DAMIAN COSTA (NPI# 1215329479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215329479 |
Entity Type | Individual |
Full Name | DAMIAN COSTA |
Practice Address |
24460 Lyons Ave Santa Clarita CA 91321-2347 |
Mailing Address |
6166 Vesper Ave Van Nuys CA 91411-2851 |
Practice Telephone | 6612539400 |
Practice Fax Number | 6612539403 |
Mailing Telephone | 8189970414 |
Mailing Fax Number | 8187853457 |
Enumeration Date | 2015-02-25 |
Last Update Date | 2015-02-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RII0241114 | CA | Behavioral Health & Social Service Providers |
Street Address |
24460 LYONS AVE |
City | SANTA CLARITA |
State | CA |
Zip Code | 91321-2347 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851645006 | National Council On Alcoholism & Drug Dependence of The San Fernando V | Community/Behavioral Health | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2012-11-08 |
1639647910 | Megan Brooke Stewart | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2018-11-05 |
1760959597 | Derek Bourdess | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2018-10-30 |
1699269662 | Oscar Alvarez | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2018-06-21 |
1619489382 | Jodi Sharp | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2017-11-02 |
1164963575 | Matthew Jay | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2017-03-17 |
1659766962 | Brenda Tumasone | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2015-04-02 |
1194119800 | Kenneth Settle | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2015-03-20 |
1023411774 | Barry Olson Olson | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2014-10-08 |
1801202320 | James Lochridge | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2014-07-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275157265 | Lauren Tolcher | Behavioral Analyst | 23502 Lyons Avenue, Suite 304a, Santa Clarita, CA 91321 | 2020-06-04 |
1427613900 | Weston William Lensing | Behavior Technician | 3502 Lyons Ave, Ste 304a, Santa Clarita, CA 91321 | 2019-05-09 |
1174005003 | Eparthenos | Psychologist | 23504 Lyons Ave #304, Santa Clarita, CA 91321 | 2018-09-06 |
1740761105 | The Center for Creative Therapy, Inc | Marriage & Family Therapist | 23030 Lyons Ave Ste 207, Santa Clarita, CA 91321 | 2018-08-23 |
1982196879 | Brandi Wright-dohopolski | Acupuncturist | 27820 Freemont Court, Unit 5, Suite E, Valencia, CA 91321 | 2018-06-06 |
1780113209 | Jennifer Ann Woods | Physician Assistant | 23645 Meadowridge Drive, 110, Newhall, CA 91321 | 2017-06-08 |
1942661624 | Sina Tebi Md Inc | Internal Medicine | 23938 Lyons Avenue, #204, Newhall, CA 91321 | 2016-03-09 |
1720452220 | Julie Kim | Pharmacist | 26863 Sierra Hwy, Santa Clarita, CA 91321 | 2015-11-20 |
1568855773 | Carly Nikiforuk | Counselor | 24625 Arch St., Newhall, CA 91321 | 2015-03-12 |
1437562741 | Teresa Cha Waggoner | Nurse Practitioner | 23772 Newhall Avenue, Newhall, CA 91321 | 2014-06-04 |
Find all providers in zip 91321 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720550874 | Jessica Lara | Counselor | 22519 Garzota Dr, Santa Clarita, CA 91350-2247 | 2018-12-28 |
1548680523 | Gwendolyn Macdonald | Counselor | 26708 Oak Pluma Ct, Santa Clarita, CA 91321-1441 | 2014-04-17 |
1134323645 | Mayra Arambula | Counselor | 21754 Fritz Way, Santa Clarita, CA 91390-5717 | 2007-06-11 |
1568925931 | Cyrush Akbar | Counselor | 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350-2947 | 2019-04-11 |
1780145029 | Amanda Ellis | Counselor | 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350-2947 | 2019-03-28 |
1639647910 | Megan Brooke Stewart | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2018-11-05 |
1760959597 | Derek Bourdess | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2018-10-30 |
1699269662 | Oscar Alvarez | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2018-06-21 |
1619489382 | Jodi Sharp | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2017-11-02 |
1235662990 | Joshua Davis | Counselor | 38215 San Francisquito Canyon Rd, Santa Clarita, CA 91390-4914 | 2017-04-09 |
Find all providers in SANTA CLARITA |
City | SANTA CLARITA |
Zip Code | 91321 |
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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.