PATANYA MATTHEWS


Address: 12021 Wilmington Ave, Los Angeles, CA 90059-3019
Phone: (323) 242-5000

PATANYA MATTHEWS (NPI# 1821443995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821443995
Entity Type Individual
Full Name PATANYA MATTHEWS
Practice Address 12021 Wilmington Ave
Los Angeles
CA 90059-3019
Mailing Address 12021 S. Wilmington Ave.
Los Angeles
CA 90059
Practice Telephone (323) 242-5000
Mailing Telephone (323) 242-5000
Enumeration Date 2016-04-26
Last Update Date 2017-06-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 12021 WILMINGTON AVE
City LOS ANGELES
State CA
Zip Code 90059-3019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750351300 Gangadarshni Chandramohan Pediatrics 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2006-01-25
1639704323 Martin Luther King Jr Community Medical Group-wilmington Ave Case Manager/Care Coordinator 12021 Wilmington Ave, Building 11, Suite 1000, Los Angeles, CA 90059 2020-03-03
1114418928 Exodus Recovery, Inc. Community/Behavioral Health 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2018-05-29
1043759855 Los Angeles County Department of Mental Health Clinic/Center 12021 Wilmington Ave, Los Angeles, CA 90059 2017-02-14
1053855064 Maria Casarez-romero Rehabilitation Practitioner 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2016-12-09
1295279453 Kelsey Collins Marriage & Family Therapist 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2016-12-07
1639628035 Stella Cuomo Student in an Organized Health Care Education/Training Program 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2016-09-26
1043677289 Kita Stovall Nurse Practitioner 12021 Wilmington Ave, Los Angeles, CA 90059 2016-01-19
1417314741 Noele Le Flore Nurse Practitioner 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2016-01-18
1659757672 Sharon Vaughn Social Worker 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2015-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235759788 Juan Jimenez Jr. Technician, Pathology 1860 E 120th St, Los Angeles, CA 90059 2020-04-24
1538717780 Donald O Nwanze Pharmacist Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 2019-08-30
1295391050 Sheela Hoyle Counselor 836 East Saucer Lane, Los Angeles, CA 90059 2019-05-16
1750852471 Carlos Tovar Sr. Community Health Worker 1720 E 120st, Los Angeles, CA 90059 2018-12-06
1699293910 Amy Caryn Bolenbaugh Recreation Therapist 1720 E 120th Street, Los Angeles, CA 90059 2017-09-07
1417475757 Scott Lee Jones Recreation Therapist Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 2017-09-07
1881118859 Darlene Renee Tillman Speech-Language Pathologist 1670 E 120th Strret, Los Angeles, CA 90059 2017-08-01
1609306430 Valda Therese Flores Registered Nurse 1670 E. 120th Street, Los Angeles, CA 90059 2017-06-14
1093244006 Bongsill Chung Registered Nurse 1670 East 120th St, Los Angeles, CA 90059 2017-06-05
1730573395 Apollonia Godoy Registered Nurse 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 2015-03-22
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407457377 Marian Locke Counselor 3901 W Adams Blvd, Los Angeles, CA 90018-1756 2020-11-05
1871193888 Daniel Luna Counselor 811 Beacon Ave, Los Angeles, CA 90017-2113 2020-10-28
1962000240 Frederick P Delafield Iv Counselor 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 2020-10-09
1578179941 Leo Vasquezawarez Counselor 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 2020-09-21
1801401963 Manuel Gambino Counselor 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 2020-09-14
1871107219 Frances Field Counselor 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 2020-09-02
1730707985 Lucia Miguel Counselor 1428 W 59th St, Los Angeles, CA 90047-1209 2020-07-13
1821615220 Sarah Payne Counselor 3217 North Eastern Ave, Los Angeles, CA 90032 2020-07-01
1376168070 Mercedes Elkoff Counselor 1745 Warnall Ave, Los Angeles, CA 90024-5358 2020-06-09
1508481201 Jeanine Ingram Counselor 3815 Lockland Dr, Los Angeles, CA 90008-3533 2020-06-09
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Competitor

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City LOS ANGELES
Zip Code 90059

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Dataset Information

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.

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