| Vortex Mental Health | |
|
1760 Termino Ave Ste 100 Long Beach CA 90804-2182 | |
| (310) 552-0146 | |
| (310) 552-0185 |
| Full Name | Vortex Mental Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1760 Termino Ave Ste 100, Long Beach, California |
| Authorized Official Name and Position | Rick Jenkins (MD) |
| Authorized Official Contact | 3105520146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vortex Mental Health 1760 Termino Ave Ste 100 Long Beach CA 90804-2182 Ph: (310) 552-0146 | Vortex Mental Health 1760 Termino Ave Ste 100 Long Beach CA 90804-2182 Ph: (310) 552-0146 |
| NPI Number | 1841834694 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Medicare PECOS PAC ID | 1759716673 |
|---|---|
| Medicare Enrollment ID | O20200122002089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841834694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Primary |
| Provider Name | Rick L Jenkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275502825 PECOS PAC ID: 8022093376 Enrollment ID: I20040621001431 |
| Provider Name | Behnam Partovi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306851076 PECOS PAC ID: 9335146943 Enrollment ID: I20061024000430 |
| Provider Name | Ajmal Mohammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700017712 PECOS PAC ID: 2365570504 Enrollment ID: I20100510000669 |
| Provider Name | Shane Q Manalang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558648550 PECOS PAC ID: 0648423798 Enrollment ID: I20130123000482 |
| Provider Name | Adaobi J Ozoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346373172 PECOS PAC ID: 4587986344 Enrollment ID: I20141205000022 |
| Provider Name | Sunpreet Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326464462 PECOS PAC ID: 1850616749 Enrollment ID: I20150218000289 |
| Provider Name | Sylvia Andrade Espino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467577023 PECOS PAC ID: 7416273230 Enrollment ID: I20150312002736 |
| Provider Name | Picolya Katice Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699977934 PECOS PAC ID: 1456693589 Enrollment ID: I20190422000298 |
| Provider Name | Reeva C Bazroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811474349 PECOS PAC ID: 9931535390 Enrollment ID: I20200203000810 |
| Provider Name | Gloria S Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104374925 PECOS PAC ID: 9234524786 Enrollment ID: I20220318001191 |
| Provider Name | Felix E Umukoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275286601 PECOS PAC ID: 6305215369 Enrollment ID: I20221214000120 |
| Provider Name | Fun Wing Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972205144 PECOS PAC ID: 6800259318 Enrollment ID: I20230831001934 |
| Provider Name | Andrew Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063192953 PECOS PAC ID: 9234584186 Enrollment ID: I20231012000563 |
| Provider Name | Wendy Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821669623 PECOS PAC ID: 0941659155 Enrollment ID: I20231213003165 |
| Provider Name | Martin Consuegra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003934332 PECOS PAC ID: 0749631232 Enrollment ID: I20240109003073 |
| Provider Name | Nelson Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770355133 PECOS PAC ID: 1951843994 Enrollment ID: I20240606000534 |
| Provider Name | Vanessa E Zuniga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225781107 PECOS PAC ID: 7113450933 Enrollment ID: I20241031001172 |
| Provider Name | Annette Nasrollahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558111039 PECOS PAC ID: 5496280323 Enrollment ID: I20241202000394 |
| Provider Name | Luan D Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467290403 PECOS PAC ID: 2062932619 Enrollment ID: I20250226000601 |
| Provider Name | Ilene Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316822273 PECOS PAC ID: 3375013337 Enrollment ID: I20260531000016 |
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