Lisa Crockom
Technician (Attendant Care Provider)

Address: 1838 E. Badillo Street Apt 1, Los Angeles, CA 90001
Phone: 6263242190

Lisa Crockom (NPI# 1730722539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1730722539
Entity Type Individual
Full Name Lisa Crockom
Gender Female
Practice Address 1838 E. Badillo Street Apt 1
Los Angeles
CA 90001
Practice Telephone 6263242190
Mailing Address 1838 E Badillo St Apt 1
West Covina
CA 91791-1107
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2019-10-24
Last Update Date 2019-10-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 3747A0650X Technician · Attendant Care Provider Nursing Service Related Providers

Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

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1376188482 Sharonda Criner Technician 1137 E 82nd St, Los Angeles, CA 90001-3309 2019-11-12
1558904649 Elizabeth Swift Technician 12113 Slater Ave, Los Angeles, CA 90059-2428 2019-10-22
1659914729 Michael Lawton Technician 1666 S Highland Ave, Los Angeles, CA 90019-5542 2019-10-22
1184267189 Rachel Issac Technician 3105 W 27th St Apt 24, Los Angeles, CA 90018-2413 2019-10-22
1457994501 Josephine Villanueva Technician 4433 Eagle Rock Blvd. #113, Los Angeles, CA 90041 2019-10-22
1518509793 Afiya Fatuma Webb Technician 1137 E 81st St, Los Angeles, CA 90001-3305 2019-10-09
1790336253 Ernest Durden Technician 10321 Standford Avenue, Los Angeles, CA 90002 2019-09-26
1497305684 Mieshia Gaston Technician 831 Lucile Ave, 201, Los Angeles, CA 90026 2019-09-19
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Office Location

Street Address 1838 E. BADILLO STREET APT 1
City LOS ANGELES
State CA
Zip Code 90001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679047229 Rosario Montes Behavior Technician 6907 Hooper Ave, Los Angeles, CA 90001 2019-01-16
1467902031 Fun Dental 4 Kids 2 Dentist 1014 E Manchester Ave, Suite I, Los Angeles, CA 90001 2016-10-07
1295100709 Central City Community Health Center Clinic/Center 1236 E Florence Ave, Los Angeles, CA 90001 2015-12-09
1437596327 Natasha Nasha Andrews Clinic/Center 1620 E. 83rd Street, Los Angeles, CA 90001 2013-05-31
1679827943 Denise Michelle Betters Counselor 8019 S Compton Ave., Los Angeles, CA 90001 2012-11-07
1790050763 Animo Locke Tech Charter High School Community/Behavioral Health 810 E. 111th Street, Room # 113 & 114, Los Angeles, CA 90001 2012-03-09
1093021602 Larthia Renard Dunham Social Worker 8019 S. Compton Blvd., Los Angeles, CA 90001 2010-08-20
1114258761 Central City Comm Hlt Ctr Mobile Unit General Practice 5986 Central Avenue, Los Angeles, CA 90001 2010-01-21
1457688517 Yesenia Cruz Dental Assistant 1119 E 64th St., Los Angeles, CA 90001 2009-11-11
1396979001 Cecilia Echeverria Dental Assistant 1423 Gage Ave, Suite A West Coast Dental, La, CA 90001 2009-05-08
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Competitor

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City LOS ANGELES
Zip Code 90001

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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.