SHANESKA FREDERIQUE (NPI# 1013475649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013475649 |
| Entity Type | Individual |
| Full Name | SHANESKA FREDERIQUE |
| Practice Address |
1551 W Walnut St Unit 50 Santa Ana CA 92703-6314 |
| Practice Telephone | 6315306522 |
| Mailing Telephone | 6315306522 |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2019-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1551 W WALNUT ST UNIT 50 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92703-6314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580806 | F Rodef & B Yousefi Dental Corporation | Dentist | 100 N. Harbor Blvd Suite #c-7, Santa Ana, CA 92703 | 2019-10-28 |
| 1699283465 | Vinnie Quan Nguyen | Pharmacist | 941 Fair Way, Santa Ana, CA 92703 | 2018-01-16 |
| 1174058978 | Caroline Jo Dimatteo | Physician Assistant | 901 W Civic Center Clinic, Ste 120, Santa Ana, CA 92703 | 2017-04-29 |
| 1568823342 | Reina M Escolero | Registered Nurse | 1708 W. 12th Street, Santa Ana, CA 92703 | 2016-03-08 |
| 1528427994 | Nathaniel Gandy Lane | Physician Assistant | 420 S. Bristol St., Santa Ana, CA 92703 | 2016-02-15 |
| 1285035626 | Elizabeth Nieto Patino | Specialist/Technologist | 4201 W 5th St #211, Santa Ana, CA 92703 | 2014-09-04 |
| 1790113108 | Monica Susie Kim | Acupuncturist | 100 N Harbor Blvd., Unit C-7, Santa Ana, CA 92703 | 2013-10-22 |
| 1730525833 | Ryan Hoida | Counselor | 1202 W Civic Dr, Santa Ana, CA 92703 | 2013-05-15 |
| 1861777625 | Minh Pharmacy | Pharmacy | 5110 Westminster Ave #b, Santa Ana, CA 92703 | 2011-10-12 |
| 1518241868 | James Shon | Acupuncturist | 1111 N. Bristol #j, Santa Ana, CA 92703 | 2011-10-05 |
| Find all providers in zip 92703 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1871113175 | Sandy Nunez | Counselor | 1200 N Main St Fl 2, Santa Ana, CA 92701-3640 | 2020-04-16 |
| 1336794056 | Eduardo Lopez | Counselor | 727 S Lyon St Apt B204, Santa Ana, CA 92705-7200 | 2019-08-08 |
| 1356902597 | Shannon Kilgore | Counselor | 2030 E 4th St Ste C-23220, Santa Ana, CA 92705-3940 | 2019-06-27 |
| 1699338475 | Kemper Ian Gottshall | Counselor | 1300 S Grand Ave Bldg C2, Santa Ana, CA 92705-4434 | 2019-04-17 |
| 1659835296 | Rebecca Christina Gastelum | Counselor | 505 N Tustin Ave Ste 233, Santa Ana, CA 92705-3775 | 2019-01-28 |
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1568942688 | Giovanni Casas | Counselor | 2717 W Carlton Pl, Santa Ana, CA 92704-4022 | 2018-08-17 |
| 1639665532 | Heidi Kimberly Mercado | Counselor | 1321 S Pacific Ave, Santa Ana, CA 92704-3717 | 2018-07-03 |
| Find all providers in SANTA ANA | ||||
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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.