MS. ANGELICA CAMPOS (NPI# 1962810705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962810705 |
| Entity Type | Individual |
| Full Name | MS. ANGELICA CAMPOS |
| Practice Address |
1460 N Lake Ave Pasadena CA 91104-2300 |
| Mailing Address |
1450 N Lake Ave Pasadena CA 91104-2301 |
| Practice Telephone | 6264414221 |
| Mailing Telephone | 6267941161 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2016-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609358506 | Angelica Campos | Registered Nurse | 412 E Daniel St, Uvalde, TX 78801-3406 | 2018-09-06 |
| 1801445879 | Angelica Campos | Licensed Vocational Nurse | 1646 S Court St, Visalia, CA 93277-4962 | 2019-09-11 |
| 1992284160 | Angelica Campos | Assistant Behavior Analyst | 13950 Milton Ave Ste 200b, Westminster, CA 92683-2939 | 2018-08-08 |
| 1386157469 | Angelica Campos | Licensed Vocational Nurse | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2017-11-10 |
| Street Address |
1460 N LAKE AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91104-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811948540 | Arthur Manoukian | Internal Medicine | 1460 N Lake Ave, # 105, Pasadena, CA 91104-2300 | 2006-05-15 |
| 1528610706 | Lilit Hovsepyan | Rehabilitation Counselor | 1460 N Lake Ave, Pasadena, CA 91104-2300 | 2019-07-09 |
| 1326534439 | Maribel Garcia | Counselor | 1460 N Lake Ave, Pasadena, CA 91104-2300 | 2018-07-02 |
| 1679014500 | Juan Otenney | Licensed Psychiatric Technician | 1460 N Lake Ave, Pasadena, CA 91104-2300 | 2017-03-10 |
| 1568900124 | Patrick Tsu-yuan Somers | Counselor | 1460 N Lake Ave, Suite 101, Pasadena, CA 91104-2300 | 2017-02-03 |
| 1336552553 | Mayra Alejandra Ramos | Counselor | 1460 N Lake Ave, Ste. #101, Pasadena, CA 91104-2300 | 2014-06-05 |
| 1497192918 | Colin Chow | Counselor | 1460 N Lake Ave, Pasadena, CA 91104-2300 | 2013-05-23 |
| 1225355605 | Arpi Chalian | Pediatrics | 1460 N Lake Ave, Pasadena, CA 91104-2300 | 2010-04-26 |
| 1124340906 | Kristen Ko-shin Yang | Counselor | 1460 N Lake Ave, Suite 101, Pasadena, CA 91104-2300 | 2010-02-22 |
| 1902045123 | Lucenda Bonner Lewis | Student in an Organized Health Care Education/Training Program | 1460 N Lake Ave, Suite 107, Pasadena, CA 91104-2300 | 2009-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| Find all providers in zip 91104 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975593 | Robbie Davis | Counselor | 1710 Strawberry Rd Ste 300, Pasadena, TX 77502-2649 | 2020-02-26 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1689144271 | Cathy Haigis | Counselor | 2528 Mountain Rd.7204, Pasadena, MD 21122-7204 | 2018-11-27 |
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1013415215 | Dedicato Treatment Center Inc | Counselor | 133 N Altadena Dr Ste 430, Pasadena, CA 91107-7344 | 2018-01-23 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922528769 | Calvin Hayes | Counselor | 135 W Washington Blvd, Pasadena, CA 91103-2563 | 2017-06-22 |
| 1518406545 | Kevin Cross | Counselor | 25 El Nido Ave Apt 5, Pasadena, CA 91107-4448 | 2017-02-23 |
| Find all providers in PASADENA | ||||
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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.