SCADP/AWAKENINGS (NPI# 1740515428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740515428 |
Entity Type | Organization |
Organization Name | SCADP/AWAKENINGS |
Practice Address |
12322 Clearglen Ave Whittier CA 90604-3872 |
Mailing Address |
4139 Paramount Blvd Spc 63 Pico Rivera CA 90660-6168 |
Practice Telephone | 5622421077 |
Practice Fax Number | 5629479895 |
Mailing Telephone | 5629473835 |
Enumeration Date | 2009-10-13 |
Last Update Date | 2009-10-13 |
Authorized Official Name | SALLY ZARATE (ADM ASSIST) |
Authorized Official Telephone | 5629473835 |
Authorized Official Credential | 06-28-81 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 237228780 | 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 |
1669811519 | Mayra Ivon Thrush | Substance Abuse Rehabilitation Facility | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2013-06-24 |
1285973222 | Antonio Ayala | Substance Abuse Rehabilitation Facility | 12322 Clearglen Ave, Whittier, CA 90604-3872 | 2013-02-12 |
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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 | 320700000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Physical Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821480542 | Lbj Healthcare Partners, Inc | Residential Treatment Facility, Physical Disabilities | 13749 Crewe St, Whittier, CA 90605-4008 | 2015-03-04 |
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1558980896 | Viewcrest Congregate Living | Residential Treatment Facility, Physical Disabilities | 7831 Melita Ave, North Hollywood, CA 91605-1820 | 2020-04-15 |
1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
1518515618 | Dashonia Shaw | Residential Treatment Facility, Physical Disabilities | 3053 N Delno Ave, Fresno, CA 93705-4015 | 2019-08-31 |
1114572385 | Twet, LLC | Residential Treatment Facility, Physical Disabilities | 1682 Daybreak Pl, Escondido, CA 92027-1023 | 2019-08-05 |
1144873308 | Resurgence California, LLC | Residential Treatment Facility, Physical Disabilities | 3129 Pierce Ave, Costa Mesa, CA 92626-2827 | 2019-07-17 |
1891352019 | Mountain View Congregate Living, Inc. | Residential Treatment Facility, Physical Disabilities | 9001 Riderwood Dr, Sunland, CA 91040-2628 | 2019-05-22 |
1174014153 | Fresno Congregate Living Inc | Residential Treatment Facility, Physical Disabilities | 3110 E Sierra Ave, Fresno, CA 93710-5917 | 2018-05-24 |
1871090803 | Prestige Care Center | Residential Treatment Facility, Physical Disabilities | 474 Sunday Dr, Turlock, CA 95382-9625 | 2018-04-06 |
1699281584 | Derani Congregate Living, Inc. | Residential Treatment Facility, Physical Disabilities | 7344 Etiwanda Ave, Reseda, CA 91335-3103 | 2017-12-14 |
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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.