DAMON BEVERLY (NPI# 1881948909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881948909 |
| Entity Type | Individual |
| Full Name | DAMON BEVERLY |
| Practice Address |
11905 S Central Ave Suite 200, 204, 205, 206 Los Angeles CA 90059-2897 |
| Practice Telephone | 3232499026 |
| Practice Fax Number | 3232498367 |
| Mailing Telephone | 3232499026 |
| Mailing Fax Number | 3232498367 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
11905 S CENTRAL AVE SUITE 200, 204, 205, 206 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-2897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194792218 | Cheryl Diane Bingham | Dentist | 11905 S Central Ave, #203, Los Angeles, CA 90059-2836 | 2006-03-07 |
| 1013455179 | Toni Wright | Rehabilitation Practitioner | 11905 S Central Ave, Los Angeles, CA 90059-2897 | 2017-02-08 |
| 1467873265 | Sunkwa Community Foundation | General Practice | 11905 S Central Ave, Suite 100, Los Angeles, CA 90059-2897 | 2013-12-20 |
| 1346672458 | Maria Razo | Counselor | 11905 S Central Ave, Suite 200/206, Los Angeles, CA 90059-2897 | 2013-07-31 |
| 1033556923 | Dennis Smith | Counselor | 11905 S Central Ave, Ste 204-205, Los Angeles, CA 90059-2897 | 2013-05-31 |
| 1497009518 | Patrick Bell | Counselor | 11905 S Central Ave, Suite 200, 204, 205, 206, Los Angeles, CA 90059-2897 | 2012-10-29 |
| 1700130820 | Manuel Lopez | Counselor | 11905 S Central Ave, Suite 200,204,205,206, Los Angeles, CA 90059-2897 | 2012-10-29 |
| 1306197033 | Sunkwa African Art and Craft | Clinic/Center | 11905 S Central Ave, Ste. 100, Los Angeles, CA 90059-2897 | 2012-09-20 |
| 1689940983 | Martha Godinez | Counselor | 11905 S Central Ave, Suite 205, Los Angeles, CA 90059-2897 | 2012-03-30 |
| 1003182304 | Antonio Lucas | Counselor | 11905 S Central Ave, Suite 205, Los Angeles, CA 90059-2897 | 2012-03-30 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| 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 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
Please comment or provide details below to improve the information on DAMON BEVERLY.
| 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.