FANNY DIEPPA (NPI# 1205954989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205954989 |
| Entity Type | Individual |
| Full Name | FANNY DIEPPA |
| Practice Address |
12099 W Washington Blvd Ste 200 Los Angeles CA 90066-2622 |
| Practice Telephone | 3017511173 |
| Mailing Telephone | 3017511173 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2013-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 174400000X | Specialist | DATA ENTRY | CA | Other Service Providers |
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | IS ACCESS NUMBER | C014257 | 01 |
| CA | PROVIDER NUMBER | PSIX455 | 01 |
| Street Address |
12099 W WASHINGTON BLVD STE 200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821116450 | The Help Group | Case Manager/Care Coordinator | 12099 W Washington Blvd Ste 200, Los Angeles, CA 90066-2622 | 2007-03-26 |
| 1760091300 | Angelica Chantal Ahmad | Rehabilitation Practitioner | 12099 W Washington Blvd Ste 200, Los Angeles, CA 90066-2622 | 2020-07-29 |
| 1386286243 | Oliver Daniel Flores | Rehabilitation Practitioner | 12099 W Washington Blvd Ste 200, Los Angeles, CA 90066-2622 | 2019-10-11 |
| 1134772569 | Elvis Carrillo | Case Manager/Care Coordinator | 12099 W Washington Blvd Ste 200, Los Angeles, CA 90066-2622 | 2019-07-24 |
| 1811497993 | Veronica Garcia | Case Manager/Care Coordinator | 12099 W Washington Blvd Ste 200, Los Angeles, CA 90066-2622 | 2018-02-15 |
| 1548778947 | Jorge Lopez | Rehabilitation Practitioner | 12099 W Washington Blvd Ste 200, Los Angeles, CA 90066-2622 | 2018-01-19 |
| 1801319298 | Alexandra Kessel | Counselor | 12099 W Washington Blvd Ste 200, Los Angeles, CA 90066-2622 | 2017-07-18 |
| 1578015459 | Jazmin Hurtado | Case Manager/Care Coordinator | 12099 W Washington Blvd Ste 200, Los Angeles, CA 90066-2622 | 2016-10-26 |
| 1144643487 | Delilah Yvette Garcia | Case Manager/Care Coordinator | 12099 W Washington Blvd Ste 200, Los Angeles, CA 90066-2622 | 2014-01-22 |
| 1538509245 | Liliana Ramirez | Rehabilitation Practitioner | 12099 W Washington Blvd Ste 200, Los Angeles, CA 90066-2622 | 2013-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| 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 |
|---|---|---|---|---|
| 1861013757 | Terrisa Noel-rivera Luna | Rehabilitation Practitioner | 11303 Wilshire Blvd Bld 116, Los Angeles, CA 90025-5069 | 2020-05-01 |
| 1063046795 | Leanne Margaret Cremin | Rehabilitation Practitioner | 2285 Westwood Blvd, Los Angeles, CA 90064-2017 | 2020-03-03 |
| 1720610421 | Ronmoe Inc | Rehabilitation Practitioner | 2025 Westwood Blvd, Los Angeles, CA 90025-6328 | 2020-02-10 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1114445848 | Claudia Melgar | Rehabilitation Practitioner | 1540 Alcazar St # St133, Los Angeles, CA 90089-0080 | 2017-09-01 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1356893796 | Rosemary Marroquin | Rehabilitation Practitioner | 511 N Harvard Blvd, Los Angeles, CA 90004-1906 | 2016-11-02 |
| 1902356520 | Aida Kimberly Escobar | Rehabilitation Practitioner | 2715 E 5th St, Los Angeles, CA 90033-4422 | 2016-10-06 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on FANNY DIEPPA.
| 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.