MADISON BOTTORFF (NPI# 1497038285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497038285 |
| Entity Type | Individual |
| Full Name | MADISON BOTTORFF |
| Practice Address |
4401 Crenshaw Blvd Ste 300 Los Angeles CA 90043-1200 |
| Practice Telephone | 3232908360 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2013-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4401 CRENSHAW BLVD STE 300 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487775045 | Kariann Lorraine Herrera | Counselor | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043 | 2007-04-02 |
| 1629685474 | Birtukan Belete | Student in an Organized Health Care Education/Training Program | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2020-09-25 |
| 1174172118 | Enease Mansoorian | Student in an Organized Health Care Education/Training Program | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2019-09-11 |
| 1699248385 | Natalie Michelle Esparza | Social Worker | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2019-01-06 |
| 1598249500 | Nancy Salazar | Student in an Organized Health Care Education/Training Program | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2018-09-17 |
| 1154820694 | Karina Melara-arroyo | Marriage & Family Therapist | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2018-02-11 |
| 1245738525 | Natalie Wahl | Counselor | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2018-01-31 |
| 1346763919 | Mordechai Polityko | Marriage & Family Therapist | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2017-07-25 |
| 1679003511 | Tandrea Nicole Tarver | Marriage & Family Therapist | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2017-06-13 |
| 1285176081 | Vicente Morales Gonzalez | Rehabilitation Practitioner | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2016-11-09 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506361 | Kathryn A Miller | Counselor | 1965 1/2 N Bronson Ave, Los Angeles, CA 90068-5601 | 2020-10-17 |
| 1669088464 | Bethel Los Angeles Community Development Corporation | Counselor | 7900 S Western Ave, Los Angeles, CA 90047-2715 | 2020-09-17 |
| 1346855244 | Sorenson Psychological and Assessment Services | Counselor | 12301 Wilshire Blvd Ste 413, Los Angeles, CA 90025-1051 | 2020-09-09 |
| 1841800190 | Daniela Sanchez | Counselor | 5081 Borland Rd, Los Angeles, CA 90032-3950 | 2020-08-02 |
| 1649888512 | David John Laing | Counselor | 3100 Riverside Dr Apt 220, Los Angeles, CA 90027-1481 | 2020-07-16 |
| 1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
| 1083231435 | Leslie Gluck | Counselor | 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 | 2020-07-01 |
| 1104441112 | Barbara R Ponse | Counselor | 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 | 2020-06-15 |
| 1033734264 | Shelley Baird Smith | Counselor | 265 S St Andrews Pl, Los Angeles, CA 90004-5029 | 2020-06-12 |
| 1801411566 | Tyler Grant Daly | Counselor | 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
Please comment or provide details below to improve the information on MADISON BOTTORFF.
| 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.