CHARMAINE M HOLLAND (NPI# 1356686935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356686935 |
Entity Type | Individual |
Full Name | CHARMAINE M HOLLAND |
Practice Address |
2930 W Imperial Hwy Inglewood CA 90303-3143 |
Mailing Address |
2930 W. Imperial Inglewood CA 90303 |
Practice Telephone | 7142438193 |
Practice Fax Number | 8669361388 |
Mailing Telephone | 7142438193 |
Mailing Fax Number | 8669361388 |
Enumeration Date | 2012-12-07 |
Last Update Date | 2012-12-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
Street Address |
2930 W IMPERIAL HWY |
City | INGLEWOOD |
State | CA |
Zip Code | 90303-3143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639106685 | Western Imperial Medical Distributors | Durable Medical Equipment & Medical Supplies | 2930 W Imperial Hwy, Suite 200q, Inglewood, CA 90303-3143 | 2006-06-26 |
1427521848 | Lourdez M Zambrano | Case Manager/Care Coordinator | 2930 W Imperial Hwy, Inglewood, CA 90303-3143 | 2019-01-08 |
1073873915 | Fountain Hope and Health for Youth | Community/Behavioral Health | 2930 W Imperial Hwy, 510, Inglewood, CA 90303-3143 | 2012-05-25 |
1265798094 | Nathaniel Pumphrey | Counselor | 2930 W Imperial Hwy, 511, Inglewood, CA 90303-3143 | 2012-04-05 |
1427314681 | Wilbur Winston Williams | Counselor | 2930 W Imperial Hwy, 511, Inglewood, CA 90303-3143 | 2012-04-02 |
1659645927 | Mercedes Samudio | Counselor | 2930 W Imperial Hwy, Suite 310, Inglewood, CA 90303-3143 | 2012-03-02 |
1487930970 | Fiona Okereke | Registered Nurse | 2930 W Imperial Hwy, Inglewood, CA 90303-3143 | 2011-10-27 |
1972888386 | Danielle Joaquin Redmond | Counselor | 2930 W Imperial Hwy, Inglewood, CA 90303-3143 | 2011-10-17 |
1952680340 | Erik Giovanni Alvarado | Counselor | 2930 W Imperial Hwy, Suite 200m, Inglewood, CA 90303-3143 | 2011-08-16 |
1023308053 | Peter Singleton | Counselor | 2930 W Imperial Hwy, Inglewood, CA 90303-3143 | 2011-04-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972085983 | Jennese Bacon | Specialist/Technologist | 10932 Casimir Ave, Inglewood, CA 90303 | 2018-09-06 |
1174032965 | Billy Campbell | Respiratory Therapist, Registered | 11800 Lemoli Ave, Inglewood, CA 90303 | 2017-09-25 |
1801347307 | Michelle Adams | Social Worker | 2930 W. Imperial Hwy., Ste. 310, Inglewood, CA 90303 | 2016-10-19 |
1740657345 | Raiji Gaines I | Counselor | 2030 W Imperial Hwy Suite 511, Inglewood, CA 90303 | 2015-08-31 |
1427336221 | Aaa Dentistry Center | Dentist | 2646 West Imperial Hwy, Inglewood, CA 90303 | 2011-07-27 |
1275845232 | Leah Aguirre Montoya | Registered Nurse | 3451 W. Century Blvd., Suite #b-1, Inglewood, CA 90303 | 2010-07-07 |
1609008945 | Olawumi Rotimi | Counselor | 3211 West Imperila Hiighway, 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-20 |
1568694289 | Philip Michael Bockarie | Counselor | 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-13 |
1942407960 | Los Angeles Drug Treatment Center | Counselor | 3211 West Imperial Hwy, Same As Mailing Address, Inglewood, CA 90303 | 2007-07-02 |
1700096369 | Development Specialty Projects, Inc. | Clinic/Center | 3200 West 104 St, Ingelwood, CA 90303 | 2007-05-23 |
Find all providers in zip 90303 |
Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285957928 | Raymont H. Johnson,dds.inc. | Preferred Provider Organization | 808 E Manchester Blvd, Inglewood, CA 90301-1914 | 2010-03-09 |
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1356806525 | Premierone Plus Aco | Preferred Provider Organization | 1210 N Jefferson St Ste D, Anaheim, CA 92807-1630 | 2019-02-01 |
1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
1184100471 | Care Allies Ipa, Inc | Preferred Provider Organization | 1211 W La Palma Ave Ste 309, Anaheim, CA 92801-2811 | 2018-07-19 |
1245723071 | Pacific Associates Medical Group, Inc. | Preferred Provider Organization | 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 | 2018-06-06 |
1821585266 | Anthony Nguyen Dds Inc | Preferred Provider Organization | 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 | 2018-04-20 |
1275038051 | Ryan Lange D.m.d. Inc. | Preferred Provider Organization | 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 | 2018-03-26 |
1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
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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.