STACY ELAINE PERALTA
Student in an Organized Health Care Education/Training Program

Address: 3316 Mont Clair St, Los Angeles, CA 90018

STACY ELAINE PERALTA (NPI# 1467033308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467033308
Entity Type Individual
Full Name STACY ELAINE PERALTA
Gender Female
Practice Address 3316 Mont Clair St
Los Angeles
CA 90018
Practice Telephone 3234472143
Mailing Address 3316 Mont Clair St
Los Angeles
CA 90018
Mailing Telephone 3234472143
Certification Date 2021-03-25
Enumeration Date 2021-04-20
Last Update Date 2021-04-20
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 3316 MONT CLAIR ST
City LOS ANGELES
State CA
Zip Code 90018

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NPI Name Taxonomy Address Enumeration
1639390578 Janette Lee Jackson Physician Assistant 2618 South Western Avenue, Los Angeles, CA 90018 2007-05-01
1134253891 Ellaveline P Contrano Counselor - Mental Health 2116 Arlington Avenue Suite 100, Los Angeles, CA 90018 2007-03-15
1548753429 Gilda Panales Behavioral Analyst 2919 1/2 South Bronson Ave, Los Angeles, CA 90018 2018-06-14
1598292351 Brittney Shanice Hinton Counselor - Addiction (Substance Use Disorder) 3125 W Adams Blvd, #9, Los Angeles, CA 90018 2017-05-11
1003494873 Edward Austin Behavior Technician 10525 S Western Ave, Los Angeles, CALIFORNIA 90018 2021-03-31
1295718187 Aids Healthcare Foundation Clinic/Center 2146 W Adams Blvd, Los Angeles, CA 90018 2005-11-23
1881085942 Tanisha Merriweather Counselor - Addiction (Substance Use Disorder) 3521 11th Ave, Los Angeles, CA 90018 2015-02-11
1023267986 Antonio Jose Rojas Counselor - Mental Health 2116 Arlington Ave Suite 200, Los Angeles, CA 90018 2008-09-16
1255546610 Wendy Larriva Occupational Therapist 2035 West Adams Blvd., Los Angeles, CA 90018 2007-05-11
1083125603 The Dream Catcher Foundation, Inc. Residential Treatment Facility, Emotionally Disturbed Children 3601 2nd Ave, Los Angeles, CA 90018 2017-10-23
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083297402 Hye Hyun Bahng Student in an Organized Health Care Education/Training Program 1975 Zonal Ave # 103, Los Angeles, CA 90089-5601 2021-05-03
1831771328 Jimna Sarahi Mendoza De Pena Student in an Organized Health Care Education/Training Program 1150 S Olive St Ste 14000, Los Angeles, CA 90015-2211 2021-04-23
1316529191 Tara Mae Shultz Student in an Organized Health Care Education/Training Program 366 N Stanley Ave Apt 7, Los Angeles, CA 90036-2317 2021-04-22
1619559572 Iver Evanger Student in an Organized Health Care Education/Training Program 1200 N. State Street, Clinic Tower A7d, Los Angeles, CA 90033-1029 2021-04-21
1497337240 Paul Mgbam Student in an Organized Health Care Education/Training Program 2215 Alcazar St Apt 319, Los Angeles, CA 90033-1003 2021-04-21
1316529225 Austin Smith Ivy Student in an Organized Health Care Education/Training Program 200 Ucla Medical Plz Ste 365-A, Los Angeles, CA 90095-8344 2021-04-21
1881275824 Shuman Liu Student in an Organized Health Care Education/Training Program 1100 N. State Street, Clinic Tower A7e, Los Angeles, CA 90033 2021-04-20
1003497322 Linda Huang Student in an Organized Health Care Education/Training Program 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 2021-04-19
1902487382 Shaunpaul Jones Student in an Organized Health Care Education/Training Program 2020 Zonal Ave # Ird115, Los Angeles, CA 90089-0121 2021-04-18
1942881693 Valerie Ponning Huang Student in an Organized Health Care Education/Training Program 1975 Zonal Ave # Kam103, Los Angeles, CA 90089-5601 2021-04-15
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Competitor

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City LOS ANGELES
Zip Code 90018

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Dataset Information

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.