JUAN JOSE PENA (NPI# 1295922870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295922870 |
| Entity Type | Individual |
| Full Name | JUAN JOSE PENA |
| Practice Address |
108 W Victoria St Gardena CA 90248 |
| Mailing Address |
108 W Victoria St Gardena CA 90248-3523 |
| Practice Telephone | 3107152020 |
| Mailing Telephone | 3107152020 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW 59897 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083120968 | Juan Carlos Pena | Behavior Technician | 14346 Sw 90th St, Miami, FL 33186-8010 | 2017-12-14 |
| 1477757052 | Juan Armando Pena | Internal Medicine | Wake Forest Baptist Health Dept Ofobgyn, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-06-14 |
| 1689738189 | Juan Carlos Pena | Family Medicine | 445 E Anaheim St Ste H, Wilmington, CA 90744-4600 | 2006-12-20 |
| 1952901050 | Juan Amando Pena Jr. | Pharmacist | 2800 W Nolana Ave, Mcallen, TX 78504-4596 | 2020-10-28 |
| 1043731854 | Juan B Pena | Social Worker | 26 Court St Ste 1009, Brooklyn, NY 11242 | 2017-06-30 |
| 1891179149 | Juan Pena | Counselor | 7225 N 1st St, Suite 101, Fresno, CA 93720-2986 | 2015-07-16 |
| 1255733523 | Juan Pena | Chiropractor | 1831 Grand Concourse, Bronx, NY 10453-6323 | 2014-09-18 |
| 1255359238 | Juan G Pena | Internal Medicine | 7383 E Tanque Verde Rd, Tucson, AZ 85715-3475 | 2006-07-17 |
| Street Address |
108 W VICTORIA ST |
| City | GARDENA |
| State | CA |
| Zip Code | 90248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083783906 | Stan Benoit | Marriage & Family Therapist | 108 W Victoria St, Gardena, CA 90248-3523 | 2006-11-07 |
| 1891319554 | Perla Judith Medina Meza | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2020-05-29 |
| 1558984351 | Laura Fabiola Gutierrez Duarte | Marriage & Family Therapist | 108 W Victoria St, Gardena, CA 90248-3523 | 2020-05-27 |
| 1619507365 | Diego E. Flores | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2020-01-22 |
| 1790325736 | Amy Alejo | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2020-01-07 |
| 1366089716 | Flor Argueta | Counselor | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-12-04 |
| 1760026348 | Sean Paul Guilford | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-11-06 |
| 1528609823 | Ryan Kohl | Occupational Therapist | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-10-08 |
| 1588205470 | Karina Noemi Garcia | Rehabilitation Practitioner | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-10-02 |
| 1952951360 | Amy Chacon | Marriage & Family Therapist | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337040 | Cynthia Bernadine Luellen | Social Worker | 13232 Casimir Ave, Gardena, CA 90249-1633 | 2020-05-13 |
| 1902145139 | Edward Philip Padilla | Social Worker | 3133 W 154th St, Gardena, CA 90249-4013 | 2013-02-07 |
| 1649553694 | Veronica Sharon Turner | Social Worker | 15507 S Normandie Ave # 487, Gardena, CA 90247-4028 | 2011-09-26 |
| 1841486131 | Kathey Michelle Wilborn | Social Worker | 1225 W 190th St Ste 205, Gardena, CA 90248-4336 | 2007-09-20 |
| 1740322452 | Andrea Sanserino | Social Worker | 108 West Victoria Street, Gardena, CA 90248 | 2007-02-12 |
| 1578019980 | Kee Jung Eom | Social Worker | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2016-08-27 |
| 1447609169 | Andrea Aguilar | Social Worker | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2016-06-03 |
| 1467835207 | Ann Marie Wimer | Social Worker | 108 W Victoria St, Gardena, CA 90248-3523 | 2015-06-29 |
| 1538540919 | Sandra Heib | Social Worker | 108 W Victoria St, Gardena, CA 90248-3523 | 2015-06-11 |
| 1689062820 | Carlos Augusto Reyes-ruiz | Social Worker | 108 W Victoria St, Gardena, CA 90248-3523 | 2014-12-22 |
| Find all providers in GARDENA | ||||
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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.