SAN BERNARDINO CARDIO CARE (NPI# 1922241215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922241215 |
| Entity Type | Organization |
| Organization Name | SAN BERNARDINO CARDIO CARE |
| Other Organization Name | CARDIO CARE WELLNESS CENTER |
| Practice Address |
5231 Onaknoll Ave Los Angeles CA 90043-1041 |
| Practice Telephone | 3237939183 |
| Mailing Telephone | 3232948123 |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2010-05-14 |
| Authorized Official Name | MRS. JACQUELYN THOMPSON (CEO) |
| Authorized Official Telephone | 3232948123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | CA | Transportation Services | |
| Y | 261Q00000X | Clinic/Center | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cardio Care Wellness Center | Doing Business As Name - Organization |
| Street Address |
5231 ONAKNOLL AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| Find all providers in zip 90043 | ||||
| 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 |
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| 1891310124 | Movn Pllc | Clinic/Center | 800 Wilshire Blvd Ste 200, Los Angeles, CA 90017-2608 | 2020-06-12 |
| 1194346387 | Tsoy Acupuncture and Oriental Medicine | Clinic/Center | 1745 Silver Lake Blvd, Los Angeles, CA 90026-1221 | 2020-04-29 |
| 1790304186 | Tatyana Rem | Clinic/Center | 1745 Silver Lake Bvld, Los Angeles, CA 90026-1221 | 2020-04-15 |
| 1255950424 | What's In It, LLC. | Clinic/Center | 10323 Woodbine St Apt 105, Los Angeles, CA 90034-3749 | 2020-04-08 |
| 1386287456 | Cpsn, Inc | Clinic/Center | 10700 Santa Monica Blvd Ste 309, Los Angeles, CA 90025-6587 | 2019-10-22 |
| 1548737794 | American Current Care of California, A Medical Corporation | Clinic/Center | 434 S San Vicente Blvd Ste 100, Los Angeles, CA 90048-4108 | 2018-10-25 |
| 1295201044 | Jwch Institute, Inc. | Clinic/Center | 500 S San Pedro St, Los Angeles, CA 90013-2102 | 2018-10-19 |
| 1609359660 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1300 N Vermont Ave Ste 501, Los Angeles, CA 90027-6098 | 2018-09-14 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1518460658 | Aids Healthcare Foundation | Clinic/Center | 1811 N Western Ave, Los Angeles, CA 90027-3403 | 2018-03-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
Please comment or provide details below to improve the information on SAN BERNARDINO CARDIO CARE.
| 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.