CHARISSA DOUGLAS (NPI# 1912489162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912489162 |
| Entity Type | Individual |
| Full Name | CHARISSA DOUGLAS |
| Other Name | CHARISSA TAM |
| Credential | ATC |
| Practice Address |
16200 Amber Valley Dr Whittier CA 90604-4051 |
| Mailing Address |
159 Dorsett Ave Upland CA 91786-6799 |
| Practice Telephone | 5629437125 |
| Mailing Telephone | 4156017547 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000029491 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
16200 AMBER VALLEY DR |
| City | WHITTIER |
| State | CA |
| Zip Code | 90604-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659309839 | Heidi Crocker | Chiropractor | 16200 Amber Valley Dr, Whittier, CA 90604-4051 | 2006-06-28 |
| 1942835715 | Mahealani Schreindorfer | Chiropractor | 16200 Amber Valley Dr, Whittier, CA 90604-4051 | 2020-03-11 |
| 1699334193 | Tomy Ton | Chiropractor | 16200 Amber Valley Dr, Whittier, CA 90604-4051 | 2019-06-07 |
| 1295293009 | Ana Paula A Facchinato Campos | Chiropractor | 16200 Amber Valley Dr, Whittier, CA 90604-4051 | 2019-03-11 |
| 1033681952 | Jennifer Noborikawa | Acupuncturist | 16200 Amber Valley Dr, Whittier, CA 90604-4051 | 2018-12-18 |
| 1538691357 | Michael Thomas Fanning | Chiropractor | 16200 Amber Valley Dr, Whittier, CA 90604-4051 | 2017-03-30 |
| 1003356924 | Joseph Horrigan | Chiropractor | 16200 Amber Valley Dr, Whittier, CA 90604-4051 | 2017-02-24 |
| 1679922025 | Integrative Practitioners Corporation | Internal Medicine | 16200 Amber Valley Dr, Whittier, CA 90604-4051 | 2016-06-07 |
| 1699134536 | Hiwot Assefa Melka | Chiropractor | 16200 Amber Valley Dr, Primary Spine Care Resident, Whittier, CA 90604-4051 | 2016-02-21 |
| 1730571308 | Caitlin Donovan | Chiropractor | 16200 Amber Valley Dr, Whittier, CA 90604-4051 | 2015-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891156642 | Estella Hernandez | Counselor | 10511 Mills Avenue, Whittier, CA 90604 | 2016-03-08 |
| 1306231576 | Victor Pinedo | Nurse Practitioner | 1244 E. Washington Blvd, Whittier, CA 90604 | 2015-04-03 |
| 1598172983 | Southern California University of Health Sciences | Clinic/Center | 16200 East Amber Valley Dr, Whittier, CA 90604 | 2014-07-17 |
| 1902226145 | Gia Renee Hamilton | Marriage & Family Therapist | 10231 Ruoff Ave., (transitional Housing Program), Whittier, CA 90604 | 2014-04-25 |
| 1437420403 | Sahabi and Saffari-nazari Dental Corporation | Dentist | 14322 Telegraph Road, Whittier, CA 90604 | 2012-01-23 |
| 1710118476 | Anupama Kizhakkeveettil | Acupuncturist | 16200 E Amber Valley Dr, Southern California University of Health Sciences, Whittier, CA 90604 | 2009-07-29 |
| 1720213325 | Matthew Harold Eurich | Chiropractor | 16200 E. Amber Valley Dr., Whittier, CA 90604 | 2009-05-27 |
| 1205028107 | Phylissa June Savedra I | Social Worker | 10511 Colima Rd, Whittier, CA 90604 | 2007-08-14 |
| 1821121377 | Gary C. Tanner | Chiropractor | 16200 Amber Valley Drive, Whittier, CA 90604 | 2007-03-13 |
| 1700917812 | Nicole Alexander | Marriage & Family Therapist | 14181 Telegraph Rd, Whittier, CA 90604 | 2007-03-08 |
| Find all providers in zip 90604 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632041 | Estela Michelle Tetitla | Specialist/Technologist | 15063 Danbrook Dr, Whittier, CA 90604-1422 | 2020-02-27 |
| 1346896412 | Alexis Pettway | Specialist/Technologist | 13847 Earlham Drive, Whittier, CA 90602 | 2019-08-14 |
| 1841742236 | Keith A Candelaria | Specialist/Technologist | 13847 Earlham Dr, Whittier, CA 90602-6669 | 2016-11-01 |
| 1255703732 | Russell Muir | Specialist/Technologist | 3600 Workman Mill Rd, Whittier, CA 90601 | 2015-10-23 |
| 1932651320 | Monica Cordova | Specialist/Technologist | 13406 Philadelphia St, Whittier, CA 90601-4446 | 2016-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417981 | David Yudis | Specialist/Technologist | 82 Victoria Ste 201, Newport Beach, CA 92660-9009 | 2020-11-05 |
| 1790385466 | Tamia Shoshone | Specialist/Technologist | 2823 Diaz Lane, Bishop, CA 93514 | 2020-10-30 |
| 1639779630 | Taylor Anderson | Specialist/Technologist | 3320 Honolulu Ave Apt 11, La Crescenta, CA 91214-3389 | 2020-10-28 |
| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1063011278 | Hilary Ann King | Specialist/Technologist | 824 W Maple Ave, Tulare, CA 93274-2609 | 2020-10-19 |
| 1568069854 | Tess Buchanan | Specialist/Technologist | 4480 Leatherwood Ct, Concord, CA 94521-4416 | 2020-10-08 |
| 1407453343 | Peter Wang | Specialist/Technologist | 3034 Belmont Dr, Lodi, CA 95242-9732 | 2020-10-05 |
| 1164029138 | Marisa Angelina Terrazas | Specialist/Technologist | 1416 Rampart Dr, Roseville, CA 95661-4749 | 2020-10-02 |
| 1427665645 | Alvaro Juarez Jr. | Specialist/Technologist | 31550 Palomar Rd, Menifee, CA 92584-9258 | 2020-09-30 |
| 1407462237 | Lorenzo Aguirre | Specialist/Technologist | 1836 Lapham Dr, Modesto, CA 95354-3900 | 2020-09-17 |
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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.