VERNELL LEE ANDERSON (NPI# 1386842409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386842409 |
| Entity Type | Individual |
| Full Name | VERNELL LEE ANDERSON |
| Practice Address |
625 Fair Oaks Ave Suite 300 South Pasadena CA 91030-2630 |
| Mailing Address |
921 New York Dr Altadena CA 91001-3166 |
| Practice Telephone | 6263957100 |
| Mailing Telephone | 6263937203 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
625 FAIR OAKS AVE SUITE 300 |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649220559 | Raquel Belen Pizano-hazama | Social Worker | 625 Fair Oaks Ave, Suite 374, South Pasadena, CA 91030-2630 | 2006-05-11 |
| 1205442134 | Howard M Gellerman | Marriage & Family Therapist | 625 Fair Oaks Ave, South Pasadena, CA 91030-2630 | 2020-09-16 |
| 1053957035 | Katie Elaine Joseph | Behavior Technician | 625 Fair Oaks Ave, South Pasadena, CA 91030-2630 | 2019-11-25 |
| 1871144691 | Elias Briseno | Behavior Technician | 625 Fair Oaks Ave, South Pasadena, CA 91030-2630 | 2019-09-23 |
| 1710446877 | Miguel H. Trejo | Behavior Technician | 625 Fair Oaks Ave, South Pasadena, CA 91030-2630 | 2019-03-18 |
| 1902345564 | Nallely Arechiga | Behavioral Analyst | 625 Fair Oaks Ave, Suite 200, South Pasadena, CA 91030-2630 | 2017-02-15 |
| 1528515285 | Wendy Martinez | Behavior Technician | 625 Fair Oaks Ave, Suite 200, South Pasadena, CA 91030-2630 | 2016-09-09 |
| 1578922241 | Dwight Jaron Sanders | Behavioral Analyst | 625 Fair Oaks Ave, Suite 200, South Pasadena, CA 91030-2630 | 2016-02-23 |
| 1275901837 | Carlos Santos | Behavioral Analyst | 625 Fair Oaks Ave, Suite 200, South Pasadena, CA 91030-2630 | 2015-09-11 |
| 1538545504 | Christina Desiere | Behavioral Analyst | 625 Fair Oaks Ave, Suite 300, South Pasadena, CA 91030-2630 | 2015-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444674 | Heather Marie Delman | Marriage & Family Therapist | 1425 Oneonta Knoll, So Pasadena, CA 91030 | 2020-10-09 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1043618192 | Clelia Alonzo | Specialist | 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 | 2014-12-05 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1700289030 | James Y. Law | Pharmacist | 1678 Camino Lindo, S. Pasadena, CA 91030 | 2014-10-01 |
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1336568294 | Sarah Sicher | Psychiatry & Neurology | 729 Mission St Ste 300, South Pasadena, CA 91030 | 2014-04-08 |
| 1265799530 | Xiaodong Li | Pathology | 314 Monterey Rd Unit 14, South Pasadena, CA 91030 | 2012-04-11 |
| 1831477124 | South Pasadena General Dentistry Inc | Dentist | 1506 Huntington Drive, South Pasadena, CA 91030 | 2011-08-03 |
| Find all providers in zip 91030 | ||||
| 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 |
|---|---|---|---|---|
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1790913259 | Lisa Marie Pileggi Almonte | Rehabilitation Practitioner | 1306 Fremont Ave, South Pasadena, CA 91030-3842 | 2009-06-23 |
| 1659562304 | Mary Lewis | Rehabilitation Practitioner | 625 Fair Oaks Ave Ste 110, South Pasadena, CA 91030-2630 | 2007-08-07 |
| 1255455952 | Harumi T. Vinson | Rehabilitation Practitioner | 625 Fair Oaks Avenue, Sutie 300, South Pasadena, CA 91030 | 2007-03-19 |
| 1467582205 | Lisa Louise Rosenthal | Rehabilitation Practitioner | 625 S. Fair Oaks Ave., 300, South Pasadena, CA 91030-5805 | 2007-03-07 |
| 1952431793 | Lisah Nichole Bennett | Rehabilitation Practitioner | 625 S. Fair Oaks Blvd #300, South Pasadena, CA 91030 | 2007-03-07 |
| 1336426220 | Fernando Serrano | Rehabilitation Practitioner | 625 Fair Oaks Ave, Ste 300, South Pasadena, CA 91030-2630 | 2011-11-07 |
| 1497030456 | Dawna A Bilow | Rehabilitation Practitioner | 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030-5805 | 2011-10-20 |
| 1942582309 | Sergio Barrena | Rehabilitation Practitioner | 625 Fair Oaks Ave, 300, South Pasadena, CA 91030-2630 | 2011-09-12 |
| 1265711790 | Christina Louie Pon | Rehabilitation Practitioner | 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030-5805 | 2011-08-15 |
| Find all providers in SOUTH PASADENA | ||||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
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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.