MRS. PACIENCIA CASIM SANTOS (NPI# 1003048315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003048315 |
| Entity Type | Individual |
| Full Name | MRS. PACIENCIA CASIM SANTOS |
| Credential | LICENSEE |
| Practice Address |
10140 Leucadia Lane Riverside CA 92503 |
| Practice Telephone | 9516873140 |
| Practice Fax Number | 9516873140 |
| Mailing Telephone | 9516873140 |
| Mailing Fax Number | 9516873140 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 336403984 | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEPT OF SOCIAL SERV | 336403984 | 01 |
| Street Address |
10140 LEUCADIA LANE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447583927 | Cortes Small Family Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5251 Almar St, Riverside, CA 92505-2530 | 2009-09-15 |
| 1982837498 | Remy Luz Nunez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11664 Doverwood Dr, Riverside, CA 92505-3217 | 2009-08-31 |
| 1265663801 | Lillianna Residential Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2051 Rancho Dr, Riverside, CA 92507-5841 | 2009-07-30 |
| 1881869816 | Bright Expectations Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7256 Linares Ave, Riverside, CA 92509-6900 | 2008-04-30 |
| 1164697199 | Bright Expectations Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7910 Lakeside Dr, Riverside, CA 92509-7033 | 2008-04-30 |
| 1518132844 | Bright Expectations Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1970 Longmont St, Riverside, CA 92506-3542 | 2008-04-28 |
| 1265607584 | Bright Expectations Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10466 Gramercy Pl, Riverside, CA 92505-1300 | 2008-04-28 |
| 1215102512 | Bright Expectations Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3921 Manchester Pl, Riverside, CA 92503-4025 | 2008-04-28 |
| 1073788378 | Bright Expectations Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5593 Avenue Juan Bautista, Riverside, CA 92509-5614 | 2008-04-28 |
| 1760600969 | Bright Expectations Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5523 Jones Ave, Riverside, CA 92505-1357 | 2007-04-23 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.