ANNA BLUM (NPI# 1023293271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023293271 |
| Entity Type | Individual |
| Full Name | ANNA BLUM |
| Credential | CADCII |
| Practice Address |
850 E. Foothill Blvd. 124-d Rialto CA 92376 |
| Mailing Address |
850 E. Foothill Blvd D-124 Rialto CA 92376 |
| Practice Telephone | 9094219475 |
| Mailing Telephone | 9094219475 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1950 S Sunwest Ln Ste 200, San Bernardino, CA 924083248 | 9092524010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275749533 | Anna Kimberly Donahue Blum | Registered Nurse | 911 E Jefferson St, Charlottesville, VA 22902-5355 | 2007-05-15 |
| Street Address |
850 E. FOOTHILL BLVD. 124-D |
| City | RIALTO |
| State | CA |
| Zip Code | 92376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609255769 | James O'brien | Counselor | 850 E. Foothill Blvd., Rialto, CA 92376 | 2015-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141812 | Sochun Operation, Inc. | Assisted Living Facility | 1441 S. Riverside Ave., Rialto, CA 92376 | 2019-02-25 |
| 1487138244 | National Vision Inc | Technician/Technologist | 1175 Renaissance Parkway, Suite 1050, Rialto, CA 92376 | 2018-09-18 |
| 1942780853 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 1205 W Renaissance Pkwy, Suite 240, Rialto, CA 92376 | 2018-08-20 |
| 1114430238 | Li Watkins | Nurse Practitioner | 280 N Riverside Avenue, Rialto, CA 92376 | 2017-11-10 |
| 1346767837 | Imelda Jazmin Ceja Nunez | Behavioral Analyst | 462 E Wilson St, Rialto, CA 92376 | 2017-08-24 |
| 1720505662 | Taylor Sandoval | Behavioral Analyst | 2935 Cardamon St, Rialto, CA 92376 | 2017-08-22 |
| 1427572510 | Danielle Mccree | Physical Therapy Assistant | 1470 N Filmore Ave, Rialto, CA 92376 | 2017-07-31 |
| 1639699952 | Albert Anthony Torres | Specialist/Technologist | 1008 N. Pampas Ave., Rialto, CA 92376 | 2017-06-27 |
| 1124407358 | Miesha Warren | Peer Specialist | 850 East Foothill Bld, Rialto, CA 92376 | 2015-05-20 |
| 1205233483 | Albert Archuleta | Counselor | 1501 Riverside Ave, Rialto, CA 92376 | 2014-12-03 |
| Find all providers in zip 92376 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770069122 | Sara Cortez Higareda | Counselor | 829 W Schallert St, Rialto, CA 92376-1506 | 2018-07-18 |
| 1245375484 | Sue Cheryl Brazfield | Counselor | 850 E Foothill Blvd Ste A, Rialto, CA 92376-5230 | 2007-02-21 |
| 1649801044 | Vera Prado Perry | Counselor | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-02-04 |
| 1851952972 | Charles Randolph Winder | Counselor | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2019-06-28 |
| 1437502788 | Enrique Gonzalez | Counselor | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2016-07-21 |
| 1184083214 | Lonese Ramsey | Counselor | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2016-02-17 |
| 1609255769 | James O'brien | Counselor | 850 E. Foothill Blvd., Rialto, CA 92376 | 2015-05-22 |
| 1770962052 | Andrew Peckich | Counselor | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2015-05-20 |
| 1912336835 | Raymond Cabot Radeka | Counselor | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2013-11-01 |
| 1659659290 | Tracy Evan Ward | Counselor | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2011-08-01 |
| Find all providers in RIALTO | ||||
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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.