Table: ccs_non_providers , last_name like I*

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npi last_name first_name middle_name provider_type specialty effective_date expiration_date county address_line_1 address_line_2 city state zip_code phone
1427207398 Iamicel Lisa EPSDT Supplemental Services Provider Registered Nurse 12/3/2012 Los Angeles 10833 Le Conte Avenue Los Angeles CA 90095
Iannessa Carol N Physical Therapist Physical Therapy 3/17/2005 Los Angeles 2801 Atlantic Avenue Long Beach CA 90801
Ibanez Marsha B Physical Therapist Physical Therapy 11/5/2012 Los Angeles 7601 E Imperial Highway Downey CA 90242 (562) 401-6847
Ibarra Ana EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 3/9/2022 Los Angeles 2801 Atlantic Avenue Long Beach, Ca, Los Angeles Long Beach CA 90806
ibarra cierra EPSDT Supplemental Services Provider Registered Nurse 3/12/2024 Alameda 744 52nd Street Oakland Ca Building 1 Oakland CA 94609
Ibarra Genesis EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 11/1/2021 Contra Costa 1790 Ellis Street Concord CA 94520
1912389586 Ibarra Marina Renee EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 7/6/2016 Madera 9300 Valley Children's Place Madera CA 93636 (559) 353-5270
Ibarra-Yaquian Monica EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 3/22/2013 San Francisco 400 Parnassus Avenue Room A-45 PLZ LEVEL San Francisco CA 94143 (415) 353-1388
1801076906 ibasco ihda Occupational Therapist Occupational Therapy 2/1/2023 Orange W La Palma Avenue Anaheim, Ca Anaheim CA 92801
Ibrahim Carolyn Occupational Therapist Occupational Therapy 3/13/2018 Santa Barbara 3940 Via Lucero Apartment 6 Santa Barbara CA 93110
Ibrahim Robert N Occupational Therapist Occupational Therapy 5/19/2009
Icenhower Gail Sandra Speech Therapist Speech Language Pathology 2/18/2014 Nevada 10710 Donner Pass Road Truckee CA 96161 (530) 587-1062
Ichimura Jan F Physical Therapist Physical Therapy 6/9/2014 Orange 101 The City Drive Orange CA 92868 (714) 456-6942
1043295736 Iden Sultanna EPSDT Supplemental Services Provider Registered Nurse 3/26/2002 Sacramento 2521 Stockton Boulevard Sacramento CA 95817 (916) 734-7098
Idlet-Whittle Nancy L EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 3/16/2012 Fresno 2823 Fresno Street Fresno CA 93721 (559) 459-6000
1770701708 Ifekwunigwe Chistopher EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 5/5/2022 Los Angeles 4425 S. Central Avenue Los Angeles CA 90011
Iffland Julie Occupational Therapist Occupational Therapy 4/26/2023 Los Angeles 2714 182 Place Redondo Beach Ca Redondo Beach CA 90278
Ifikchyan Meline EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 1/29/2024 Los Angeles 1420 South Central Avenue Glendale Ca Glendale CA 91206
1265703623 Igirio Kenlly Physical Therapist Physical Therapy 5/28/2013 Riverside 11544 Allwood Drive Riverside CA 92503
Ihani Shirin Physical Therapist Physical Therapy 3/28/2023 Orange 309 Via El Patio San Clemente CA 92673
Ikeda Emi M Speech Therapist Speech Language Pathology 7/6/2011
Ikenador Stephanie EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 1/30/2024 Contra Costa 1601 Ygnacio Valley Rd Walnut Creek Ca Building (925) 941-4081 Walnut Creek CA 94598
1396147278 Ikuta Kathleen S Physical Therapist Physical Therapy 5/9/2016 San Francisco 215 Ashbury Street Apartment 1 San Francisco CA 94117 (714) 330-3695
Ilharreguy Christin Physical Therapist Physical Therapy 3/17/2023 Los Angeles 825 Maryhurst Drive Claremont, Ca Claremont CA 91711
Im Nina Occupational Therapist Occupational Therapy 3/15/2023 Orange La Palma Avenue Anaheim CA 92801
1144205949 Imagire Robin EPSDT Supplemental Services Provider Registered Nurse 12/8/2000 Sacramento 1650 Response Road Sacramento CA 95815
1356788004 imai dana Occupational Therapist Occupational Therapy 6/14/2013 Riverside 8500 Verbena Drive Riverside CA 92504
Imai-Ruebensaal Aileen Occupational Therapist Occupational Therapy 10/9/2020 Los Angeles 2801 Atlantic Avenue Long Beach CA 90806
Imbler Bryce EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 1/29/2020 Los Angeles 2801 Atlantic Avenue Long Beach Long Beach CA 90806
1780974360 Imthurn Laura R EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 9/6/2013 Los Angeles 393 E Walnut Street Pasadena CA 91188 (877) 608-0044
Inada Sharon H Audiologist Audiology 3/19/2004 25825 Vermont Avenue Harbor City CA 90710
1629108550 Indresano Albert T Physician Oral and Maxillofacial Surgery 9/3/2014 Alameda 1411 E 31st Street Oakland CA 94602 (510) 437-4800
Indula Jennifer R EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 12/21/2007
Indula-Allen Jennifer Licensed Clinical Social Worker (Individual) Social Worker (Non-EPSDT) 6/24/2024 Monterey PO Box Hh Monterey Ca. Box HH Monterey CA 93942
Inenaga Eiri H Occupational Therapist Occupational Therapy 1/16/2009 725 Welch Road Palo Alto CA 94304
Inenaga Leslie Occupational Therapist Occupational Therapy 3/28/2023 Santa Clara 780 Thornton Way San Jose CA 95128
Ines Nicole EPSDT Supplemental Services Provider Registered Nurse 6/4/2015 Santa Clara 770 Welch Road Suite 261 Palo Alto CA 94304 (650) 498-6078
Ingemansson Cassandra R EPSDT Supplemental Services Provider Registered Nurse 9/23/2020 Sacramento 4900 Broadway Suite 2800 Sacramento CA 95820
Ingram Priya Occupational Therapist Occupational Therapy 2/17/2015 San Francisco 1625 Van Ness Avenue 3rd Floor San Francisco CA 94109 (415) 600-2961
Injety Shannon Physical Therapist Physical Therapy 3/14/2004 1001 E Cooley Drive Suite 101 Colton CA 92324
Injety Yohann Subushan Physical Therapist Physical Therapy 10/24/2002 San Bernardino 2551 Shady Glen San Bernardino CA 92408 (909) 556-7612
1467651638 Innerfeld Robert EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 8/8/2013 Los Angeles 393 E Walnut Street Pasadena CA 91188
1366888927 Intorre Anita A Physical Therapist Physical Therapy 9/18/2015 San Diego 3020 Children's Way Mc 5068 San Diego CA 92123 (858) 966-5829
1841679982 Ippoliti Shannon Physician Pediatrics 3/3/2023 Los Angeles 455 Columbia Street Long Beach, Ca Suite 201 Long Beach CA 90806
Irani Naomi EPSDT Supplemental Services Provider Registered Nurse 3/27/2023 San Diego PO Box 3173 Chula Vista CA 91909
1922538552 Iranosian Anna Abulyan EPSDT Supplemental Services Provider Dietitians 6/20/2017 Los Angeles 501 S Buena Vista Street Burbank CA 91505 (818) 847-4586
Irizarry Nicole M Physical Therapist Physical Therapy 11/13/2008 510 E Naples Street Chula Vista CA 91911
Irolla Chrysta R Prosthetist Prosthetics/Orthotics 7/17/2014 San Francisco 521 Parnassus Avenue C-36 San Francisco CA 94143 (415) 476-1788
Irvin Lineon EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 10/6/2020 Santa Barbara 1400 E. Church Street Santa Maria Ca Santa Maria CA 93454
Irvine Andrea EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 9/3/2015 Santa Clara 2425 Samaritan Drive Social Services Dept San Jose CA 95124 (408) 559-2110
Irwin Diane M EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 11/29/2010
Irwin Diane EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 11/29/2010 Los Angeles 1510 E First Street Long Beach CA 90802 (949) 307-2532
Isaacs Sara EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 8/17/2011
isaacs sara EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 8/17/2011 San Francisco 1975 Fourth Street Box 4061 San Francisco CA 94158 (415) 353-2655
Isaacs Tayla EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 6/15/2017 Los Angeles 4650 Sunset Boulevard Los Angeles CA 90027 (323) 361-2485
Isaacson Ted M Speech Therapist Speech Language Pathology 6/27/2005 191 West Burton Mesa Boulevard Suite B Lompoc CA 93436
isagholi meghrik Occupational Therapist Occupational Therapy 4/27/2018 Los Angeles 2560 Colorado Boulevard Eagle Rock CA 90041
Ishikawa Lynne Occupational Therapist Occupational Therapy 6/1/1988 Fresno 2823 Fresno Street Fresno CA 93721 (559) 459-1842
Islas Antonio Physical Therapist Physical Therapy 1/19/2023 Riverside 12366 Jacaranda Way Riverside CA 92503
Isley Veronica EPSDT Supplemental Services Provider Registered Nurse 3/15/2019 Los Angeles 11184 Orville Street Culver City CA 90230
1326320771 Isorena Jennifer EPSDT Supplemental Services Provider Registered Nurse 1/20/2023 Los Angeles 200 Medical Plaza 214 Los Angeles CA 90095 (310) 825-6078
1801998331 Israel Laura EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 8/20/2013 Los Angeles 393 E Walnut Street Pasadena CA 91188 (888) 505-0043
1497146617 Istrin Amy Occupational Therapist Occupational Therapy 5/20/2022 Los Angeles 14954 Hesby Street Sherman Oaks Ca Los Angeles Sherman Oaks CA 91403
Italia Abigail R Physical Therapist Physical Therapy 9/7/2006 275 W Macarthur Oakland CA 94611
Ito Melody A EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 8/7/2007
1194777615 Itrich Suzanne Occupational Therapist Occupational Therapy 2/8/2023 Orange 13601 Browning Avenue Tustin, Ca Orange County Tustin CA 92780
Iverson Jessica R Audiologist Audiology 3/10/2010 11775 Education Street Suite 102 Auburn CA 95602
1134522394 Iveson Braden Non-Physician Medical Practitioner Certified Physician Assistant 10/4/2024 Santa Clara 300 Pasteur Drive Stanford CA 94305
Ivey Kristen D Physical Therapist Physical Therapy 12/13/2005
Iwamoto Bailey EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 8/24/2023 San Diego 4647 Zion Avenue San Diego CA 92120
iwasaki theresa Physical Therapist Physical Therapy 1/26/2023 Los Angeles 3107 Lama Avenue Long Beach Ca Long Beach CA 90808
1265448112 Iyengar Radha Physician Pediatrics 9/26/2018 San Diego 1295 Carlsbad Village Drive Suite 100 Carlsbad CA 92008
Iyengar Radha A Physician Pediatrics 12/1/1991 3050 Madison Street Carlsbad CA 92008
Iyer Urvashi Speech Therapist Speech Language Pathology 11/5/2012 Los Angeles 1798 N Garey Avenue Pomona CA 91767 (909) 865-9810
Izzo Frances A EPSDT Supplemental Services Provider Social Worker (EPSDT Only) 2/29/2004