MS. JILL DOREEN GUSTAFSON (NPI# 1538428990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538428990 |
| Entity Type | Individual |
| Full Name | MS. JILL DOREEN GUSTAFSON |
| Practice Address |
11120 Acama St North Hollywood CA 91602-3025 |
| Practice Telephone | 3104009000 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2013-01-02 |
| 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) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497726574 | Jill Elizabeth Gustafson | Pediatrics | 5680 Dorothy Way, San Diego, CA 92115-2307 | 2006-01-27 |
| 1992224166 | Jill Reena Gustafson | Registered Nurse | 1502 W Franklin St, Boise, ID 83702-4028 | 2017-09-19 |
| 1427171099 | Jill Gustafson | Social Worker | 493 Main St, Diamond Springs, CA 95619-9173 | 2007-04-09 |
| Street Address |
11120 ACAMA ST |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91602-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112882 | Da Oum Remnant Acupuncture Corporation | Acupuncturist | 10674 Riverside Drive, North Hollywood, CA 91602 | 2020-01-06 |
| 1043704927 | Brandi Carter | Nurse Practitioner | 10222 Camarillo St Apt 107, Toluca Lake, CA 91602 | 2018-06-14 |
| 1669904587 | Katelyn Story Kalstein | Naturopath | 11650 Riverside Dr., Ph-2a, Studio City, CA 91602 | 2017-03-30 |
| 1255781118 | Karla Morales | Dental Hygienist | 10707 Camarillo St, #305, West Toluca Lake, CA 91602 | 2016-06-21 |
| 1457738536 | Mallory Garrett | Marriage & Family Therapist | 10737 Riverside Dr, N Hollywood, CA 91602 | 2015-04-28 |
| 1831590322 | Victoria J. Chan | Nurse Practitioner | 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 | 2014-09-16 |
| 1679916076 | Richard Villasenor | Ophthalmology | 10520 Camarillo St, Toluca Lake, CA 91602 | 2013-04-16 |
| 1275878233 | Julissa Trusty | Marriage & Family Therapist | 11334 Camarillo St, North Hollywood, CA 91602 | 2012-12-03 |
| 1265789531 | Marina Serobyan | Marriage & Family Therapist | 10999 Riverside Drive, Suite 306, Toluca Lake, CA 91602 | 2012-08-06 |
| 1407133457 | Hearing Aid Counselors, Inc | Durable Medical Equipment & Medical Supplies | 11008 Riverside Dr, Toluca Lake, CA 91602 | 2011-11-04 |
| Find all providers in zip 91602 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902375181 | Wendy M Cordero | Counselor | 6961 Whitsett Ave Apt 20, North Hollywood, CA 91605-5425 | 2018-11-17 |
| 1942711825 | Geoffrey Ryan | Counselor | 5002 Tujunga Ave. #303, North Hollywood, CA 91601 | 2017-10-18 |
| 1508226937 | Justin Mabini | Counselor | 6180 Laurel Canyon Blvd Ste 275, North Hollywood, CA 91606-3215 | 2016-02-26 |
| 1487011623 | Sandra Gutierrez | Counselor | 8330 Lankershim Blvd, North Hollywood, CA 91605 | 2016-01-19 |
| 1689063646 | Jane Edith Wilson | Counselor | 11027 Bubank Blvd, North Hollywood, CA 91601 | 2015-01-14 |
| 1710290531 | Patricia Moreno | Counselor | 7822 Radford Ave, North Hollywood, CA 91605-2515 | 2010-07-21 |
| 1679890537 | Muriel Centeno | Counselor | 6742 Clybourn Ave, 3227, North Hollywood, CA 91606-2260 | 2010-04-30 |
| 1811135866 | I-adarp, Inc. | Counselor | 8330 Lankershim Blvd., North Hollywood, CA 91605 | 2009-01-29 |
| 1750559779 | Total Family Support Clinic | Counselor | 11031 Camarillo St, North Hollywood, CA 91602-1210 | 2008-02-12 |
| 1245444934 | Michelle Blalock | Counselor | 11321 Camarillo St, North Hollywood, CA 91602-1216 | 2007-05-10 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91602 |
Please comment or provide details below to improve the information on MS. JILL DOREEN GUSTAFSON.
| 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.