MONTELLO NAA (NPI# 1558541714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558541714 |
| Entity Type | Individual |
| Full Name | MONTELLO NAA |
| Practice Address |
4450 W Century Blvd Inglewood CA 90304-1504 |
| Mailing Address |
26460 Summit Cir Santa Clarita CA 91350-2991 |
| Practice Telephone | 3106710555 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |
| 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 |
| Street Address |
4450 W CENTURY BLVD |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90304-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882156 | El Dorado Community Service Center | Clinic/Center | 4450 W Century Blvd, Inglewood, CA 90304-1504 | 2005-06-21 |
| 1982258067 | Sandra Mosich | Licensed Vocational Nurse | 4450 W Century Blvd, Inglewood, CA 90304-1504 | 2019-07-28 |
| 1407418197 | Gretta Lavonne Thompson | Licensed Vocational Nurse | 4450 W Century Blvd, Inglewood, CA 90304-1504 | 2019-07-02 |
| 1528504347 | Veronika Pomyateeva | Counselor | 4450 W Century Blvd, Inglewood, CA 90304-1504 | 2017-01-18 |
| 1598156978 | Johnlyn Lewis | Counselor | 4450 W Century Blvd, Inglewood, CA 90304-1504 | 2015-02-06 |
| 1447567045 | Ioulia Panova | Registered Nurse | 4450 W Century Blvd, Inglewood, CA 90304-1504 | 2010-09-03 |
| 1841460789 | Lionell Thomas | Counselor | 4450 W Century Blvd, Inglewood, CA 90304-1504 | 2008-03-06 |
| 1487837019 | Irma Leticia Garza | Counselor | 4450 W Century Blvd, Inglewood, CA 90304-1504 | 2007-12-05 |
| 1740477975 | Lisa Mann | Counselor | 4450 W Century Blvd, Inglewood, CA 90304-1504 | 2007-10-02 |
| 1609063858 | Howard Rubenstein | Counselor | 4450 W Century Blvd, Inglewood, CA 90304-1504 | 2007-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639164 | Elizabeth Jett | Technician | 5527 W. 119th Place, Inglewood, CA 90304 | 2019-09-26 |
| 1376099267 | Makasha Sims | Licensed Vocational Nurse | 4450 W. Century Bld., Inglewood, CA 90304 | 2016-08-30 |
| 1528309655 | Ma Roxanne Fermin | Optometrist | 11964 Aviation Blvd, Los Angeles, CA 90304 | 2013-03-14 |
| 1295958353 | Hossein Javid | Dentist | 11976 Aviation Blvd, Inglewood, CA 90304 | 2007-04-10 |
| 1063952554 | Samantha Michelle Kirzner | Dentist | 4201 W Century Blvd, Inglewood, CA 90304 | 2017-03-02 |
| 1639557218 | Priority Vision Optometry Inc | Optometrist | 11964 Aviation Blvd, Los Angeles, CA 90304 | 2015-05-14 |
| 1538436811 | Harmik Torosian | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2011-11-30 |
| 1114310505 | Kian M Javid | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2015-03-10 |
| 1104261353 | Javid Brothers | Dentist | 11976 Aviation Blvd, Inglewood, CA 90304-1001 | 2013-05-01 |
| 1235480963 | South Bay Wellness Center | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2012-09-20 |
| Find all providers in zip 90304 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389775 | Edward Mccarty | Counselor | 905 Glenway Dr Apt 5, Inglewood, CA 90302-2617 | 2020-09-04 |
| 1538603386 | Zina Love | Counselor | 241 S Market St Ste 4, Inglewood, CA 90301 | 2016-12-13 |
| 1477908044 | Raquel Montes | Counselor | 9722 Oceangate Avenue, Inglewood, CA 90301 | 2016-05-02 |
| 1740657345 | Raiji Gaines I | Counselor | 2030 W Imperial Hwy Suite 511, Inglewood, CA 90303 | 2015-08-31 |
| 1679955595 | Ronnie Salone | Counselor | 2930 W Imperial Hwy Ste 511, Inglewood, CA 90303-3139 | 2015-06-27 |
| 1699166405 | Hector Saucedo | Counselor | 323 N. Paririe Ave., Inglewood, CA 90301 | 2015-02-16 |
| 1295123883 | Ayesha Lewis Munir | Counselor | 2917 W 78th Pl, Inglewood, CA 90305-1027 | 2015-01-05 |
| 1659775302 | John Dennem | Counselor | 323 N. Praire Ave., Inglewood, CA 90301 | 2014-10-09 |
| 1376896217 | Guadalupe Torres | Counselor | 1210 S La Brea Ave Ste A, Inglewood, CA 90301-3894 | 2012-10-16 |
| 1740549526 | Abera Gebre | Counselor | 1210 S. Labrea Ave, Inglewood, CA 90301-3891 | 2012-05-14 |
| Find all providers in INGLEWOOD | ||||
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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.