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TINA MANCILLA
NPI 1366855033
Day Training/Habilitation Specialist in Los Angeles, CA

Active since June 10, 2014
4211 AVALON BLVD, LOS ANGELES, CA 90011(323) 233-0425 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tina Mancilla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA MANCILLA (NPI 1366855033) is an individual day training/habilitation specialist in Los Angeles, California and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1366855033
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameTINA MANCILLA
Location Address4211 AVALON BLVDLos Angeles, CA 90011-5622
Mailing Address2424 Florentina AveAlhambra, CA 91803-4214 · (323) 314-9344
Phone(323) 233-0425
Sole ProprietorYes
Enumeration DateJune 10, 2014
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1366855033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
4211 AVALON BLVD, Los Angeles, CA 90011
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL MARTIN
Registered Nurse
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5185
MICHELLE OUATTARA
Occupational Therapist (Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5080
ALEXANDER JERROD BLACK ACSW
Social Worker (Clinical)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
BRIANNA FONSECA
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
JESSE VELAZQUEZ
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. KIERSTEN TAYLOR PHARMD
Pharmacist (Psychiatric)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
NNEKA PATRICIA NJOKU
Nurse Practitioner (Psychiatric/Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. YVORN ASWAD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 582-2251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Mancilla's NPI number?

The NPI number for Tina Mancilla is 1366855033. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Tina Mancilla located?

Tina Mancilla practices at 4211 Avalon Blvd, Los Angeles, CA 90011. The listed phone number is (323) 233-0425.

What is Tina Mancilla's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Tina Mancilla was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.