MELISSA MARES (NPI# 1467078642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467078642 |
| Entity Type | Individual |
| Full Name | MELISSA MARES |
| Practice Address |
1720 E 120th St Los Angeles CA 90059-3052 |
| Mailing Address |
148 S Hicks Ave Los Angeles CA 90063-2415 |
| Practice Telephone | 3106684271 |
| Mailing Telephone | 3238281776 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1720 E 120TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487687018 | Los Angeles County Department of Mental Health | Clinic/Center | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2006-07-08 |
| 1750991576 | Imani White | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2020-08-06 |
| 1770192494 | Caitlyn Schallmann | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2020-07-28 |
| 1053920330 | Laura Roggenbaum | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2020-07-23 |
| 1376169557 | Bretlyn Owens | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2020-06-23 |
| 1912544503 | Elizabeth Estefania Mendez | Case Manager/Care Coordinator | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2019-12-03 |
| 1942854153 | Allana Gabrielle Robinson | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2019-07-25 |
| 1821558198 | Stephanie Joyce Washington | Counselor | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2019-03-22 |
| 1881168383 | Natalie R Escalante | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2019-01-17 |
| 1699249359 | Tina Jimenez | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2019-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| 1750989588 | Jasmine Carpenter | Student in an Organized Health Care Education/Training Program | 4920 S Avalon Blvd, Los Angeles, CA 90011-4004 | 2020-10-14 |
| 1801401062 | Rachel Brenner | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave Apt 2, Los Angeles, CA 90007-4203 | 2020-09-14 |
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1154936565 | Samrah Shaheer Abbasi | Student in an Organized Health Care Education/Training Program | 3022 Oakhurst Ave, Los Angeles, CA 90034-2856 | 2020-09-11 |
| 1568077071 | Amber Mottola | Student in an Organized Health Care Education/Training Program | 550 N Figueroa St Apt 4084, Los Angeles, CA 90012-3389 | 2020-09-11 |
| 1760096937 | Elizabeth Idema | Student in an Organized Health Care Education/Training Program | 1559 N Commonwealth Ave, Los Angeles, CA 90027-5513 | 2020-09-03 |
| 1053924225 | Deanna Sharon Lin | Student in an Organized Health Care Education/Training Program | 520 So Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 | 2020-08-28 |
| 1003429762 | Kendra Knudsen | Student in an Organized Health Care Education/Training Program | 611 Levering Ave Apt 3, Los Angeles, CA 90024-2325 | 2020-08-24 |
| 1750993515 | Deena Basilious | Student in an Organized Health Care Education/Training Program | 1403 S Union Ave, Los Angeles, CA 90015-3205 | 2020-08-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
Please comment or provide details below to improve the information on MELISSA MARES.
| 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.