 E. Lomira Dr, Covina, CA 91724 | 2007-05-03 |
| 1669503579 | Maritza Mercedes Reyes | Rehabilitation Practitioner | 1411 N. Grand Ave., Covina, CA 91724 | 2007-03-09 |
| 1417014085 | Bernadette Luyun Guaring Bagay | Dentist | 984 E Badillo St, Suite E, Covina, CA 91724 | 2007-01-03 |
| Find all providers in zip 91724 | ||||
| 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 |
|---|---|---|---|---|
| 1902320922 | Kimberly Suzanne Manzanares-mora | Rehabilitation Practitioner | 1359 North Grand Avenue, Covina, CA 91724 | 2017-08-01 |
| 1619380227 | Stephanie Starks | Rehabilitation Practitioner | 508 -2nd St., Covina, CA 91723 | 2014-06-11 |
| 1437450210 | Anahuac I Lopez | Rehabilitation Practitioner | 451 S San Jose Ave, Covina, CA 91723-3056 | 2010-11-09 |
| 1548583602 | Lille-anne Nzeribe | Rehabilitation Practitioner | 1126 N. Grand Ave. Suite D, Covina, CA 91724 | 2010-03-03 |
| 1902035827 | Jean Margaret Lawson Saint Hill I | Rehabilitation Practitioner | 4626 N Grand Ave, Suite D, Covina, CA 91724-2055 | 2009-07-13 |
| 1285806075 | Joshua Allen Morrill | Rehabilitation Practitioner | 1411 N Grand Ave Ste 100, Covina, CA 91724-1005 | 2008-04-01 |
| 1477734374 | Artenson Carter | Rehabilitation Practitioner | 221 W Dexter St Apt 5, Covina, CA 91723-2538 | 2007-11-19 |
| 1669503579 | Maritza Mercedes Reyes | Rehabilitation Practitioner | 1411 N. Grand Ave., Covina, CA 91724 | 2007-03-09 |
| 1114057791 | Stacy Smith | Rehabilitation Practitioner | 1411 N Grand Ave, 100, Covina, CA 91724-1001 | 2007-03-06 |
| 1316073257 | Anthony Gonzales | Rehabilitation Practitioner | 19550 E Cienega Ave Apt 69, Covina, CA 91724-4012 | 2007-02-26 |
| Find all providers in COVINA | ||||
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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.