MAYRA IVON THRUSH (NPI# 1669811519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669811519 |
| Entity Type | Individual |
| Full Name | MAYRA IVON THRUSH |
| Practice Address |
12322 Clearglen Ave Whittier CA 90604-3872 |
| Practice Telephone | 5629473835 |
| Practice Fax Number | 5629474053 |
| Mailing Telephone | 5629473835 |
| Mailing Fax Number | 5629474053 |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 1710076930 | CA | Residential Treatment Facilities |
| Street Address |
12322 CLEARGLEN AVE |
| City | WHITTIER |
| State | CA |
| Zip Code | 90604-3872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851471056 | Southern California Alcohol and Drug Programs, Inc. | Substance Abuse Rehabilitation Facility | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2006-10-16 |
| 1104366251 | Christy Halliburton | Counselor | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2017-03-07 |
| 1528502606 | Brianna Michol Matthews | Counselor | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2016-12-08 |
| 1740724947 | Joanna Hinojosa | Counselor | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2016-12-07 |
| 1982064499 | Erika Rivas | Counselor | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2016-02-25 |
| 1669832200 | Esmeralda Naylor | Counselor | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2016-02-24 |
| 1215397856 | Deborah Cole | Counselor | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2016-02-24 |
| 1710371067 | Lorena Gomez | Rehabilitation Practitioner | 12322 Clearglen Ave, Apt. #3, Whittier, CA 90604-3872 | 2015-03-25 |
| 1285973222 | Antonio Ayala | Substance Abuse Rehabilitation Facility | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2013-02-12 |
| 1669711818 | Amy Smethrust | Substance Abuse Rehabilitation Facility | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2013-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891156642 | Estella Hernandez | Counselor | 10511 Mills Avenue, Whittier, CA 90604 | 2016-03-08 |
| 1306231576 | Victor Pinedo | Nurse Practitioner | 1244 E. Washington Blvd, Whittier, CA 90604 | 2015-04-03 |
| 1598172983 | Southern California University of Health Sciences | Clinic/Center | 16200 East Amber Valley Dr, Whittier, CA 90604 | 2014-07-17 |
| 1902226145 | Gia Renee Hamilton | Marriage & Family Therapist | 10231 Ruoff Ave., (transitional Housing Program), Whittier, CA 90604 | 2014-04-25 |
| 1437420403 | Sahabi and Saffari-nazari Dental Corporation | Dentist | 14322 Telegraph Road, Whittier, CA 90604 | 2012-01-23 |
| 1710118476 | Anupama Kizhakkeveettil | Acupuncturist | 16200 E Amber Valley Dr, Southern California University of Health Sciences, Whittier, CA 90604 | 2009-07-29 |
| 1720213325 | Matthew Harold Eurich | Chiropractor | 16200 E. Amber Valley Dr., Whittier, CA 90604 | 2009-05-27 |
| 1205028107 | Phylissa June Savedra I | Social Worker | 10511 Colima Rd, Whittier, CA 90604 | 2007-08-14 |
| 1821121377 | Gary C. Tanner | Chiropractor | 16200 Amber Valley Drive, Whittier, CA 90604 | 2007-03-13 |
| 1700917812 | Nicole Alexander | Marriage & Family Therapist | 14181 Telegraph Rd, Whittier, CA 90604 | 2007-03-08 |
| Find all providers in zip 90604 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063078400 | Trinity Nationwide Recovery Inc | Substance Abuse Rehabilitation Facility | 15814 Citrustree Rd, Whittier, CA 90603-2713 | 2019-05-10 |
| 1316479280 | Divine Treatment Centers | Substance Abuse Rehabilitation Facility | 14462 Allegan St, Whittier, CA 90604-1837 | 2017-03-30 |
| 1992342745 | Trinity Marketing, Inc. | Substance Abuse Rehabilitation Facility | 11503 Gladhill Rd, Whittier, CA 90604-3202 | 2019-11-27 |
| 1487198461 | Southern California Alcohol and Drug Programs, Inc. | Substance Abuse Rehabilitation Facility | 10511 Mills Ave, Whittier, CA 90604-2440 | 2016-12-12 |
| 1982150645 | Los Angeles Centers for Alcohol and Drug Abuse | Substance Abuse Rehabilitation Facility | 14100 Glengyle St, Whittier, CA 90604-2434 | 2016-08-31 |
| 1851751622 | Jessica Annie Yniguez | Substance Abuse Rehabilitation Facility | 10511 Mills Ave, Whittier, CA 90604-1017 | 2016-03-07 |
| 1285973222 | Antonio Ayala | Substance Abuse Rehabilitation Facility | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2013-02-12 |
| 1669711818 | Amy Smethrust | Substance Abuse Rehabilitation Facility | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2013-02-07 |
| 1558627513 | Josephine Wong | Substance Abuse Rehabilitation Facility | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2012-04-04 |
| 1467725721 | Gregory Thomas Lauderdale | Substance Abuse Rehabilitation Facility | 12322 Clearglen Ave, Whittier, CA 90604 | 2012-02-17 |
| Find all providers in WHITTIER | ||||
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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.