CENTER FOR HEALTHY AGING (NPI# 1538106455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538106455 |
| Entity Type | Organization |
| Organization Name | CENTER FOR HEALTHY AGING |
| Practice Address |
1527 4th St Santa Monica CA 90401-2354 |
| Mailing Address |
2125 Arizona Ave Santa Monica CA 90404-1337 |
| Practice Telephone | 3105762550 |
| Practice Fax Number | 3105762554 |
| Mailing Telephone | 3105762550 |
| Mailing Fax Number | 3104538485 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ANNETTE COLFAX (VICE PRESIDENT, OPERATIONS) |
| Authorized Official Telephone | 3105762550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
CA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CENTER FOR HEALTHY AGING LLC | 141-21 70 Rd, Flushing, Ny 11367 |
| Street Address |
1527 4TH ST |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790264083 | Wendy Nishikawa Jaffa | Social Worker | 1527 4th St, Santa Monica, CA 90401-2358 | 2018-08-08 |
| 1760976070 | Michael Lopez | Rehabilitation Practitioner | 1527 4th St, Santa Monica, CA 90401-2358 | 2018-06-20 |
| 1699205641 | Kyle Justin Difulvio | Student in an Organized Health Care Education/Training Program | 1527 4th St, Santa Monica, CA 90401-2358 | 2017-06-13 |
| 1851743850 | Ryan Witherspoon | Student in an Organized Health Care Education/Training Program | 1527 4th St, 2nd Floor, Santa Monica, CA 90401-2358 | 2016-07-01 |
| 1437500857 | Dawn Glover | Student in an Organized Health Care Education/Training Program | 1527 4th St, 2nd Floor, Santa Monica, CA 90401-2358 | 2016-06-27 |
| 1235514613 | Hannah Salanoa-ogbechie | Rehabilitation Practitioner | 1527 4th St, Santa Monica, CA 90401 | 2015-07-27 |
| 1538568118 | Laurel Cleary | Student in an Organized Health Care Education/Training Program | 1527 4th St, Santa Monica, CA 90401-2358 | 2014-08-19 |
| 1215343595 | Peter Gleiberman Jr. | Student in an Organized Health Care Education/Training Program | 1527 4th St, Santa Monica, CA 90401-2358 | 2014-07-07 |
| 1396163366 | Blaine Mcfadden | Social Worker | 1527 4th St, Santa Monica, CA 90401-2358 | 2014-04-06 |
| 1962767210 | Brittany Nicole Couture | Student in an Organized Health Care Education/Training Program | 1527 4th St, Santa Monica, CA 90401-2358 | 2012-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023133 | Field Trip Medical Inc. | Clinic/Center | 1538 20th St # 200, Santa Monica, CA 90404-3408 | 2020-08-12 |
| 1568919652 | Los Angeles County Department of Mental Health | Clinic/Center | 300 Santa Monica Pier, Santa Monica, CA 90401-3128 | 2016-09-06 |
| 1588041040 | Joan Shaver | Clinic/Center | 2730 Wilshire Blvd Ste 449, Santa Monica, CA 90403-4745 | 2015-05-04 |
| 1033262811 | Ede Ca At Santa Monica, Lp | Clinic/Center | 2716 Ocean Park Blvd Ste 3020, Santa Monica, CA 90405-5225 | 2007-01-18 |
| 1851907430 | Adrienne Grashaw | Clinic/Center | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2020-09-19 |
| 1891305520 | The Mindview Inc. | Clinic/Center | 169 Pier Ave Ste 2, Santa Monica, CA 90405-5311 | 2020-08-06 |
| 1366052391 | Bespoke Treatment LLC | Clinic/Center | 3200 Santa Monica Blvd Ste 204, Santa Monica, CA 90404-2639 | 2020-08-04 |
| 1356963912 | Ootify | Clinic/Center | 2716 Ocean Park Blvd Ste 3075, Santa Monica, CA 90405-5232 | 2020-05-17 |
| 1144879149 | Nima Fahimian Md Inc | Clinic/Center | 3200 Santa Monica Blvd, Santa Monica, CA 90404-2637 | 2019-09-11 |
| 1902466782 | Zatori Individual, Marriage and Family Therapy Inc | Clinic/Center | 2730 Wilshire Blvd Ste 650, Santa Monica, CA 90403-4746 | 2019-06-14 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
Please comment or provide details below to improve the information on CENTER FOR HEALTHY AGING.
| 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.