MEDICARE: BUTTERFLY PATHWAYS SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1538097316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUTTERFLY PATHWAYS SERVICES LLC

Provider Business Mailing Address
First Line	:	24328 VERMONT AVE STE 214
Second Line	:
City	:	HARBOR CITY
State	:	CA
Zip	:	90710-2315
Country	:	US
Telephone Number	:	310-774-1814
Fax Number	:

Provider Business Practice Location Address
First Line	:	24328 VERMONT AVE STE 214
Second Line	:
City	:	HARBOR CITY
State	:	CA
Zip	:	90710-2315
Country	:	US
Telephone Number	:	310-774-1814
Fax Number	:

Authorized Official
Title or Position	:	OPERATION MANAGER
Name	:	ANTONIO LANDEVERDA STEWART
Credential	:
Telephone Number	:	310-774-1814

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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