Genesis Countywide Older Adult Program - Medicare Mental Health Clinic in Los Angeles, CA

Genesis Countywide Older Adult Program is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Los Angeles, California. The current practice location for Genesis Countywide Older Adult Program is 510 S Vermont Ave, 17th Floor, Los Angeles, California. For appointments, you can reach them via phone at (213) 351-7284. The mailing address for Genesis Countywide Older Adult Program is 510 S Vermont Ave, Los Angeles, California and phone number is (213) 738-4601.

Genesis Countywide Older Adult Program is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083633929. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (213) 351-7284.

Contact Information

Genesis Countywide Older Adult Program
510 S Vermont Ave
17th Floor
Los Angeles
CA 90020-1992
(213) 351-7284
(213) 947-4579

Map and Direction


Mental Health Clinic Profile

Full NameGenesis Countywide Older Adult Program
SpecialityClinic/Center
Location510 S Vermont Ave, Los Angeles, California
Authorized Official Name and PositionLisa H. Wong (ACTING DIRECTOR)
Authorized Official Contact2137384601
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Genesis Countywide Older Adult Program
510 S Vermont Ave
Los Angeles
CA 90020-1992

Ph: (213) 738-4601
Genesis Countywide Older Adult Program
510 S Vermont Ave
17th Floor
Los Angeles
CA 90020-1992

Ph: (213) 351-7284

NPI Details:

NPI Number1083633929
Provider Enumeration Date07/19/2006
Last Update Date07/11/2022
Certification Date07/11/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7416869896
Medicare Enrollment IDO20031104000319

Medical Identifiers

Medical identifiers for Genesis Countywide Older Adult Program such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083633929NPI-NPPES
7241MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Genesis Countywide Older Adult Program acts as a billing entity for following providers:
Provider NameJohn L Perry
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1427101187
PECOS PAC ID: 8729992797
Enrollment ID: I20031113000836
Provider NameSiqing Li
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1942243910
PECOS PAC ID: 3678470986
Enrollment ID: I20031215000995
Provider NameWilliam J Kaz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457437840
PECOS PAC ID: 4587561634
Enrollment ID: I20031216000916
Provider NameAngel Cienfuegos
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1326123514
PECOS PAC ID: 4486551538
Enrollment ID: I20031216000920
Provider NameKonstantinos Tripodis
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1588698534
PECOS PAC ID: 1850299553
Enrollment ID: I20031219000292
Provider NameKarina Shulman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1275631681
PECOS PAC ID: 6406754118
Enrollment ID: I20031219000360
Provider NameJavier R Quintana
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1720198666
PECOS PAC ID: 1456259183
Enrollment ID: I20031219000448
Provider NameGeorge H Sabounjian
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1699882779
PECOS PAC ID: 3779481429
Enrollment ID: I20031219000519
Provider NameLilit Yegiazaryan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1770668345
PECOS PAC ID: 3072413632
Enrollment ID: I20040109001109
Provider NameLarisa V Levin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1538248315
PECOS PAC ID: 0749176378
Enrollment ID: I20040223000323
Provider NameEdward F Cavanagh
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1144380015
PECOS PAC ID: 0749176303
Enrollment ID: I20040223000527
Provider NameEric D Auerbach
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1629135520
PECOS PAC ID: 4981590742
Enrollment ID: I20040226001241
Provider NameSamson J Cho
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1659448645
PECOS PAC ID: 4789570540
Enrollment ID: I20040226001254
Provider NameJohn W Tsuang
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1114036050
PECOS PAC ID: 5092602219
Enrollment ID: I20040302001297
Provider NameIda Z Lodriguito
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1891872073
PECOS PAC ID: 2365333929
Enrollment ID: I20040323000700
Provider NamePatrizia G Ferrara-guthrie
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1730252875
PECOS PAC ID: 0446233217
Enrollment ID: I20040611000609
Provider NameRaymond Yee
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1750462529
PECOS PAC ID: 5799760682
Enrollment ID: I20040623001286
Provider NameRowin E Cantrell
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1821042813
PECOS PAC ID: 0648241182
Enrollment ID: I20040805001304
Provider NameMelanie S Midget
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1689747545
PECOS PAC ID: 0143297689
Enrollment ID: I20040914000436
Provider NameTara J Zuker
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1679631972
PECOS PAC ID: 9436127636
Enrollment ID: I20040923001181
Provider NameElena Gilman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1558487561
PECOS PAC ID: 6507815438
Enrollment ID: I20050118001066
Provider NameRyan C Horst
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1215005012
PECOS PAC ID: 3870545551
Enrollment ID: I20050210001021
Provider NameChristine S Rundall
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1104912880
PECOS PAC ID: 3072565969
Enrollment ID: I20050218000750
Provider NameBrian L Moore
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1518042753
PECOS PAC ID: 4082666888
Enrollment ID: I20050218000823
Provider NameTimothy T Chiang
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1063583805
PECOS PAC ID: 1254383052
Enrollment ID: I20050218000835
Provider NameAnna Qin Xiao
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1962424861
PECOS PAC ID: 5496708638
Enrollment ID: I20050228000525
Provider NameMarina Dsouza
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1851464739
PECOS PAC ID: 8628021656
Enrollment ID: I20050301001021
Provider NameLee M Gomberg
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1487766622
PECOS PAC ID: 5193779098
Enrollment ID: I20050303000402
Provider NameAleksey P Chetverukhin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1407951825
PECOS PAC ID: 3274589031
Enrollment ID: I20050324000339
Provider NameJennifer Cs Chen
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1881771558
PECOS PAC ID: 1456307909
Enrollment ID: I20050328000644
Provider NameRenee A Sabshin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1245382001
PECOS PAC ID: 0143276691
Enrollment ID: I20050328000671
Provider NameTsu Yen Chen
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1417017914
PECOS PAC ID: 3971559444
Enrollment ID: I20050328000844
Provider NameOlabisi G Chima
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1578633897
PECOS PAC ID: 5698721173
Enrollment ID: I20050328000953
Provider NameDaniel B Stampler
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1962572107
PECOS PAC ID: 7012963242
Enrollment ID: I20050330000643
Provider NameHanaa Fam
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1558311456
PECOS PAC ID: 3678520301
Enrollment ID: I20050405001035
Provider NameJames H Jung
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1144394149
PECOS PAC ID: 2163415381
Enrollment ID: I20050406001231
Provider NamePaul A Garcia
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851476840
PECOS PAC ID: 7911947304
Enrollment ID: I20050504001220
Provider NameMichael T Walker
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1427134915
PECOS PAC ID: 1951341304
Enrollment ID: I20050505000421
Provider NameDeborah L Flores
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1306819586
PECOS PAC ID: 2062452923
Enrollment ID: I20050510000697
Provider NameAlvaro Campos Jr
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1073695649
PECOS PAC ID: 4385684000
Enrollment ID: I20050511000913
Provider NameGuochuan E Tsai
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1447207816
PECOS PAC ID: 8022059427
Enrollment ID: I20050516000911
Provider NameSharon Y Jones
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1073600359
PECOS PAC ID: 5799726683
Enrollment ID: I20050520000591
Provider NameEsther L Chodakiewitz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1770798902
PECOS PAC ID: 5597700799
Enrollment ID: I20050627001454
Provider NameSeanne S Tyson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1992964787
PECOS PAC ID: 4789620923
Enrollment ID: I20050628001258
Provider NameShirin Sharifha
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1043397615
PECOS PAC ID: 8729016894
Enrollment ID: I20050729000751
Provider NameRobert J Dasher
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1427078682
PECOS PAC ID: 6608894084
Enrollment ID: I20051103000886
Provider NameShribala Kumar
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1003934423
PECOS PAC ID: 1254359581
Enrollment ID: I20051104000798
Provider NameBenjamin A Furst
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1033214010
PECOS PAC ID: 3678591617
Enrollment ID: I20051108000427
Provider NameElena Ortiz Portillo
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1629153465
PECOS PAC ID: 4880613140
Enrollment ID: I20051115001209
Provider NameJulie T Wu Hsieh
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457434300
PECOS PAC ID: 8022031095
Enrollment ID: I20060105000640
Provider NameJaafar C Zada
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1316099211
PECOS PAC ID: 5496761090
Enrollment ID: I20060306000293
Provider NameLetitia A Pinson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1861532301
PECOS PAC ID: 4486661881
Enrollment ID: I20060309000409
Provider NameChristopher P Camilleri
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1154419836
PECOS PAC ID: 4587672878
Enrollment ID: I20060328000714
Provider NameAnne Choe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205905817
PECOS PAC ID: 2567471840
Enrollment ID: I20060413000645
Provider NameKuniko Miyagi
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134283393
PECOS PAC ID: 8426067703
Enrollment ID: I20060413000690
Provider NameLucille Ngo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972672376
PECOS PAC ID: 9436168432
Enrollment ID: I20060419000814
Provider NameJeffrey A Lumaya
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083791255
PECOS PAC ID: 7810907045
Enrollment ID: I20060502000455
Provider NameMan Ching Cheung
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265505259
PECOS PAC ID: 2062422298
Enrollment ID: I20060502000481
Provider NameMichael B Joseph
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417023912
PECOS PAC ID: 7618987850
Enrollment ID: I20060502000580
Provider NameAlisa A Sabshin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1932120060
PECOS PAC ID: 7416952171
Enrollment ID: I20061002000462
Provider NameIzabella Gokhman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1346288024
PECOS PAC ID: 6800894395
Enrollment ID: I20061116000350
Provider NameVeena M Vadmal
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1033148838
PECOS PAC ID: 8224027404
Enrollment ID: I20061220000268
Provider NameNadia C Del Pan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1265598080
PECOS PAC ID: 3678574928
Enrollment ID: I20070129000835
Provider NameJennifer R Hersch
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1962557041
PECOS PAC ID: 0840394284
Enrollment ID: I20070324000163
Provider NameMaxine R Day
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1255353702
PECOS PAC ID: 6103920541
Enrollment ID: I20070324000169
Provider NameXin Kang
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1053458166
PECOS PAC ID: 6507961166
Enrollment ID: I20070410000677
Provider NameRandall H Titcher
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1467473926
PECOS PAC ID: 0547365546
Enrollment ID: I20070504000180
Provider NameCarla F Mandili
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1265653836
PECOS PAC ID: 1355449455
Enrollment ID: I20070613000819
Provider NameMehera C Halliwell
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1366579138
PECOS PAC ID: 3072601491
Enrollment ID: I20071119000616
Provider NameVeronica I Dale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023193570
PECOS PAC ID: 6204925951
Enrollment ID: I20071203000372
Provider NameKelli Blanchfield
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992874341
PECOS PAC ID: 7315037330
Enrollment ID: I20071214000173
Provider NameElidia Olmos
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861689325
PECOS PAC ID: 4587744370
Enrollment ID: I20080107000300
Provider NameChristopher J Schwarz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821189523
PECOS PAC ID: 5193806586
Enrollment ID: I20080110000718
Provider NameKhatera Ghazanfar
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1760679484
PECOS PAC ID: 0840371019
Enrollment ID: I20080114000333
Provider NameSandra J Kramer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356538037
PECOS PAC ID: 7810078599
Enrollment ID: I20080118000687
Provider NameEve S Nadel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942368709
PECOS PAC ID: 3779666391
Enrollment ID: I20080205000696
Provider NameBichloan T Le
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184783441
PECOS PAC ID: 9436234481
Enrollment ID: I20080314000293
Provider NameGeorge P Davidson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891862827
PECOS PAC ID: 6507941556
Enrollment ID: I20080314000313
Provider NameShahin Khashayar
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1689720575
PECOS PAC ID: 8022194844
Enrollment ID: I20080319000400
Provider NamePaul B Young
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841473949
PECOS PAC ID: 4688752488
Enrollment ID: I20080418000533
Provider NameBrent A Hale
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588752638
PECOS PAC ID: 9234217811
Enrollment ID: I20080422000947
Provider NameElizabeth Grigor
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1255428785
PECOS PAC ID: 3072554047
Enrollment ID: I20080423000750
Provider NameJanis D Roman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245307768
PECOS PAC ID: 5991883340
Enrollment ID: I20080424000732
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Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639257827
PECOS PAC ID: 6406934728
Enrollment ID: I20080425000609
Provider NameMarian I Lambros
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619020971
PECOS PAC ID: 1759460553
Enrollment ID: I20080505000865
Provider NameJeffrey A Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184741688
PECOS PAC ID: 5496834855
Enrollment ID: I20080509000410
Provider NameWagih A Elsewafy
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1679604235
PECOS PAC ID: 8224107594
Enrollment ID: I20080513000644
Provider NameChris A Counts
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851446264
PECOS PAC ID: 9133298110
Enrollment ID: I20080516000181
Provider NameKathryn L Crain
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740369461
PECOS PAC ID: 3375613771
Enrollment ID: I20080528000161
Provider NameSusan Crimin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194814707
PECOS PAC ID: 4082786116
Enrollment ID: I20080708000113
Provider NameTamara Aloyan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1437205853
PECOS PAC ID: 3678645637
Enrollment ID: I20080708000426
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Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972644227
PECOS PAC ID: 5890868392
Enrollment ID: I20080716000591
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Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1073546404
PECOS PAC ID: 9830146786
Enrollment ID: I20080721000177
Provider NameTatyana Kharit
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1730221730
PECOS PAC ID: 0840359022
Enrollment ID: I20081103000275
Provider NameSatoko O Luce
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861550816
PECOS PAC ID: 7719046705
Enrollment ID: I20081105000624
Provider NameGopal K Gabbur
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1841492915
PECOS PAC ID: 6305905142
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Provider NameGeorge I Akpenyi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1649345067
PECOS PAC ID: 5991865206
Enrollment ID: I20081117000469
Provider NameDaniel L Dickerson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1336349091
PECOS PAC ID: 6608897681
Enrollment ID: I20081120000370
Provider NameJana S Gottfried
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689786998
PECOS PAC ID: 8921169087
Enrollment ID: I20081208000309
Provider NameSandra A Mcclelland
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1649399908
PECOS PAC ID: 1759443328
Enrollment ID: I20081217000058
Provider NameMichael R Smith
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1326106022
PECOS PAC ID: 3375589641
Enrollment ID: I20090107000333
Provider NameRoxanne F Szeftel
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1639153570
PECOS PAC ID: 4688738305
Enrollment ID: I20090126000127
Provider NameElsa C Cabrera
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1467596411
PECOS PAC ID: 2062576606
Enrollment ID: I20090127000462
Provider NameLilian Badovsky
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1598959363
PECOS PAC ID: 8527122282
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Provider NameDonna M Graves
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447337894
PECOS PAC ID: 3678620812
Enrollment ID: I20090406000140
Provider NameAnh V Tran
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851466908
PECOS PAC ID: 5193872349
Enrollment ID: I20090406000290
Provider NameTehmina Usmani
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1164597563
PECOS PAC ID: 9436207578
Enrollment ID: I20090430000045
Provider NameErika D Lopez
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1184750804
PECOS PAC ID: 6204984115
Enrollment ID: I20090504000292
Provider NameLa Tina M Jackson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144395658
PECOS PAC ID: 0941358865
Enrollment ID: I20090504000381
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Provider TypePractitioner - Clinical Social Worker
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Provider TypePractitioner - Psychiatry
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Enrollment ID: I20090528000337
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Provider TypePractitioner - Psychiatry
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PECOS PAC ID: 5698828911
Enrollment ID: I20090804000831
Provider NameYim-kwan C Tarng
Provider TypePractitioner - Clinical Social Worker
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PECOS PAC ID: 6305990516
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Provider TypePractitioner - Clinical Social Worker
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PECOS PAC ID: 6204980451
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Provider NameStephen J Volk
Provider TypePractitioner - Psychiatry
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Enrollment ID: I20090821000504
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Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1104950807
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Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700951084
PECOS PAC ID: 2264578897
Enrollment ID: I20091012000359
Provider NameRita C Silva-leu
Provider TypePractitioner - Psychiatry
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Provider TypePractitioner - Psychiatry
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Provider TypePractitioner - Clinical Social Worker
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Provider TypePractitioner - Psychiatry
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Provider TypePractitioner - Clinical Social Worker
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Provider TypePractitioner - Clinical Social Worker
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Provider TypePractitioner - Psychiatry
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Provider TypePractitioner - Clinical Social Worker
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PECOS PAC ID: 6800925652
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Reviews and Comments

Clinic/Center in Los Angeles, CA

Emq Hollygrove
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 815 N El Centro Ave, Los Angeles, CA 90038
Phone: 323-463-2119    Fax: 323-463-0619
Peter Lorber, M.d., A Medical Corporation
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1245 Wilshire Blvd, Suite 814, Los Angeles, CA 90017
Phone: 213-481-0592    
Satish S. Kadaba, M.d., Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4545 E 3rd St, Suite 102, Los Angeles, CA 90022
Phone: 323-264-6296    Fax: 323-264-6297
Foundations Treatment Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11500 W Olympic Blvd Ste 420, Los Angeles, CA 90064
Phone: 888-800-5761    Fax: 818-530-7808
Pch Treatment
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11965 Venice Blvd, Suite 407, Los Angeles, CA 90066
Phone: 310-566-7625    Fax: 310-566-7629
Haleh Eghrari Psychology Inc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 1314 Westwood Blvd, Suite 206, Los Angeles, CA 90024
Phone: 310-441-9550    Fax: 310-234-2682
Douglas L. Gosney
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2566 Overland Ave, Suite 780, Los Angeles, CA 90064
Phone: 310-202-9382    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.