JONSSON COMPREHENSIVE CANCER CENTER (NPI# 1750786299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750786299 |
| Entity Type | Organization |
| Organization Name | JONSSON COMPREHENSIVE CANCER CENTER |
| Practice Address |
650 Charles Young Dr S Room A2-125 Chs Los Angeles CA 90095-0001 |
| Practice Telephone | 3108258711 |
| Practice Fax Number | 3102063566 |
| Mailing Telephone | 3108258711 |
| Mailing Fax Number | 3102063566 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |
| Authorized Official Name | DR. PATRICIA GANZ (DIRECTOR) |
| Authorized Official Telephone | 3102061401 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | GC000060 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GENETIC COUNSELOR LICENSE | GC000060 | 01 |
| AMERICAN BOARD OF GENETIC COUNSELING | 2002066 | 01 |
| Street Address |
650 CHARLES YOUNG DR S ROOM A2-125 CHS |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053723932 | Rachel Shapira | Genetic Counselor, MS | 650 Charles Young Dr S, Room A2-125 Chs Box 95690, Los Angeles, CA 90095-6900 | 2014-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058950 | Daisy Hernandez | Genetic Counselor, MS | 2020 Zonal Ave # 410, Los Angeles, CA 90089-0121 | 2020-09-18 |
| 1063026144 | Jacob Comeaux | Genetic Counselor, MS | 1450 Biggy St # 2517r, Los Angeles, CA 90033-1006 | 2020-09-04 |
| 1497316061 | Franceska Louise Hinkamp | Genetic Counselor, MS | 10833 Le Conte Ave # 12-159, Los Angeles, CA 90095-3075 | 2019-06-25 |
| 1689130627 | Maki Kaneko | Genetic Counselor, MS | 4650 W Sunset Blvd # 173, Los Angeles, CA 90027-6062 | 2019-02-14 |
| 1710465968 | Christina Chen | Genetic Counselor, MS | 4650 W Sunset Blvd # 90, Los Angeles, CA 90027-6062 | 2018-07-31 |
| 1043722887 | Matthew Richard Herzog | Genetic Counselor, MS | 695 Charles E Young Dr S Ste 5506, Los Angeles, CA 90095-8348 | 2017-11-02 |
| 1124537139 | Lamees Nassereddine | Genetic Counselor, MS | 675 Charles E Young Dr S # Mrl5748a, Los Angeles, CA 90095-8348 | 2017-09-21 |
| 1053860874 | Lauren Stephanie Siems | Genetic Counselor, MS | 328 S Cloverdale Ave, Apt 106, Los Angeles, CA 90036-6603 | 2016-09-22 |
| 1083070775 | Ping Gong | Genetic Counselor, MS | 1620 Brockton Ave Apt 13, Los Angeles, CA 90025-3741 | 2016-01-11 |
| 1053723932 | Rachel Shapira | Genetic Counselor, MS | 650 Charles Young Dr S, Room A2-125 Chs Box 95690, Los Angeles, CA 90095-6900 | 2014-05-27 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on JONSSON COMPREHENSIVE CANCER CENTER.
| 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.