MS. MELISA M. TABLADA (NPI# 1518507458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518507458 |
| Entity Type | Individual |
| Full Name | MS. MELISA M. TABLADA |
| Credential | CADC II (CA) |
| Practice Address |
6721 Jellico Ave Van Nuys CA 91406-5320 |
| Practice Telephone | 8189009902 |
| Practice Fax Number | 8184751775 |
| Mailing Telephone | 8189009902 |
| Mailing Fax Number | 8184751775 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A051210118 | CA | Behavioral Health & Social Service Providers |
| Street Address |
6721 JELLICO AVE |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91406-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628953 | Elizabeth Leon Sanchez | Marriage & Family Therapist | 16360 Van Nuys Blvd, Van Nuys, CA 91406 | 2019-09-18 |
| 1720573926 | Kina Dennis | Specialist/Technologist | 17216 Saticoy Street, 609, Van Nuys, CA 91406 | 2018-06-29 |
| 1902398951 | Roland Hinds | Rehabilitation Practitioner | 16360 Roscoe Blvd # 2, Van Nuys, CA 91406 | 2018-06-05 |
| 1528576691 | Vyacheslav Alec Pekler | Naturopath | 7025 Adea Ave, Lake Balboa, CA 91406 | 2018-01-11 |
| 1366960999 | Gentle Ride LLC Dba Safeaid | Non-emergency Medical Transport (VAN) | 6747 Odessa Ave Ste 101, Van Nuys, CA 91406 | 2017-09-04 |
| 1396265252 | Developmental Pathways, Inc. | Physical Therapist | 7120 Hayvenhurst Ave Ste 308, Van Nuys, CA 91406 | 2017-06-22 |
| 1952850729 | Leisure Village, Inc | Assisted Living Facility | 6726 1/2 Gaviota Ave., Lake Balboa, CA 91406 | 2016-09-22 |
| 1689037426 | Mahnaz Rashidimoakhar | Physical Therapy Assistant | 6452 Woodley Ave, Unit 4, Van Nuys, CA 91406 | 2016-03-30 |
| 1306264205 | Angel Hospice Care, Inc. | Hospice Care, Community Based | 16114 Hart St, Van Nuys, CA 91406 | 2014-03-29 |
| 1871924589 | Well Care Transport, Inc. | Non-emergency Medical Transport (VAN) | 6525 Woodley Ave. Unit #205, Lake Balboa, CA 91406 | 2013-12-05 |
| Find all providers in zip 91406 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376059915 | Erasmus John Knox | Counselor | 14757 Cohasset Street, Van Nuys, CA 91405-1802 | 2017-12-19 |
| 1730636515 | Pearl Pacheco | Counselor | 15803 Saticoy St Apt 30, Van Nuys, CA 91406-3132 | 2016-09-08 |
| 1104244359 | Samuel S. Usher | Counselor | 5724 Stansbury Ave, Van Nuys, CA 91401-2341 | 2014-04-04 |
| 1285050237 | Wm Cody White | Counselor | 15025 Saticoy St, #26, Van Nuys, CA 91405-1110 | 2014-03-14 |
| 1023447059 | Jose Bonilla | Counselor | 6265 Sepulveda, 9, Van Nuys, CA 91411 | 2013-11-12 |
| 1437492352 | Gustavo Mora | Counselor | 14540 Hamlin St Ste I, Van Nuys, CA 91411-4154 | 2013-03-28 |
| 1689913055 | Walter Jason Santos | Counselor | 6218 Atoll Ave, Van Nuys, CA 91401-2525 | 2013-02-05 |
| 1750632485 | Donna May Davis | Counselor | 14515 Hamlin St # 100, Van Nuys, CA 91411 | 2012-09-20 |
| 1669734646 | Erika Isela Gutierrez | Counselor | 14435 Hamlin St., Suite 102, Van Nuys, CA 91401 | 2012-06-14 |
| 1063716652 | Delton Rashaad Jones | Counselor | 17141 Sherman Way, Van Nuys, CA 91406-3618 | 2010-12-22 |
| Find all providers in VAN NUYS | ||||
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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.