IVAN GAVIDIA (NPI# 1881234342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881234342 |
| Entity Type | Individual |
| Full Name | IVAN GAVIDIA |
| Practice Address |
19401 S Vermont Ave # L102 Torrance CA 90502-1029 |
| Practice Telephone | 3103236887 |
| Mailing Telephone | 3103236887 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
19401 S VERMONT AVE # L102 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90502-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871036277 | Elizabeth Gonzalez | Counselor | 19401 S Vermont Ave # L102, Torrance, CA 90502-1029 | 2016-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1750994919 | Desiree Elise Cervantes | Social Worker | Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 | 2020-08-27 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
| 1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| Find all providers in zip 90502 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477095693 | Mary Bohorquez | Rehabilitation Practitioner | 916 Torrance Blvd, Torrance, CA 90502-1762 | 2016-11-07 |
| 1568601276 | Jeffrey Martin Witte | Rehabilitation Practitioner | 21730 South Vermont Ave., Suite 210, Torrance, CA 90502 | 2009-02-19 |
| 1356520597 | Eunice Jho | Rehabilitation Practitioner | 63707 Garnet Street, 108, Torrance, CA 90503 | 2007-10-24 |
| 1982234746 | Daisy Palafox | Rehabilitation Practitioner | 19401 S Vermont Ave, Torrance, CA 90502-1029 | 2020-01-21 |
| 1437708591 | Omar Arid | Rehabilitation Practitioner | 19401 S Vermont Ave, Torrance, CA 90502-1029 | 2019-09-10 |
| 1073096111 | Mishaiuel Martin | Rehabilitation Practitioner | 4025 W 226th St, Torrance, CA 90505-2340 | 2018-09-14 |
| 1598219255 | Linda Angeles | Rehabilitation Practitioner | 21707 Hawthorne Blvd Ste 300, Torrance, CA 90503-7016 | 2016-08-11 |
| 1366996340 | Lucy Paz | Rehabilitation Practitioner | 19401 S Vermont Ave, L102, Torrance, CA 90502-1029 | 2016-08-08 |
| 1396298717 | Adilene Salmeron | Rehabilitation Practitioner | 19401 S Vermont Ave, L102, Torrance, CA 90502-1029 | 2016-08-02 |
| 1346690633 | Jazmin K Monrroy | Rehabilitation Practitioner | 19401 S Vermont Ave Ste A200, Torrance, CA 90502-4418 | 2016-06-16 |
| Find all providers in TORRANCE | ||||
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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.