AIDS HEALTH FOUNDATION (NPI# 1093057598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093057598 |
| Entity Type | Organization |
| Organization Name | AIDS HEALTH FOUNDATION |
| Practice Address |
19300 S. Hamilton Ave. Ste 170 Gardena CA 90248 |
| Mailing Address |
19300 S. Hamilton Avenue Ste 170 Gardena CA 90248 |
| Practice Telephone | 3107710619 |
| Practice Fax Number | 3107710621 |
| Mailing Telephone | 3107710619 |
| Mailing Fax Number | 3107710621 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |
| Authorized Official Name | JACQUELYN DENISE MIMS (PHARMACIST) |
| Authorized Official Telephone | 3107710619 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366950867 | Aids Health Foundation | Clinic/Center | 3400 26th Ave S, St Petersburg, FL 33711-3537 | 2018-01-18 |
| 1548772593 | Aids Health Foundation | Clinic/Center | 766 Lakeland Dr, Jackson, MS 39216-4610 | 2017-10-31 |
| Street Address |
19300 S. HAMILTON AVE. STE 170 |
| City | GARDENA |
| State | CA |
| Zip Code | 90248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| 1457674723 | Alafia Mental Health Institute | Community/Behavioral Health | 522 W Redondo Beach Blvd, Suite 204, Gardena, CA 90248 | 2010-03-01 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341097 | Patrick Dale Jackson | Pharmacist | 19300 S Hamilton Ave Ste 170-180, Gardena, CA 90248-4400 | 2020-09-17 |
| 1699399212 | Maksida Sabackic | Pharmacist | 19300 S Hamilton Ave Ste 170180, Gardena, CA 90248-4400 | 2020-05-29 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1306389218 | David Ramiro Lopez | Pharmacist | 1341 W 160th St, Gardena, CA 90247-4411 | 2016-11-24 |
| 1659746899 | Sandra Shibuyama | Pharmacist | 1620 Marine Avenue, Gardena, CA 90247-3108 | 2015-12-12 |
| 1902146897 | Alice C Cheng | Pharmacist | 19300 S Hamilton Ave Ste 170, Gardena, CA 90248-4411 | 2013-02-28 |
| 1073590378 | Samuel K Nkansah | Pharmacist | 14111 Van Ness Ave, Van Park Pharmacy, Gardena, CA 90249-2944 | 2005-12-28 |
| 1932192283 | Thu Thi Dinh | Pharmacist | 15418 Crenshaw Blvd, Gardena, CA 90249-4524 | 2005-08-23 |
| 1326647256 | Ashkan Isakharian | Pharmacist | 2169 W Redondo Beach Blvd, Gardena, CA 90247-3625 | 2020-10-21 |
| Find all providers in GARDENA | ||||
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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.