MR. HAYDEN CONNER ASHWORTH (NPI# 1679967228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679967228 |
Entity Type | Individual |
Full Name | MR. HAYDEN CONNER ASHWORTH |
Credential | RDAT-1 |
Practice Address |
600 Lincoln Ave Unit 93481 Pasadena CA 91109-5760 |
Mailing Address |
P.o. Box 1679 Ms 3871 Sacramento CA 95812 |
Practice Telephone | 4242585778 |
Mailing Telephone | 4242585778 |
Enumeration Date | 2015-03-21 |
Last Update Date | 2016-06-08 |
Gender Code | M |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CCAP | PENDING | 01 |
Street Address |
600 LINCOLN AVE UNIT 93481 |
City | PASADENA |
State | CA |
Zip Code | 91109-5760 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073856654 | Shanee Fulton | Speech-Language Pathologist | 351 S. Hudson Ave, Pasadena, CA 91109 | 2013-04-01 |
1043350085 | Gina Joanne Digiovanni | Nurse Practitioner | 351 S. Hudson, Suite Number 130, Pasadena, CA 91109 | 2007-02-07 |
1780766758 | Huntington Radiation Medical Group | Specialist | 100 West California Boulevard, Pasadena, CA 91109 | 2006-10-19 |
1134133473 | City of Pasadena | Ambulance | 100 N Garfield Ave, Pasadena, CA 91109 | 2006-07-29 |
1023019460 | David Michael Ulick | Emergency Medicine | 100 W California Blvd, Department of Emergency Medicine, Pasadena, CA 91109 | 2005-08-09 |
1750593596 | Susan Cipperley Sawyer | Nurse Practitioner | 351 S. Hudson, Pasadena, CA 91109 | 2007-05-04 |
1124668926 | Nancy Banh | Optometrist | 600 Lincoln Ave Unit 93957, Pasadena, CA 91109-5784 | 2020-01-09 |
1447395728 | Pasadena Unified School District | Local Education Agency (LEA) | 351 S Hudson Ave, Health Programs, Room 202, Pasadena, CA 91109-7000 | 2007-02-21 |
1730138140 | Deborah Compel Larson | Registered Nurse | Huntington Memorial Hospital, 100 W California Blvd, Pasadena, CA 91109-7013 | 2006-05-10 |
1871826776 | Valerie Lynn Willis | Nurse Practitioner | 100 W California Blvd, Pasadena, CA 91109-7013 | 2009-09-09 |
Find all providers in zip 91109 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356975593 | Robbie Davis | Counselor | 1710 Strawberry Rd Ste 300, Pasadena, TX 77502-2649 | 2020-02-26 |
1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
1689144271 | Cathy Haigis | Counselor | 2528 Mountain Rd.7204, Pasadena, MD 21122-7204 | 2018-11-27 |
1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
1013415215 | Dedicato Treatment Center Inc | Counselor | 133 N Altadena Dr Ste 430, Pasadena, CA 91107-7344 | 2018-01-23 |
1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
1922528769 | Calvin Hayes | Counselor | 135 W Washington Blvd, Pasadena, CA 91103-2563 | 2017-06-22 |
1518406545 | Kevin Cross | Counselor | 25 El Nido Ave Apt 5, Pasadena, CA 91107-4448 | 2017-02-23 |
Find all providers in PASADENA |
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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.