CANON HUMAN SERVICES CENTERS, INC, (NPI# 1558753004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558753004 |
| Entity Type | Organization |
| Organization Name | CANON HUMAN SERVICES CENTERS, INC, |
| Practice Address |
9705 Holmes Ave Los Angeles CA 90002-3031 |
| Practice Telephone | 3232499097 |
| Practice Fax Number | 3232499121 |
| Mailing Telephone | 3232499097 |
| Mailing Fax Number | 3232499121 |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2016-06-21 |
| Authorized Official Name | JOHN GREEN (CEO) |
| Authorized Official Telephone | 3232499097 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 190099DN | CA | Agencies |
| Street Address |
9705 HOLMES AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90002-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437582186 | Canon Human Services Centers Inc | Substance Abuse Rehabilitation Facility | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2013-08-16 |
| 1669083754 | Darrell Davis | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2020-08-12 |
| 1972113868 | Felise White | Registered Nurse | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2020-08-05 |
| 1194334284 | Robert Esquivel | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2020-07-24 |
| 1376180141 | Jonathan Barber | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2019-11-29 |
| 1255835344 | David John Howe | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2018-03-22 |
| 1073021770 | Kyser Hall Jr. | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2018-01-16 |
| 1952819666 | Watasha Robinson-huff | Case Manager/Care Coordinator | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2018-01-16 |
| 1588184097 | Janice M Hill | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2017-06-26 |
| 1043613458 | Arneta Finney-beverly | Nurse Practitioner | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2014-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790336253 | Ernest Durden | Technician | 10321 Standford Avenue, Los Angeles, CA 90002 | 2019-09-26 |
| 1114573920 | Sahawneh Dental Corporation | Dentist | 9851 South Alameda, Unit A, Los Angeles, CA 90002 | 2019-08-16 |
| 1003373549 | Bridget Benninger | Marriage & Family Therapist | 10044 Compton Ave., Los Angeles, CA 90002 | 2019-02-20 |
| 1669954400 | Lorena Fajardo | Case Manager/Care Coordinator | 1776 E Century Bolvd, Los Angeles, CA 90002 | 2018-08-29 |
| 1467963256 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2178 Firestone Blvd, Los Angeles, CA 90002 | 2017-10-19 |
| 1699294991 | Priscilla Morales | Marriage & Family Therapist | 10221 Compton Ave Ste 104&203, Los Angeles, CA 90002 | 2017-09-18 |
| 1649795246 | Tara Moore | Counselor | 1968 East 103rd Street, Los Angeles, CA 90002 | 2017-08-04 |
| 1689198673 | Yeny Alexandra Guarin | Social Worker | 1776 East Century Blvd, Los Angeles, CA 90002 | 2017-08-01 |
| 1144771452 | Paulette Madrigal | Case Manager/Care Coordinator | 10044 Compton Ave, Los Angeles, CA 90002 | 2016-10-21 |
| 1134675853 | Jong Cho | Pharmacist | 1645 E. 103rd St, La, CA 90002 | 2016-09-01 |
| Find all providers in zip 90002 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1841807666 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 10101 S Broadway, Los Angeles, CA 90003-4534 | 2020-09-25 |
| 1730795188 | Connect Therapies | Community/Behavioral Health | 801 S Beverly Glen Blvd, Los Angeles, CA 90024-4603 | 2020-09-21 |
| 1396358735 | United Therapy Center,inc | Community/Behavioral Health | 12777 W Jefferson Blvd # D3020, Los Angeles, CA 90066-7048 | 2020-08-25 |
| 1174149769 | Amanecer Community Counseling Service, A Non-profit Corporation | Community/Behavioral Health | 3750 W 6th St, Los Angeles, CA 90020-5100 | 2020-06-19 |
| 1902421290 | Exceptional Wellness of California Incorporated | Community/Behavioral Health | 626 Wilshire Blvd Ste 410, Los Angeles, CA 90017-2915 | 2020-06-11 |
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1780226977 | Children's Institute, Inc. | Community/Behavioral Health | 7001 S St Andrews Pl, Los Angeles, CA 90047-1833 | 2019-10-09 |
| 1780238675 | Igcn Healthcare Partners | Community/Behavioral Health | 6153 Colgate Ave, Los Angeles, CA 90036-3127 | 2019-07-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90002 |
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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.