MADISON GAVELA (NPI# 1841850179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841850179 |
| Entity Type | Individual |
| Full Name | MADISON GAVELA |
| Practice Address |
760 Encinitas Blvd Ste 208 Encinitas CA 92024-3307 |
| Mailing Address |
17908 Lariat Dr Chino Hills CA 91709-3234 |
| Practice Telephone | 7608158162 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
760 ENCINITAS BLVD STE 208 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821578204 | Joanna Dare | Community/Behavioral Health | 1014 Cottage Way, Encinitas, CA 92024-5857 | 2018-08-15 |
| 1497253462 | Aaron Kurtz | Community/Behavioral Health | 730 Summersong Ln, Encinitas, CA 92024-5453 | 2018-01-25 |
| 1003322033 | Shoreline Recovery Center, LLC | Community/Behavioral Health | 183 Calle Magdalena Ste 101, Encinitas, CA 92024-3793 | 2017-12-28 |
| 1164786943 | Coyne & Associates Education Corp | Community/Behavioral Health | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2012-06-27 |
| 1578127486 | Rachael Marie Ramirez | Community/Behavioral Health | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2019-04-25 |
| 1467915280 | Matthew Jarvinen Ph.d., Inc., A Psychological Corporation | Community/Behavioral Health | 169 Saxony Rd Ste 205, Encinitas, CA 92024-6780 | 2019-04-09 |
| 1417423252 | Kayla Haupt | Community/Behavioral Health | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2018-10-19 |
| 1063988830 | Natalie Marie Thill | Community/Behavioral Health | 662 Encinitas Blvd, Encinitas, CA 92024-6788 | 2018-10-19 |
| 1760963565 | Sara Pedraza | Community/Behavioral Health | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2018-08-28 |
| 1750869368 | Richard Alan Weber Jr. | Community/Behavioral Health | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2018-08-06 |
| Find all providers in ENCINITAS | ||||
Please comment or provide details below to improve the information on MADISON GAVELA.
| 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.