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MARK RADEWAGEN
NPI 1669831574
Day Training/Habilitation Specialist in Los Angeles, CA

Active since February 19, 2016
6762 LEXINGTON AVE, LOS ANGELES, CA 90038(323) 380-7590 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2025, Jun 19, 2023, Mar 1, 2018 and 1 more (4 updates tracked since 2016).

About Mark Radewagen NPPES

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

MARK RADEWAGEN (NPI 1669831574) is an individual day training/habilitation specialist in Los Angeles, California and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1669831574
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameMARK RADEWAGEN
Location Address6762 LEXINGTON AVELos Angeles, CA 90038-1217
Mailing Address6762 Lexington AveLos Angeles, CA 90038-1217
Phone(323) 380-7590
Sole ProprietorYes
Enumeration DateFebruary 19, 2016
Last NPPES UpdateMay 29, 20254 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1669831574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
6762 LEXINGTON AVE, Los Angeles, CA 90038
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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.

TAYLOR FEHRMAN
Counselor (Mental Health)
6762 LEXINGTON AVE
LOS ANGELES, CA 90038
Los Angeles County (323) 380-7590
STEPHANIE SMITH
Case Manager/Care Coordinator
6762 LEXINGTON AVE
LOS ANGELES, CA 90038
Los Angeles County (323) 380-7590
NICOLE UY BATOY
Occupational Therapist
6762 LEXINGTON AVE
LOS ANGELES, CA 90038
Los Angeles County (323) 380-7590
DOUGLAS A HALL
Case Manager/Care Coordinator
6762 LEXINGTON AVE
LOS ANGELES, CA 90038
Los Angeles County (323) 380-7590
MR. JESUS QUINTERO RRW
Counselor (Addiction (Substance Use Disorder))
6762 LEXINGTON AVE
LOS ANGELES, CA 90038
Los Angeles County (323) 380-7590
CLARIBEL CORTEZ
Counselor (Mental Health)
6762 LEXINGTON AVE
LOS ANGELES, CA 90038
Los Angeles County (323) 380-7590
NICHOLAS WILLIAM JONES
Social Worker (Clinical)
6762 LEXINGTON AVE
LOS ANGELES, CA 90038
Los Angeles County (323) 380-7590
JOSEPH GABRIEL RICCIARDI ACSW 79070
Social Worker (Clinical)
6762 LEXINGTON AVE
LOS ANGELES, CA 90038
Los Angeles County (323) 380-7590

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 Mark Radewagen's NPI number?

The NPI number for Mark Radewagen is 1669831574. It was assigned to this individual provider in the NPPES registry on February 19, 2016.

Where is Mark Radewagen located?

Mark Radewagen practices at 6762 Lexington Ave, Los Angeles, CA 90038. The listed phone number is (323) 380-7590.

What is Mark Radewagen'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 Mark Radewagen was last updated on May 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.