SUZANNE MARY ECKHARDT (NPI# 1316134802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316134802 |
Entity Type | Individual |
Full Name | SUZANNE MARY ECKHARDT |
Credential | C.P. |
Practice Address |
637 Lucas Ave Los Angeles CA 90017-1912 |
Practice Telephone | 2134825226 |
Practice Fax Number | 2134825040 |
Mailing Telephone | 2134825226 |
Mailing Fax Number | 2134825040 |
Enumeration Date | 2007-09-27 |
Last Update Date | 2007-09-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224P00000X | Prosthetist | CP001228 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GFC000250 | 05 |
Street Address |
637 LUCAS AVE |
City | LOS ANGELES |
State | CA |
Zip Code | 90017-1912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225062706 | John T. Yong | Internal Medicine | 637 Lucas Ave, Station One, Los Angeles, CA 90017-1912 | 2006-07-10 |
1417351776 | Prisca Ho | Nutritionist | 637 Lucas Ave, Los Angeles, CA 90017-1997 | 2014-10-15 |
1629498548 | Coralyn Andrestaylor | Nutritionist | 637 Lucas Ave, Los Angeles, CA 90017-1997 | 2014-04-17 |
1073930079 | David Huang Md Radiation Oncologist Inc. | Radiology | 637 Lucas Ave, Los Angeles, CA 90017-1997 | 2014-03-27 |
1275962656 | Lady Josae Becerra | Genetic Counselor, MS | 637 Lucas Ave, Suite 205, Los Angeles, CA 90017-1997 | 2013-11-05 |
1134558794 | Melissa Randall | Genetic Counselor, MS | 637 Lucas Ave, Suite 205, Los Angeles, CA 90017-1997 | 2013-11-04 |
1922305036 | Linda S. Cowan, Md A Professional Corporation | Medical Genetics | 637 Lucas Ave, #205, Los Angeles, CA 90017-1912 | 2011-02-25 |
1083917736 | Deane B. Jacques, M.d., Inc. | Clinic/Center | 637 Lucas Ave, Ste. 501, Los Angeles, CA 90017-1912 | 2010-12-17 |
1093017568 | Miriam Rebecca Cohen Gross | Dietitian, Registered | 637 Lucas Ave, Suite 205, Los Angeles, CA 90017-1912 | 2010-12-03 |
1700079944 | Sarah Kiyomi Yamaguchi | Obstetrics & Gynecology | 637 Lucas Ave, Suite 200, Los Angeles, CA 90017-1912 | 2007-08-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
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Taxonomy Code | 224P00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Prosthetist |
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
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1831733948 | Shayla R Williams | Prosthetist | 11050 Strathmore Dr Apt 422, Los Angeles, CA 90024-2319 | 2019-10-31 |
1255815155 | Mary Alice Swiney | Prosthetist | 3437 Stocker St Apt 4, Los Angeles, CA 90008-3730 | 2018-09-18 |
1114013158 | Los Angeles Institute for Prosthetics and Orthotics Inc | Prosthetist | 443 1/2 So Atlantic Blvd, Los Angeles, CA 90022-2617 | 2006-10-05 |
1033736848 | Sue Sean | Prosthetist | 1830 W Olympic Blvd Ste 123, Los Angeles, CA 90006-3734 | 2020-06-26 |
1770082570 | Matthew Mills | Prosthetist | 6300 Wilshire Blvd, Los Angeles, CA 90048-5204 | 2018-02-07 |
1841744034 | David Craft | Prosthetist | 3160 Geneva St, Los Angeles, CA 90020-1117 | 2016-08-05 |
1497911572 | Shane Richard Wurdeman | Prosthetist | 11301 Wilshire Blvd, Bldg 304, Los Angeles, CA 90073-1003 | 2008-07-29 |
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1134752942 | Elizabeth Olajide | Prosthetist | 43536 Gadsden Ave Apt 324, Lancaster, CA 93534-6036 | 2020-02-20 |
1578111290 | Charmie Johnson | Prosthetist | 7309 University Ave Ste B, La Mesa, CA 91942-0525 | 2019-08-27 |
1790341915 | Gloria Tatiana Dixon | Prosthetist | 32366 Evening Primrose Trl, Campo, CA 91906-3162 | 2019-05-13 |
1629633219 | Duana Robinson | Prosthetist | 1430 Brandon Dewey Ln, Tracy, CA 95304-5981 | 2019-05-08 |
1366908741 | Alicia Lander | Prosthetist | 5252 Foothill Blvd, Oakland, CA 94601-5438 | 2019-02-11 |
1154895944 | Keyonia K Paramore | Prosthetist | 735 W Pacific Coast Hwy, Long Beach, CA 90806-5240 | 2019-01-15 |
1629544499 | Alexander Hetherington | Prosthetist | 1500 Owens St Ste 115, San Francisco, CA 94158-2338 | 2018-10-19 |
1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
1710482807 | John Vetter | Prosthetist | 5110 Whitsett Ave, Valley Village, CA 91607-3016 | 2018-03-29 |
1144728569 | Shiaw Wen Wu | Prosthetist | 1009 N Orange Ave, Azusa, CA 91702-1920 | 2018-01-31 |
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City | LOS ANGELES |
Zip Code | 90017 |
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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.