DEMETRIA MCCALLA (NPI# 1295219467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295219467 |
| Entity Type | Individual |
| Full Name | DEMETRIA MCCALLA |
| Practice Address |
909 Pico Blvd Santa Monica CA 90405-1326 |
| Practice Telephone | 3103146200 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
909 PICO BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90405-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639299407 | Katheryn Leanne Whittaker | Counselor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2007-03-29 |
| 1508472887 | Tracy Gage | Licensed Vocational Nurse | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2020-09-22 |
| 1366083396 | Stephen Richard Ball | Counselor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2019-10-01 |
| 1679127799 | Lavert S Porter | Counselor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2019-07-26 |
| 1699237503 | Christopher Johnson | Counselor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2019-04-01 |
| 1982174348 | Kenneth Noel | Licensed Vocational Nurse | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-11-28 |
| 1750859534 | Paulina Dianne Speaker | Counselor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-11-09 |
| 1821565250 | Brandon Lejuan Smith | Counselor | 909 Pico Blvd, Santa Monica, CA 90404 | 2018-10-24 |
| 1609355155 | Luis Jesus Maldonado | Counselor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-08-07 |
| 1750860276 | Pamela Wyatt | Counselor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328476 | Nicole Ryan Harbeck | Marriage & Family Therapist | 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 | 2019-07-19 |
| 1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
| 1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
| 1285171371 | Jori Adler Marriage & Family Therapy Prof. Corp. | Marriage & Family Therapist | 3400 Airport Ave Ste 30, Santa Monica, CA 90405 | 2017-01-26 |
| 1376993147 | Damoan Corp. | Speech-Language Pathologist | 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 | 2016-06-13 |
| 1427410034 | Adam Rubio | Clinical Neuropsychologist | 1916 4th Street, Santa Monica, CA 90405 | 2016-03-23 |
| 1760852842 | Yramnna Smith | Behavioral Analyst | 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 | 2015-10-01 |
| 1689086076 | Cheryl K. Baker | Community Health Worker | 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 | 2014-05-20 |
| 1629409891 | Dominique M. Delvecchio | Nurse Practitioner | 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 | 2013-12-12 |
| 1639512692 | Nancy Elizabeth Hyland | Marriage & Family Therapist | 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 | 2013-04-09 |
| Find all providers in zip 90405 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588911754 | Theresa Mary Gabrielle Chern | Contractor | 1433 6th St, Apt F, Santa Monica, CA 90401-2554 | 2012-08-07 |
| 1225266620 | Maarten W Borghans | Contractor | 2807 3rd St Apt 4, Santa Monica, CA 90405-4136 | 2009-06-24 |
| 1992367296 | Lisa R Jackson-zeno | Contractor | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2019-07-08 |
| 1356813315 | Wayman Alexander Cooley Sr. | Contractor | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2018-12-31 |
| 1871063115 | Alondra Castro | Contractor | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2018-11-29 |
| 1528566619 | Gladys Margarita Moreno | Contractor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-01-24 |
| 1811332224 | Franklin Medical Resources | Contractor | 829 Grant St, 2, Santa Monica, CA 90405-1374 | 2013-04-30 |
| 1548590334 | Linda Abrams | Contractor | 1328 2nd St, Santa Monica, CA 90401-1122 | 2009-12-30 |
| 1932369824 | George Elonge Akwo | Contractor | 2118 Wilshire Blvd, #1010, Santa Monica, CA 90403-5784 | 2008-06-13 |
| 1730350737 | Leydin Cordova | Contractor | 2701 Ocean Park Blvd, 150b, Santa Monica, CA 90405-5200 | 2008-03-18 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90405 |
Please comment or provide details below to improve the information on DEMETRIA MCCALLA.
| 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.