KARLA LILLIANA PORTILLO (NPI# 1134505639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134505639 |
| Entity Type | Individual |
| Full Name | KARLA LILLIANA PORTILLO |
| Credential | LVN |
| Practice Address |
11905 S Central Ave Ste 204 Los Angeles CA 90059-2897 |
| Practice Telephone | 3233120145 |
| Practice Fax Number | 3233120188 |
| Mailing Telephone | 3233120145 |
| Mailing Fax Number | 3233120188 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 288738 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154886760 | Karla Portillo | Behavior Technician | 21600 Oxnard St Ste 1030, Woodland Hills, CA 91367-5085 | 2019-02-07 |
| Street Address |
11905 S CENTRAL AVE STE 204 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-2897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821225616 | Exodus Recovery Inc. | Community/Behavioral Health | 11905 S Central Ave Ste 204, Los Angeles, CA 90059-2897 | 2009-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878166 | Crystal Shin | Licensed Vocational Nurse | 3785 Wilshire Blvd Apt 1804, Los Angeles, CA 90010-2893 | 2020-10-16 |
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1942829338 | Gabriela Contreras | Licensed Vocational Nurse | 1236 E 48th St, Los Angeles, CA 90011-4236 | 2020-04-15 |
| 1487273892 | Randolph Gentle | Licensed Vocational Nurse | 2751 W 14th St Apt B, Los Angeles, CA 90006-4315 | 2020-04-15 |
| 1033767199 | Martineata Carlisle | Licensed Vocational Nurse | 716 E 116th Pl, Los Angeles, CA 90059-2300 | 2019-08-30 |
| 1356999767 | Shemeka Germany | Licensed Vocational Nurse | 942 W 74th St, Los Angeles, CA 90044-5115 | 2019-08-28 |
| 1841846185 | Garey Faron Young | Licensed Vocational Nurse | 1573 W 48th St, Los Angeles, CA 90062-2029 | 2019-08-13 |
| 1720632888 | Tyonna Lashey Causer | Licensed Vocational Nurse | 10309 S Gramercy Pl, Los Angeles, CA 90047-4130 | 2019-07-27 |
| 1093375669 | Kathleen Anne Macapagal Alonzo | Licensed Vocational Nurse | 5088 Highland View Ave Apt 2, Los Angeles, CA 90041-2037 | 2019-06-17 |
| 1245799873 | Anisah I Seon | Licensed Vocational Nurse | 4043 Don Tomaso Dr Apt 4, Los Angeles, CA 90008-5325 | 2019-03-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
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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.