EZELL J RUFFIN (NPI# 1386275105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386275105 |
Entity Type | Individual |
Full Name | EZELL J RUFFIN |
Practice Address |
5300 Angeles Vista Blvd View Park CA 90043-1648 |
Mailing Address |
3622 Howard Ave Apt 3 Los Alamitos CA 90720-3646 |
Practice Telephone | 5623809110 |
Mailing Telephone | 5623809110 |
Enumeration Date | 2020-01-30 |
Last Update Date | 2020-01-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
5300 ANGELES VISTA BLVD |
City | VIEW PARK |
State | CA |
Zip Code | 90043-1648 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326645540 | Stephanie Alexandra Villatoro | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-10-01 |
1588275655 | Taija R Ziegenfuss | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-08-12 |
1871104901 | Regina Michele Terrones | Student in an Organized Health Care Education/Training Program | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-08-12 |
1356959647 | Elysia Leassear | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-07-22 |
1184249955 | Priscilla Doloksaribu | Social Worker | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-06-08 |
1881218881 | Jacqueline Oksana Yapkowitz | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-06-04 |
1588284749 | Cj C Dunnick | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-04-17 |
1114556693 | Ma. Celine Bettina Basa Dino | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-04-06 |
1184254815 | Tyra Norwood | Marriage & Family Therapist | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-01-22 |
1164060968 | Paola Santos | Specialist/Technologist | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2019-12-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
Find all providers in zip 90043 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417491614 | Claudia Navarrete | Rehabilitation Practitioner | 3731 Stocker St Ste 105, View Park, CA 90008-5147 | 2016-12-07 |
1528227774 | Leticia Aguayo | Rehabilitation Practitioner | 3731 Stocker St, Suite 105, View Park, CA 90008-5118 | 2008-06-03 |
1326645540 | Stephanie Alexandra Villatoro | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-10-01 |
1588275655 | Taija R Ziegenfuss | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-08-12 |
1356959647 | Elysia Leassear | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-07-22 |
1881218881 | Jacqueline Oksana Yapkowitz | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-06-04 |
1588284749 | Cj C Dunnick | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-04-17 |
1114556693 | Ma. Celine Bettina Basa Dino | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2020-04-06 |
1447885371 | Nicole Fierro Ponce | Rehabilitation Practitioner | 3761 Stocker St, View Park, CA 90008-5111 | 2020-03-11 |
1114557709 | Lorena Cross | Rehabilitation Practitioner | 3731 Stocker St Ste 105, View Park, CA 90008-5147 | 2020-01-22 |
Find all providers in VIEW PARK |
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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.