CARMENIA MATTHEWS (NPI# 1962054122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962054122 |
| Entity Type | Individual |
| Full Name | CARMENIA MATTHEWS |
| Practice Address |
5715 S Broadway Los Angeles CA 90037-4131 |
| Practice Telephone | 3239480444 |
| Practice Fax Number | 3239480443 |
| Mailing Telephone | 3239480444 |
| Mailing Fax Number | 3239480443 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
5715 S BROADWAY |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90037-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306947262 | Julie Ann Gray | Social Worker | 5715 S Broadway, Los Angeles, Los Angeles, CA 90037-4131 | 2006-09-25 |
| 1891327441 | Jose E Hernandez | Counselor | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2020-02-11 |
| 1386286490 | Victor Yaquian | Student in an Organized Health Care Education/Training Program | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2019-10-09 |
| 1356983555 | Maria Marroquin | Student in an Organized Health Care Education/Training Program | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2019-10-09 |
| 1295376549 | Kelsey Boyle | Social Worker | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2019-10-07 |
| 1366099822 | Adriana Villa Camacho | Social Worker | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2019-08-20 |
| 1689133035 | Izri Preciado | Student in an Organized Health Care Education/Training Program | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2019-03-15 |
| 1346708021 | Elizabeth Ramirez | Student in an Organized Health Care Education/Training Program | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2019-03-12 |
| 1326502931 | Adrian Tafoya | Social Worker | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2019-01-28 |
| 1033687660 | Princess Vaughan | Case Manager/Care Coordinator | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2018-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1114556263 | Arm 4 Arm Foundation | Clinic/Center | 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 | 2020-04-01 |
| 1407329766 | Lucidite Sleep Laboratory & Treatment Center Inc | Clinic/Center | 231 W Vernon Ave. Suite 108, Los Angeles, CA 90037 | 2019-01-09 |
| 1013491505 | Nancy Sandoval | Social Worker | 644 W 42nd Place, Los Angeles, CA 90037 | 2018-09-20 |
| 1932603081 | Adam Wiswell | Psychologist | 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 | 2018-03-22 |
| 1548764392 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1000 W. 50th St, Los Angeles, CA 90037 | 2018-03-19 |
| 1134637150 | Tamayo Inc & Lascoe Inc Dental Partnership | Dentist | 4400 S Broadway Ste #103, Los Angeles, CA 90037 | 2018-01-11 |
| 1295282283 | Catherine Azzopardi | Social Worker | 4601 S Broadway, Los Angeles, CA 90037 | 2016-09-07 |
| 1619423266 | Esmeralda Garcia | Dietitian, Registered | 808 W. 58th Street, 2nd Floor, Los Angeles, CA 90037 | 2016-09-01 |
| 1225405921 | Sophan Cheng | Nurse Practitioner | 808 W. 58th Street, Los Angeles, CA 90037 | 2015-08-28 |
| Find all providers in zip 90037 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073078051 | Michael Vu Nguyen | Peer Specialist | 11303 Wilshire Blvd, Los Angeles, CA 90025-5069 | 2019-02-05 |
| 1194273383 | Anthony David Ramos | Peer Specialist | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2016-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90037 |
Please comment or provide details below to improve the information on CARMENIA MATTHEWS.
| 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.