EBMD, P.C. (NPI# 1003238510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003238510 |
| Entity Type | Organization |
| Organization Name | EBMD, P.C. |
| Practice Address |
5353 G St Chino CA 91710-5249 |
| Mailing Address |
Po Box 1526 South Pasadena CA 91031-1526 |
| Practice Telephone | 9095903700 |
| Mailing Telephone | 9495451121 |
| Mailing Fax Number | 9492585551 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-18 |
| Authorized Official Name | DR. ENRICO URO BALCOS (PRESIDENT) |
| Authorized Official Telephone | 9495451121 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A63363 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A633630 | 05 |
| Street Address |
5353 G ST |
| City | CHINO |
| State | CA |
| Zip Code | 91710-5249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902825128 | Canyon Ridge Hospital Inc | Psychiatric Hospital | 5353 G St, Chino, CA 91710-5249 | 2006-07-19 |
| 1912553140 | Michael M. Lee, D.o., Inc | Psychiatry & Neurology | 5353 G St, Chino, CA 91710-5250 | 2019-08-13 |
| 1649793068 | Anna Kayani | Nurse Practitioner | 5353 G St, Chino, CA 91710-5249 | 2017-07-18 |
| 1841523255 | Melissa C Guerrero | Counselor | 5353 G St, Chino, CA 91710-5249 | 2009-09-16 |
| 1174655922 | Christina Laura Cuevas | Marriage & Family Therapist | 5353 G St, Chino, CA 91710-5249 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922341502 | Emily Fu | Psychiatry & Neurology | 3750 Grand Ave, Chino, CA 91710-5478 | 2013-04-01 |
| 1205180411 | Cynthia Ann Coles | Psychiatry & Neurology | 14901 Central Ave., California Institute for Men, Chino, CA 91710 | 2012-11-09 |
| 1790977502 | Staci R. Johnson | Psychiatry & Neurology | 4550 Eucalyptus Ave, Chino, CA 91710-9215 | 2007-08-15 |
| 1770798902 | Esther Liba Chodakiewitz | Psychiatry & Neurology | 11800 Central Ave, #125, Chino, CA 91710 | 2007-05-11 |
| 1982792990 | Stephen Mohaupt | Psychiatry & Neurology | 12598 Central Ave Ste 219, Chino, CA 91710-3530 | 2006-10-11 |
| 1275640344 | Hassan M Mahfoozi | Psychiatry & Neurology | 12598 Central Ave #110, Chino, CA 91710 | 2006-08-24 |
| 1760464226 | Syeda A Baig | Psychiatry & Neurology | 13141 Central Ave, Suite, H, Chino, CA 91710 | 2005-11-18 |
| 1912553140 | Michael M. Lee, D.o., Inc | Psychiatry & Neurology | 5353 G St, Chino, CA 91710-5250 | 2019-08-13 |
| 1568880045 | Michele Chu | Psychiatry & Neurology | 3750 Grand Ave, Chino, CA 91710 | 2014-04-02 |
| 1720320989 | Nandita Puchakayala | Psychiatry & Neurology | 12555 Central Ave Ste C, Chino, CA 91710-3569 | 2013-03-26 |
| Find all providers in CHINO | ||||
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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.