MADALYN NGO (NPI# 1801273081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801273081 |
| Entity Type | Individual |
| Full Name | MADALYN NGO |
| Practice Address |
9808 Venice Blvd Culver City CA 90232 |
| Mailing Address |
4301 S Figueroa St Los Angeles CA 90037-2660 |
| Practice Telephone | 3109453350 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2018-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 37727 | CA | Nursing Service Providers |
| Street Address |
9808 VENICE BLVD |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475273 | Amnon Licht | Internal Medicine | 9808 Venice Blvd, Ste 706, Culver City, CA 90232-6827 | 2005-05-27 |
| 1467053694 | Jiho Jung | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-11-04 |
| 1972101327 | Anderson Dasilva | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-10-16 |
| 1972119212 | Ruth Jurado | Licensed Psychiatric Technician | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
| 1821604174 | Enid Nyoh | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
| 1164038410 | Stella Sapigao | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
| 1073129326 | Onome Okoro | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
| 1124649355 | Yvette Ballesteros-lara | Rehabilitation Practitioner | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-04-28 |
| 1306314653 | Stella Yaghoubzadeh | Nurse Practitioner | 9808 Venice Blvd, Culver City, CA 90232 | 2018-11-05 |
| 1629579933 | Shekinah Martin | Social Worker | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2018-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306328430 | Kayla Brass | Physical Therapist | 11056 Washington Blvd Suite C, Culver City, CA 90232 | 2018-09-05 |
| 1861911265 | Caitlyn Handy | Social Worker | 4194 Duquesne Ave, Apt 2, Culver City, CA 90232 | 2017-09-17 |
| 1639695109 | Ashlyn Herrian | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd., Ste. 505, Culver City, CA 90232 | 2017-08-16 |
| 1922522911 | Kendra Lopez | Rehabilitation Practitioner | 9808 Venice Blvd Suite 700, Culver City, CA 90232 | 2017-08-01 |
| 1740677335 | Michelle Adams | Psychologist | 10866 Washington Blvd #718, Culver City, CA 90232 | 2015-04-21 |
| 1164814976 | Alexander Gersh | Speech-Language Pathologist | 3844 Culver Ctr Ste B, Culver City, CA 90232 | 2015-03-03 |
| 1497161145 | Anila Ladak | Nurse Practitioner | 3828 Delmos Ter, Southern California Hospital At Culver City, Culver City, CA 90232 | 2014-07-02 |
| 1235554908 | Rochelle Skinner Dds Dental Corporation | Dentist | 9702 Venice Blvd, Suite B, Culver City, CA 90232 | 2014-03-04 |
| 1316361173 | Krisena Borenstein | Dentist | 10811 Washington Blvd. Suite #200, Culver City, CA 90232 | 2014-02-13 |
| 1154689925 | Lawrence S Levy | Physical Therapist | 11479 Jefferson Blvd, Culver City, CA 90232 | 2012-04-30 |
| Find all providers in zip 90232 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119212 | Ruth Jurado | Licensed Psychiatric Technician | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
| 1689297624 | Rebecca D Cruz | Licensed Psychiatric Technician | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-05-26 |
| 1386291524 | Christopher Gray | Licensed Psychiatric Technician | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2019-08-22 |
| 1689142879 | Robert Quero Bayani | Licensed Psychiatric Technician | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2018-11-06 |
| 1063902914 | Lillie D Dickinson | Licensed Psychiatric Technician | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2018-05-16 |
| 1942706460 | Brittany Payne | Licensed Psychiatric Technician | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2018-04-03 |
| 1124482047 | Tiffany Forte | Licensed Psychiatric Technician | 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 | 2016-04-06 |
| 1306206941 | Kimberley Harris | Licensed Psychiatric Technician | 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 | 2016-02-24 |
| 1013315332 | Naol Gutta | Licensed Psychiatric Technician | 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 | 2014-12-18 |
| 1134535271 | Esparancita Jose | Licensed Psychiatric Technician | 9808 Venice Blvd, Suite 700, Culver City, CA 90232-2732 | 2014-07-09 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90232 |
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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.