Easter Dawn Vo-Jutabha, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY21071 Issued in CA

Practice address

1301 Pine Ave
Long Beach, CA 90813-3124

Phone

(562) 485-2273

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Guidance Center

  • Community/Behavioral Health Agency
  • San Pedro, CA
  • NPI 1174654156
  NPD (past)
• The Guidance Center

  • Community/Behavioral Health Agency
  • Long Beach, CA
  • NPI 1720167810
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1093845810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PINE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133124",
            "telephone_number": "562-485-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PINE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133124",
            "telephone_number": "562-485-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 W Victoria St Ste F&g",
            "address_purpose": "LOCATION",
            "city": "Compton",
            "state": "CA",
            "postal_code": "902205807",
            "country_code": "US",
            "telephone_number": "562-485-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 W 6th St Ste 230",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907313332",
            "country_code": "US",
            "telephone_number": "562-485-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VO-JUTABHA",
        "first_name": "EASTER DAWN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Vivar
• Gicelly Vizcaino
• Briahna Vizcarra, DC
• Natalie Calida Vizcarra, PA-C
• Cristina Liliana Vladeanu-Ion, FNP
• Adam H Vo
• Anthony N Vo, MD
• Cat-Tien Vo, M.D.
• Chau Thi Kieu Vo
• Donna T Vo, PHARMACIST

• Clinical Psychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.