EDGARDO MEDINA-COLON (NPI# 1255998696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255998696 |
| Entity Type | Individual |
| Full Name | EDGARDO MEDINA-COLON |
| Practice Address |
1776 E Century Blvd Los Angeles CA 90002-3050 |
| Mailing Address |
1900 Grace Ave Apt 23 Los Angeles CA 90068-3831 |
| Practice Telephone | 3233746691 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | CA | Behavioral Health & Social Service Providers |
| Street Address |
1776 E CENTURY BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90002-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174625404 | Milly Perveen Khan | Family Medicine | 1776 E Century Blvd, Los Angeles, CA 90002-3050 | 2006-09-05 |
| 1356967244 | Erika Leyva | Licensed Vocational Nurse | 1776 E Century Blvd, Los Angeles, CA 90002-3050 | 2020-06-17 |
| 1528699311 | Claudia E Wooley | Social Worker | 1776 E Century Blvd, Los Angeles, CA 90002-3050 | 2020-01-30 |
| 1558991117 | Dieu Diana Nguyen Tran | Dietitian, Registered | 1776 E Century Blvd, Los Angeles, CA 90002-3050 | 2020-01-23 |
| 1790330058 | Monica Garcia | Licensed Vocational Nurse | 1776 E Century Blvd, Los Angeles, CA 90002-3050 | 2019-08-05 |
| 1538711056 | Crystal Pimentel | Social Worker | 1776 E Century Blvd, Los Angeles, CA 90002-3050 | 2019-07-15 |
| 1033773965 | Relana Flores | Social Worker | 1776 E Century Blvd, Los Angeles, CA 90002-3050 | 2019-04-25 |
| 1366924805 | Samanta Godinez-arrieta Hernandez | Case Manager/Care Coordinator | 1776 E Century Blvd, Los Angeles, CA 90002-3050 | 2018-08-31 |
| 1053890434 | Yaritza Perez | Case Manager/Care Coordinator | 1776 E Century Blvd, Los Angeles, CA 90002-3050 | 2018-08-07 |
| 1043711971 | Enrique Gomez | Licensed Vocational Nurse | 1776 E Century Blvd, Los Angeles, CA 90002-3050 | 2018-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790336253 | Ernest Durden | Technician | 10321 Standford Avenue, Los Angeles, CA 90002 | 2019-09-26 |
| 1114573920 | Sahawneh Dental Corporation | Dentist | 9851 South Alameda, Unit A, Los Angeles, CA 90002 | 2019-08-16 |
| 1003373549 | Bridget Benninger | Marriage & Family Therapist | 10044 Compton Ave., Los Angeles, CA 90002 | 2019-02-20 |
| 1669954400 | Lorena Fajardo | Case Manager/Care Coordinator | 1776 E Century Bolvd, Los Angeles, CA 90002 | 2018-08-29 |
| 1467963256 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2178 Firestone Blvd, Los Angeles, CA 90002 | 2017-10-19 |
| 1699294991 | Priscilla Morales | Marriage & Family Therapist | 10221 Compton Ave Ste 104&203, Los Angeles, CA 90002 | 2017-09-18 |
| 1649795246 | Tara Moore | Counselor | 1968 East 103rd Street, Los Angeles, CA 90002 | 2017-08-04 |
| 1689198673 | Yeny Alexandra Guarin | Social Worker | 1776 East Century Blvd, Los Angeles, CA 90002 | 2017-08-01 |
| 1144771452 | Paulette Madrigal | Case Manager/Care Coordinator | 10044 Compton Ave, Los Angeles, CA 90002 | 2016-10-21 |
| 1134675853 | Jong Cho | Pharmacist | 1645 E. 103rd St, La, CA 90002 | 2016-09-01 |
| Find all providers in zip 90002 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093341364 | Angela Lavonne Dumas | Social Worker | 11301 Wilshire Blvd Bldg 258, Los Angeles, CA 90073-1003 | 2020-03-19 |
| 1245866573 | Monica Tate | Social Worker | 11301 Wilshire Blvd Bldg 158, Los Angeles, CA 90073-1003 | 2020-03-18 |
| 1235786401 | Jermelle F Pitts | Social Worker | 832 Fedora St Apt 207, Los Angeles, CA 90005-2106 | 2019-08-22 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1811462179 | Martin Soto Coronel | Social Worker | 2010 Zonal Ave Rm 4p81, Los Angeles, CA 90033-1026 | 2018-10-12 |
| 1306320833 | R and R Family Services Inc. | Social Worker | 854 N Las Palmas Ave, Los Angeles, CA 90038-3516 | 2018-09-20 |
| 1205316403 | Tu Tram Huynh Nguyen | Social Worker | 1902 Marengo St Ste 107, Los Angeles, CA 90033-1378 | 2018-08-16 |
| 1790264729 | Miguel A Sanguino | Social Worker | 3658 City Terrace Dr, Los Angeles, CA 90063-2015 | 2018-08-10 |
| 1841786498 | Tanya Patimeteeporn | Social Worker | 4211 S. Avalon Blvd, Los Angeles, CA 90011-5622 | 2018-07-06 |
| 1013402478 | Guillermo Gonzalez Lopez | Social Worker | La Cada, 1773 Griffith Park, Los Angeles, CA 90026 | 2018-06-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90002 |
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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.