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ETHAN STOCKDALE
NPI 1720810740
Student in an Organized Health Care Education/Training Program in Culver City, CA

Active since August 19, 2024
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230(310) 390-6612 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2024, Aug 19, 2024 (2 updates tracked since 2024).

About Ethan Stockdale NPPES

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

ETHAN STOCKDALE (NPI 1720810740) is an individual student in an organized health care education/training program in Culver City, California and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1720810740
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN STOCKDALE
Location Address4760 SEPULVEDA BLVDCulver City, CA 90230-4820
Mailing Address2051 Glendon AveLos Angeles, CA 90025-6323 · (479) 531-7713
Phone(310) 390-6612
Sole ProprietorNo
Enumeration DateAugust 19, 2024
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1720810740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
4760 SEPULVEDA BLVD, Culver City, CA 90230
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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.

VERONICA FUENTES
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
ANDREW R MILLER MFT
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
PAUL SMITH MSW, ACSW
Social Worker
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
CHELSEA DAWN GILBERT M.A.
Student in an Organized Health Care Education/Training Program
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 751-5344
RASHAUNA FAIR
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
KIMBERLY OROZCO
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
ALFREDIA RAYNESHIA CHRISTOPHE
Day Training/Habilitation Specialist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
JESSICA AYALA
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 751-5470

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 Ethan Stockdale's NPI number?

The NPI number for Ethan Stockdale is 1720810740. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Ethan Stockdale located?

Ethan Stockdale practices at 4760 Sepulveda Blvd, Culver City, CA 90230. The listed phone number is (310) 390-6612.

What is Ethan Stockdale's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Stockdale was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.