HERITAGE CLINIC AND THE COMMUNITY ASSISTANCE PROGRAM FOR SENIORS (NPI# 1306899091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306899091 |
| Entity Type | Organization |
| Organization Name | HERITAGE CLINIC AND THE COMMUNITY ASSISTANCE PROGRAM FOR SENIORS |
| Other Organization Name | HERITAGE CLINIC COMM FOR SENIORS |
| Practice Address |
447 N El Molino Ave Pasadena CA 91101-1403 |
| Practice Telephone | 6265778480 |
| Practice Fax Number | 6265778978 |
| Mailing Telephone | 6265778480 |
| Mailing Fax Number | 6265778978 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-07-19 |
| Authorized Official Name | MR. VATCHE KELARTINIAN (CEO) |
| Authorized Official Telephone | 6265778480 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2255549 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Heritage Clinic Comm for Seniors | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023234747 | Heritage Clinic and The Community Assistance Program for Seniors | Psychologist | 43807 10th St W Ste D, Lancaster, CA 93534-4805 | 2007-04-18 |
| 1093049546 | Heritage Clinic and The Community Assistance Program for Seniors | Psychologist | 3600 Wilshire Blvd Ste 2200, Los Angeles, CA 90010-2632 | 2009-09-30 |
| 1376681163 | Heritage Clinic and The Community Assistance Program for Seniors | Psychologist | 3939 Atlantic Ave, Suite 103, Long Beach, CA 90807-3536 | 2007-02-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HERITAGE CLINIC AND THE COMMUNITY ASSISTANCE PROGRAM FOR SENIORS | 447 N El Molino Ave, Pasadena, CA 91101-1403 |
| Street Address |
447 N EL MOLINO AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059719 | Aurora Doreza | Counselor | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2020-09-29 |
| 1417560533 | Patricia L. Roach | Student in an Organized Health Care Education/Training Program | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2020-08-28 |
| 1295348308 | Manuel Andrew Malek | Student in an Organized Health Care Education/Training Program | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2020-08-28 |
| 1487267936 | Chris Patton | Student in an Organized Health Care Education/Training Program | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2020-08-25 |
| 1356952279 | Breanna Renee Abram | Student in an Organized Health Care Education/Training Program | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2020-08-13 |
| 1700414281 | Isabel Banderas | Case Manager/Care Coordinator | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2020-03-30 |
| 1255968921 | Michelle Llamas | Case Manager/Care Coordinator | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2020-03-24 |
| 1336781624 | Princess Jones | Counselor | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2019-10-08 |
| 1275183212 | Milena Semenova | Case Manager/Care Coordinator | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2019-09-11 |
| 1760030639 | Peiyi He | Student in an Organized Health Care Education/Training Program | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2019-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401260 | James Chavers Jr. | Psychologist | 335 Cherry Dr, Pasadena, CA 91105-2150 | 2020-09-12 |
| 1801416847 | Insight Personal and Family Therapy, Inc | Psychologist | 65 N Madison Ave Ste 601, Pasadena, CA 91101-2047 | 2020-04-20 |
| 1780222059 | Nevena Mojsilovic | Psychologist | 107 S Fair Oaks Ave Ste 223229, Pasadena, CA 91105-2010 | 2019-12-17 |
| 1366009060 | Hathaway Sycamores Child and Family Services | Psychologist | 2101 E Washington Blvd, Pasadena, CA 91104-1825 | 2019-05-29 |
| 1417514209 | Hathaway Sycamores Child and Family Services | Psychologist | 515 E Ashtabula St, Pasadena, CA 91104-4306 | 2019-05-28 |
| 1447817010 | Samantha Miller | Psychologist | 107 S Fair Oaks Ave Ste 219, Pasadena, CA 91105-2082 | 2019-05-20 |
| 1639533029 | Biljana Bujko | Psychologist | 745 S Marengo Ave Ste 202, Pasadena, CA 91106-4739 | 2016-04-11 |
| 1477919454 | Armine Melkonyan | Psychologist | 595 E Colorado Blvd Ste 409, Pasadena, CA 91101-2018 | 2016-01-07 |
| 1073982344 | Safe Harbor Christian Counseling of Annapolis | Psychologist | 206 Pleasantview Ave, Pasadena, MD 21122-4042 | 2015-09-17 |
| 1861869489 | Supatra Hanna Tovar | Psychologist | 1000 E Walnut St Ste 246, Pasadena, CA 91106-5370 | 2015-08-31 |
| Find all providers in PASADENA | ||||
Please comment or provide details below to improve the information on HERITAGE CLINIC AND THE COMMUNITY ASSISTANCE PROGRAM FOR SENIORS.
| 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.