TRACY GAGE (NPI# 1508472887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508472887 |
| Entity Type | Individual |
| Full Name | TRACY GAGE |
| Credential | LVN |
| Practice Address |
909 Pico Blvd Santa Monica CA 90405-1326 |
| Mailing Address |
2644 30th St Ste 100 Santa Monica CA 90405-3051 |
| Practice Telephone | 3103146200 |
| Mailing Telephone | 3103146200 |
| Mailing Fax Number | 3104502024 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 288153 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023464021 | Tracy Gage | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2016-05-09 |
| Street Address |
909 PICO BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90405-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639299407 | Katheryn Leanne Whittaker | Counselor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2007-03-29 |
| 1366083396 | Stephen Richard Ball | Counselor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2019-10-01 |
| 1679127799 | Lavert S Porter | Counselor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2019-07-26 |
| 1699237503 | Christopher Johnson | Counselor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2019-04-01 |
| 1982174348 | Kenneth Noel | Licensed Vocational Nurse | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-11-28 |
| 1750859534 | Paulina Dianne Speaker | Counselor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-11-09 |
| 1821565250 | Brandon Lejuan Smith | Counselor | 909 Pico Blvd, Santa Monica, CA 90404 | 2018-10-24 |
| 1295219467 | Demetria Mccalla | Contractor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-09-24 |
| 1609355155 | Luis Jesus Maldonado | Counselor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-08-07 |
| 1750860276 | Pamela Wyatt | Counselor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328476 | Nicole Ryan Harbeck | Marriage & Family Therapist | 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 | 2019-07-19 |
| 1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
| 1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
| 1285171371 | Jori Adler Marriage & Family Therapy Prof. Corp. | Marriage & Family Therapist | 3400 Airport Ave Ste 30, Santa Monica, CA 90405 | 2017-01-26 |
| 1376993147 | Damoan Corp. | Speech-Language Pathologist | 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 | 2016-06-13 |
| 1427410034 | Adam Rubio | Clinical Neuropsychologist | 1916 4th Street, Santa Monica, CA 90405 | 2016-03-23 |
| 1760852842 | Yramnna Smith | Behavioral Analyst | 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 | 2015-10-01 |
| 1689086076 | Cheryl K. Baker | Community Health Worker | 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 | 2014-05-20 |
| 1629409891 | Dominique M. Delvecchio | Nurse Practitioner | 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 | 2013-12-12 |
| 1639512692 | Nancy Elizabeth Hyland | Marriage & Family Therapist | 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 | 2013-04-09 |
| Find all providers in zip 90405 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972132538 | Solange Nkafu | Licensed Vocational Nurse | 1845 17th St Apt 4, Santa Monica, CA 90404-4476 | 2020-04-06 |
| 1811458839 | Ksenya Tveritina | Licensed Vocational Nurse | 2209 Main St Apt 211, Santa Monica, CA 90405-7202 | 2019-03-31 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1932608965 | Arezoo Fitzgerald | Licensed Vocational Nurse | 813 23rd St, Santa Monica, CA 90403-2101 | 2018-02-05 |
| 1912152059 | Gary Robert Bergner | Licensed Vocational Nurse | 907 Pico Blvd, Santa Monica, CA 90405 | 2008-11-17 |
| 1679731160 | Endora Caprice Jones | Licensed Vocational Nurse | 724 Ashland Ave, Apartment 2, Santa Monica, CA 90405-4536 | 2008-05-30 |
| 1043824576 | Judy Lauzon | Licensed Vocational Nurse | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2020-09-02 |
| 1326650805 | Angella Carter | Licensed Vocational Nurse | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2020-08-17 |
| 1578171062 | Shereen Sutphen | Licensed Vocational Nurse | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2020-07-21 |
| 1497372239 | Monique Bonilla | Licensed Vocational Nurse | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2020-06-27 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90405 |
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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.