MATTHEW E. MUGGERIDGE (NPI# 1164854238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164854238 |
| Entity Type | Individual |
| Full Name | MATTHEW E. MUGGERIDGE |
| Practice Address |
8836 S Vermont Ave Los Angeles CA 90044-4832 |
| Practice Telephone | 3237513026 |
| Mailing Telephone | 3237513026 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | Nursing Service Providers |
| Street Address |
8836 S VERMONT AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90044-4832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437280179 | Michael Corradino | Counselor | 8836 S Vermont Ave, Los Angeles, CA 90044-4832 | 2007-03-07 |
| 1710361613 | Edana Magee | Counselor | 8836 S Vermont Ave, Los Angeles, CA 90044-4832 | 2015-07-10 |
| 1063842771 | Shnieka Royal | Case Manager/Care Coordinator | 8836 S Vermont Ave, Los Angeles, CA 90044-4832 | 2013-11-15 |
| 1144654724 | Obimma J Okoye Jr. | Case Manager/Care Coordinator | 8836 S Vermont Ave, Los Angeles, CA 90044-4832 | 2013-08-30 |
| 1467704106 | Vanessa Pacheco | Case Manager/Care Coordinator | 8836 S Vermont Ave, Los Angeles, CA 90044-4832 | 2012-10-04 |
| 1699023911 | Philip Luu | Rehabilitation Practitioner | 8836 S Vermont Ave, Los Angeles, CA 90044-4832 | 2012-08-16 |
| 1891065801 | Timothy J Henry | Rehabilitation Practitioner | 8836 S Vermont Ave, Los Angeles, CA 90044-4832 | 2012-01-06 |
| 1477846384 | Kyle Skelly | Rehabilitation Practitioner | 8836 S Vermont Ave, Los Angeles, CA 90044-4832 | 2011-05-25 |
| 1265738132 | Lisa J Espericueta | Counselor | 8836 S Vermont Ave, Los Angeles, CA 90044-4832 | 2011-02-09 |
| 1437466190 | John E. Jones | Rehabilitation Practitioner | 8836 S Vermont Ave, Los Angeles, CA 90044-4832 | 2010-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386135671 | Park Professional Dental Corp | Dentist | 600 W Manchester Ave Ste 2, Los Angeles, CA 90044 | 2018-05-23 |
| 1851831218 | Latisha Samantha Carter | Licensed Vocational Nurse | 521 W 97th St., Los Angeles, CA 90044 | 2017-03-06 |
| 1669928230 | Travel & Ground Network Inc. | Non-emergency Medical Transport (VAN) | 605 West 113 Th. Street, Los Angeles, CA 90044 | 2016-09-01 |
| 1295100642 | Scharp | Community/Behavioral Health | 8836 Vermont Ave, Los Angeles, CA 90044 | 2015-12-10 |
| 1356714851 | Euna Lee | Pharmacist | 5822 S Vermont Avenue, Los Angeles, CA 90044 | 2015-11-05 |
| 1518384338 | Kiniko Willingham | Social Worker | 1050 W 91st St, Los Angles, CA 90044 | 2014-03-19 |
| 1619211422 | Los Angeles Christian Health Centers | Clinic/Center | 8511 1/2 Vermont Street, Los Angeles, CA 90044 | 2012-11-16 |
| 1891047510 | Yvonne Henderson | Marriage & Family Therapist | 8730 S. Vermont Ave, Los Angeles, CA 90044 | 2012-10-04 |
| 1669722534 | Diana Gutierrez | Counselor | 9001 S. Vermont Ave., Los Angeles, CA 90044 | 2012-09-18 |
| 1720343304 | Rocio Cortez | Counselor | 90001 South Vermont Ave, Los Angeles, CA 90044 | 2012-07-10 |
| Find all providers in zip 90044 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
| 1255716098 | Grace Junko Gerardo | Licensed Psychiatric Technician | 226 S. Ave. 52, Los Angeles, CA 90042-4504 | 2015-07-22 |
| 1457786147 | Griselda Flores | Licensed Psychiatric Technician | 2600 Wilshire Blvd, Los Angeles, CA 90057-3400 | 2013-09-12 |
| 1427104728 | Leslie Michelle Blakeney | Licensed Psychiatric Technician | 529 S Maple Ave., Los Angeles, CA 90013 | 2007-01-27 |
| 1467064717 | Jessica Vazquez | Licensed Psychiatric Technician | 679 S New Hampshire Ave Ste 400, Los Angeles, CA 90005-1355 | 2020-08-18 |
| 1558996512 | Yvonne Elisa Molina | Licensed Psychiatric Technician | 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 | 2020-03-10 |
| 1407403439 | Leanna Lynn Ramirez | Licensed Psychiatric Technician | 1711 W Temple St, Los Angeles, CA 90026-5421 | 2019-08-23 |
| 1992357404 | Bernadette Chavez | Licensed Psychiatric Technician | 5201 S Vermont Ave, Los Angeles, CA 90037-3527 | 2019-07-15 |
| 1366000556 | Tyler Shirk | Licensed Psychiatric Technician | 600 St Paul Ave Ste 200, Los Angeles, CA 90017-5686 | 2019-06-03 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90044 |
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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.