LISA R JACKSON-ZENO (NPI# 1992367296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992367296 |
| Entity Type | Individual |
| Full Name | LISA R JACKSON-ZENO |
| Practice Address |
2644 30th St Ste 100 Santa Monica CA 90405-3051 |
| Practice Telephone | 3106866092 |
| Mailing Telephone | 3106866092 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
2644 30TH ST STE 100 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90405-3051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114110673 | David Cohen | Social Worker | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2007-08-19 |
| 1851907430 | Adrienne Grashaw | Clinic/Center | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2020-09-19 |
| 1497372239 | Monique Bonilla | Licensed Vocational Nurse | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2020-06-27 |
| 1669092680 | Angelica Carrillo | Licensed Vocational Nurse | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2020-04-20 |
| 1770117657 | Felipe Anzaldo | Counselor | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2020-02-28 |
| 1073146676 | Tariye Omunguye | Licensed Vocational Nurse | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2020-02-21 |
| 1306488531 | Shantel Kimberly De Leon | Licensed Vocational Nurse | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2019-10-09 |
| 1356992036 | Brenda V Kelley | Counselor | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2019-09-24 |
| 1588211098 | Nicklaus Wood Schieffelbein | Case Manager/Care Coordinator | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2019-08-20 |
| 1598310146 | Crystal Daulton | Counselor | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2019-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328476 | Nicole Ryan Harbeck | Marriage & Family Therapist | 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 | 2019-07-19 |
| 1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
| 1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
| 1285171371 | Jori Adler Marriage & Family Therapy Prof. Corp. | Marriage & Family Therapist | 3400 Airport Ave Ste 30, Santa Monica, CA 90405 | 2017-01-26 |
| 1376993147 | Damoan Corp. | Speech-Language Pathologist | 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 | 2016-06-13 |
| 1427410034 | Adam Rubio | Clinical Neuropsychologist | 1916 4th Street, Santa Monica, CA 90405 | 2016-03-23 |
| 1760852842 | Yramnna Smith | Behavioral Analyst | 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 | 2015-10-01 |
| 1689086076 | Cheryl K. Baker | Community Health Worker | 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 | 2014-05-20 |
| 1629409891 | Dominique M. Delvecchio | Nurse Practitioner | 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 | 2013-12-12 |
| 1639512692 | Nancy Elizabeth Hyland | Marriage & Family Therapist | 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 | 2013-04-09 |
| Find all providers in zip 90405 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588911754 | Theresa Mary Gabrielle Chern | Contractor | 1433 6th St, Apt F, Santa Monica, CA 90401-2554 | 2012-08-07 |
| 1225266620 | Maarten W Borghans | Contractor | 2807 3rd St Apt 4, Santa Monica, CA 90405-4136 | 2009-06-24 |
| 1356813315 | Wayman Alexander Cooley Sr. | Contractor | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2018-12-31 |
| 1871063115 | Alondra Castro | Contractor | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2018-11-29 |
| 1295219467 | Demetria Mccalla | Contractor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-09-24 |
| 1528566619 | Gladys Margarita Moreno | Contractor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-01-24 |
| 1811332224 | Franklin Medical Resources | Contractor | 829 Grant St, 2, Santa Monica, CA 90405-1374 | 2013-04-30 |
| 1548590334 | Linda Abrams | Contractor | 1328 2nd St, Santa Monica, CA 90401-1122 | 2009-12-30 |
| 1932369824 | George Elonge Akwo | Contractor | 2118 Wilshire Blvd, #1010, Santa Monica, CA 90403-5784 | 2008-06-13 |
| 1730350737 | Leydin Cordova | Contractor | 2701 Ocean Park Blvd, 150b, Santa Monica, CA 90405-5200 | 2008-03-18 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90405 |
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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.