| Mr Jason Gillard, MSW | |
|
21529 Saticoy St Apt 206, Canoga Park, CA 91304-4962 | |
| (818) 521-3867 | |
| Not Available |
| Full Name | Mr Jason Gillard |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 21529 Saticoy St Apt 206, Canoga Park, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306927926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14881 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 25769 (California) | Primary |
| Entity Name | Los Angeles County Department Of Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Gillard, MSW 21529 Saticoy St, Unit 206, Canoga Park, CA 91304-4958 Ph: () - | Mr Jason Gillard, MSW 21529 Saticoy St Apt 206, Canoga Park, CA 91304-4962 Ph: (818) 521-3867 |
Ms. Doris Johnstone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7621 Canoga Ave, Canoga Park, CA 91304 Phone: 818-598-6900 | |
Karla Flores Lagunas, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22148 Sherman Way Ste 204, Canoga Park, CA 91303 Phone: 310-425-3755 | |
Ms. Norma J Solis, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7621 Canoga Ave, Canoga Park, CA 91304 Phone: 818-598-6900 | |
Mrs. Carey Ann Kim, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7621 Canoga Ave., Canoga Park, CA 91304 Phone: 818-598-6900 Fax: 818-598-6971 | |
Mrs. Shonta Jones-cole, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 22048 Sherman Way Ste 115, Canoga Park, CA 91303 Phone: 646-694-2434 Fax: 818-350-2988 | |
Mrs. Norma Lizette Huerta, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7621 Canoga Ave., Canoga Park, CA 91304 Phone: 818-598-6900 Fax: 818-598-3166 | |
Paulina Polanco, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6800 Owensmouth Ave, Canoga Park, CA 91303 Phone: 818-610-6726 |