AMY HEUANSAVATH (NPI# 1790265296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790265296 |
| Entity Type | Individual |
| Full Name | AMY HEUANSAVATH |
| Credential | RADT |
| Practice Address |
520 N La Brea Ave Inglewood CA 90302-3049 |
| Mailing Address |
2900 Crenshaw Blvd Los Angeles CA 90016-4265 |
| Practice Telephone | 3232944932 |
| Mailing Telephone | 3232936284 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
520 N LA BREA AVE |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90302-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356563308 | Patricia L. Hamlin | Counselor | 520 N La Brea Ave, Inglewood, CA 90302-3049 | 2007-05-02 |
| 1760029045 | Jonathan Fong | Counselor | 520 N La Brea Ave, Inglewood, CA 90302-3049 | 2019-12-05 |
| 1114576188 | Romen Romel Lopez | Counselor | 520 N La Brea Ave, Inglewood, CA 90302-3049 | 2019-09-11 |
| 1740842673 | Sandra K Maeshiro | Marriage & Family Therapist | 520 N La Brea Ave, Inglewood, CA 90302-3049 | 2019-07-01 |
| 1215441860 | Miya Sumii | Social Worker | 520 N La Brea Ave, Inglewood, CA 90302-3049 | 2017-11-17 |
| 1326569575 | Josefina Rodriguez Vazquez | Counselor | 520 N La Brea Ave, Inglewood, CA 90302-3049 | 2017-06-28 |
| 1144740929 | Thi Mach | Counselor | 520 N La Brea Ave, Inglewood, CA 90302-3049 | 2017-06-22 |
| 1609300805 | Lorenzo Gonzales | Counselor | 520 N La Brea Ave, Inglewood, CA 90302-3049 | 2017-04-13 |
| 1356873764 | Ana Ramos | Counselor | 520 N La Brea Ave, Inglewood, CA 90302-3049 | 2017-04-03 |
| 1114459526 | Yvette Enrique | Counselor | 520 N La Brea Ave, Inglewood, CA 90302-3049 | 2017-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033577531 | Justin Colwell | Social Worker | 217 W 64th Pl, Inglewood, CA 90302 | 2016-01-29 |
| 1124499348 | Caring Hearts Caretaking | Home Health | 713 N Market Street, 5, Inglewood, CA 90302 | 2015-10-14 |
| 1407270697 | Chinedu Ohaeri | Physical Therapist | 946 W. Beach Ave, Unit 1, Inglewood, CA 90302 | 2014-02-10 |
| 1700133543 | Dianna Slater | Pharmacist | 415 N. Oak St, Inglewood, CA 90302 | 2012-08-10 |
| 1487865002 | Development Specialty Projects, Inc. | Clinic/Center | 5354 W 64th St, Inglewood, CA 90302 | 2007-05-25 |
| 1487865119 | Marina Adams | Dentist | 1608 Centinela Ave, 7, Inglewood, CA 90302 | 2007-05-24 |
| 1235349804 | Development Specialty Projects, Inc. | Clinic/Center | 1415 North La Tijera Blvd, Inglewood, CA 90302 | 2007-05-23 |
| 1902022114 | Oplv, Inc. | Skilled Nursing Facility | 310 Centinela Ave., Inglewood, CA 90302 | 2007-04-17 |
| 1710073242 | Kaleka and Brar, A General Partnership | Dentist | 6818 La Cienega Blvd, #102, Inglewood, CA 90302 | 2006-10-04 |
| 1225396070 | Stepping Up Community Development Inc | Substance Abuse Rehabilitation Facility | 1712 Centinela Ave, Inglewood, CA 90302-1027 | 2012-04-30 |
| Find all providers in zip 90302 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389775 | Edward Mccarty | Counselor | 905 Glenway Dr Apt 5, Inglewood, CA 90302-2617 | 2020-09-04 |
| 1538603386 | Zina Love | Counselor | 241 S Market St Ste 4, Inglewood, CA 90301 | 2016-12-13 |
| 1477908044 | Raquel Montes | Counselor | 9722 Oceangate Avenue, Inglewood, CA 90301 | 2016-05-02 |
| 1740657345 | Raiji Gaines I | Counselor | 2030 W Imperial Hwy Suite 511, Inglewood, CA 90303 | 2015-08-31 |
| 1679955595 | Ronnie Salone | Counselor | 2930 W Imperial Hwy Ste 511, Inglewood, CA 90303-3139 | 2015-06-27 |
| 1699166405 | Hector Saucedo | Counselor | 323 N. Paririe Ave., Inglewood, CA 90301 | 2015-02-16 |
| 1295123883 | Ayesha Lewis Munir | Counselor | 2917 W 78th Pl, Inglewood, CA 90305-1027 | 2015-01-05 |
| 1659775302 | John Dennem | Counselor | 323 N. Praire Ave., Inglewood, CA 90301 | 2014-10-09 |
| 1376896217 | Guadalupe Torres | Counselor | 1210 S La Brea Ave Ste A, Inglewood, CA 90301-3894 | 2012-10-16 |
| 1740549526 | Abera Gebre | Counselor | 1210 S. Labrea Ave, Inglewood, CA 90301-3891 | 2012-05-14 |
| Find all providers in INGLEWOOD | ||||
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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.