MOSAIC MEDICAL MANAGEMENT, INC. (NPI# 1871861476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871861476 |
| Entity Type | Organization |
| Organization Name | MOSAIC MEDICAL MANAGEMENT, INC. |
| Practice Address |
1600 Rosecrans Ave Building 7, 4th Floor Manhattan Beach CA 90266-3708 |
| Practice Telephone | 3103217818 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |
| Authorized Official Name | MRS. LIZA VISMANOS (PRESIDENT) |
| Authorized Official Telephone | 3103217818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1600 ROSECRANS AVE BUILDING 7, 4TH FLOOR |
| City | MANHATTAN BEACH |
| State | CA |
| Zip Code | 90266-3708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144292889 | Glynis Reina Ablon | Dermatology | 1600 Rosecrans Ave, Bldg 6a Suite 12, Manhattan Beach, CA 90266-3708 | 2006-02-06 |
| 1730583881 | Carol L. Meylan | Clinic/Center | 1600 Rosecrans Ave, Suite 400, Manhattan Beach, CA 90266-3708 | 2014-10-17 |
| 1801190699 | Nephron Management, LLC | Clinic/Center | 1600 Rosecrans Ave, Building 7,4th Floor, Manhattan Beach, CA 90266-3708 | 2011-01-07 |
| 1538474655 | Afterglow Diagnostics LLC | Clinic/Center | 1600 Rosecrans Ave, Bldg 7, 4th Floor, Manhattan Beach, CA 90266-3708 | 2010-08-12 |
| 1821220161 | Tiffany Kathleen Herbert | Psychologist | 1600 Rosecrans Ave, 4th Floor, Manhattan Beach, CA 90266-3708 | 2009-08-20 |
| 1144265893 | Ablon Skin Institute | Dermatology | 1600 Rosecrans Ave, Bldg 6a, Suite 12, Manhattan Beach, CA 90266-3708 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770099756 | Tene Anderson | Massage Therapist | 500 S. Sepulveda Blvd, 207, Manhattan Beach, CA 90266 | 2017-12-28 |
| 1689035552 | Sean Limahelu | Physical Therapist | 400 S. Sepulveda Blvd. Suite 105, Manhattan Beach, CA 90266 | 2016-03-18 |
| 1609248053 | Nora Lillian Fong | General Practice | 425 15th St., Manhattan Beach, CA 90266 | 2015-10-26 |
| 1598182461 | Behavior and Education Inc | Day Training, Developmentally Disabled Services | 1888 Rosecrans Ave, Suite 2200, Manhattan Beach, CA 90266 | 2014-03-27 |
| 1538502406 | Cynara Conroy Allison | Marriage & Family Therapist | 1716 Manhattan Beach Blvd. #c, Manhattan Beach, CA 90266 | 2013-04-10 |
| 1598001919 | Cassandra Giornali Sorrell | Marriage & Family Therapist | 1050 Duncan Avenue, Suite K, Manhattan Beach, CA 90266 | 2012-12-13 |
| 1669716056 | Maria Lynn Newson | Marriage & Family Therapist | 2007 Cedar Avenue, Manhattan Beach, CA 90266 | 2012-11-26 |
| 1407113376 | Mona-lisa Lind | Marriage & Family Therapist | 901 North Pacific Coast Hwy., Ste. 200a-204a, Redondo Beach, CA 90266 | 2012-04-17 |
| 1790063964 | Chad Chin Seng Heng | Anesthesiology | 400 S Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266 | 2011-07-21 |
| 1417262908 | Jennifer V. Izzarelli | Nurse Practitioner | 111 North Sepulveda Boulevard, Suite 210, Manhattan Beach, CA 90266 | 2010-08-10 |
| Find all providers in zip 90266 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194100156 | Well Now Physicians PC | Clinic/Center | 1590 Rosecrans Ave Ste D302, Manhattan Beach, CA 90266-3727 | 2015-07-20 |
| 1538474655 | Afterglow Diagnostics LLC | Clinic/Center | 1600 Rosecrans Ave, Bldg 7, 4th Floor, Manhattan Beach, CA 90266-3708 | 2010-08-12 |
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| City | MANHATTAN BEACH |
| Zip Code | 90266 |
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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.