CONCENTRA (NPI# 1396100798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396100798 |
| Entity Type | Organization |
| Organization Name | CONCENTRA |
| Practice Address |
6033 W Century Blvd Los Angeles CA 90045-6410 |
| Practice Telephone | 3102580684 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |
| Authorized Official Name | MS. OLIVIA HERNANDEZ (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9723648253 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 43478 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154871127 | Concentra | Clinic/Center | 7421 South Cass Avenue, Darien, IL 60561-3607 | 2016-10-13 |
| 1083024723 | Concentra | Physical Medicine & Rehabilitation | 4306 Duquesne Ave, Culver City, CA 90232-2957 | 2014-05-03 |
| 1013281047 | Concentra | Rehabilitation Unit | 7265 N First St Suite 103, Fresno, CA 93720 | 2012-03-08 |
| 1679876684 | Concentra | Clinic/Center | 139 Rim Rock Rd, Aledo, TX 76008-3983 | 2010-12-13 |
| 1225289366 | Concentra | Personal Emergency Response Attendant | 3980 Willow Ridge Rd, Douglasville, GA 30135-2774 | 2008-10-07 |
| 1831710433 | Concentra | Clinic/Center | 2 Connecticut St, San Francisco, CA 94107-2451 | 2020-05-05 |
| 1700252731 | Concentra | Clinic/Center | 11185 W 6th Ave, Lakewood, CO 80215-5538 | 2015-08-13 |
| 1457778870 | Concentra | PACE Provider Organization | 3540 E 46th St, Davenport, IA 52807 | 2014-03-24 |
| 1912334889 | Concentra | Rehabilitation Unit | 9405 Fairway View Pl, Rancho Cucamonga, CA 91730-0932 | 2013-10-08 |
| 1265873822 | Concentra | Clinic/Center | 2 Connecticut St, San Francisco, CA 94107-2451 | 2013-07-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CONCENTRA | 12 Chamberlain Rd, Flemington, NJ 08822-7158 |
| Oregon Corporations, Companies and Business Names | CONCENTRA | 1200 W Tower, 5080 Spectrum Dr, Addison, TX 75001 |
| Virginia Business Entities | CONCENTRA CONSTRUCTION SERVICES INC. | 9300 Alcove Grove Rd, Chesterfield, Virginia 23832 |
| Indiana Business Entities | CONCENTRA DEVELOPMENT CORP. II | 5080 Spectrum Dr, #400 W, Addison, TX 75001 |
| Oklahoma Business Registrations | CONCENTRA HEALTH CARE, P.A. | 5080 Spectrum Dr Ste 1200 West Tower, Addison, TX 75001 |
| Virginia Business Entities | CONCENTRA HEALTH SERVICES INC. | 5080 Spectrum Dr, 1200 W Tower, Addison, Texas 75001 |
| Washington State Corporations | CONCENTRA HEALTH SERVICES, INC. | 5080 Spectrum Dr 1200 W Tower, Addison, TX 75001 |
| Iowa Business Entities | CONCENTRA HEALTH SERVICES, INC. | 4714 Gettysburg Road, Mechanicsburg, PA 17055 |
| Oregon Corporations, Companies and Business Names | CONCENTRA HEALTH SERVICES, INC. | 5080 Spectrum Dr, 1200 W Tower, Addison, TX 75001 |
| Massachusetts Corporations | CONCENTRA HEALTH SERVICES, INC. | 5080 Spectrum Dr., Suite 1200 West Tower, Addison, TX 75001 |
| Street Address |
6033 W CENTURY BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-6410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003842493 | Bridget Ogwonuwe | Durable Medical Equipment & Medical Supplies | 6033 W Century Blvd, Suite 400 (rm1142), Los Angeles, CA 90045-6410 | 2006-06-25 |
| 1184056236 | Frances Sabetfard | Physician Assistant | 6033 W Century Blvd, Los Angeles, CA 90045-6410 | 2013-07-31 |
| 1457698540 | Sonia Narendra Maniar | Physical Therapist | 6033 W Century Blvd, Suite Number 200, Los Angeles, CA 90045-6410 | 2013-01-09 |
| 1740435080 | Kevin Wayne Spangenberg | Physical Therapist | 6033 W Century Blvd, Suite 200, Los Angeles, CA 90045-6410 | 2008-12-01 |
| 1649459611 | Manuel Leonardo Saint Martin | Psychiatry & Neurology | 6033 W Century Blvd, Suite 1107, Los Angeles, CA 90045 | 2007-10-26 |
| 1679788400 | Bryan T Nagata | Physical Therapist | 6033 W Century Blvd, Suite 200, Los Angeles, CA 90045-6410 | 2007-05-14 |
| 1548381932 | Donna M. Cloughen | Preventive Medicine | 6033 W Century Blvd, Suite 200 201, Los Angeles, CA 90045-6410 | 2007-04-03 |
| 1205953932 | Eliza Bantolo | Physical Therapist | 6033 W Century Blvd, Suite 200 & 201, Los Angeles, CA 90045-6410 | 2007-03-26 |
| 1427174887 | Hai C. Le | Preventive Medicine | 6033 W Century Blvd, Suite 200 201, Los Angeles, CA 90045-6410 | 2007-03-21 |
| 1255456752 | Novo F Bantolo | Physical Therapist | 6033 W Century Blvd, Suite 200 & 201, Los Angeles, CA 90045-6410 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801098 | Maria Elizabeth Botham | Specialist | 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 | 2018-12-04 |
| 1154899821 | Adam Garcia-morales | Specialist | 216 S Townsend Ave, Los Angeles, CA 90063-2439 | 2018-11-11 |
| 1174028930 | Sabrena Anne Smith | Specialist | 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 | 2018-03-26 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1598272262 | Ronna Lynne Pearl | Specialist | 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 | 2018-01-04 |
| 1245754431 | Marla Ellen Mintz | Specialist | 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 | 2017-07-28 |
| 1730619818 | Emily Ng | Specialist | 8590 W Pico Blvd, Los Angeles, CA 90035-2691 | 2017-06-12 |
| 1871044297 | Katherinne Aucaruri | Specialist | 4225 Blanchard St, Los Angeles, CA 90063-1317 | 2016-10-20 |
| 1720536923 | Jkc Neurology Medical Group Inc | Specialist | 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 | 2016-09-15 |
| 1932552916 | Anthony Jose Salvatierra | Specialist | 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 | 2016-07-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
Please comment or provide details below to improve the information on CONCENTRA.
| 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.