BRIDGET CLEARY (NPI# 1053691790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053691790 |
| Entity Type | Individual |
| Full Name | BRIDGET CLEARY |
| Practice Address |
3401 Centre Lake Dr Ste 512 Ontario CA 91761-1201 |
| Mailing Address |
7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 |
| Practice Telephone | 9095660445 |
| Mailing Telephone | 6574005180 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
793145 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95000382 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 160 S 7th Ave, La Puente, CA 917463211 | 6269618971 |
| Street Address |
3401 CENTRE LAKE DR STE 512 |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699735191 | David Masao Hirota | Internal Medicine | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2006-03-27 |
| 1851876254 | Cherie Lyn Shoaf Soto | Nurse Practitioner | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2018-10-01 |
| 1932614203 | Ana Y. Lemus | Nurse Practitioner | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2017-12-08 |
| 1568977130 | Andrea Lynn Dunkel | Nurse Practitioner | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2017-12-05 |
| 1205282233 | Francesca Yarnall | Nurse Practitioner | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2016-05-09 |
| 1043688161 | Jenine Titus | Clinic/Center | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2015-09-04 |
| 1932583150 | Jazmyne Arteese Bosley | Registered Nurse | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2015-07-17 |
| 1497159818 | Kevin Bell | Physician Assistant | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2014-10-14 |
| 1396146882 | Ashley Diane Mccabe | Nurse Practitioner | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2014-09-16 |
| 1295152130 | Melissa Manion | Nurse Practitioner | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2014-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
| 1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
| 1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
| 1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
| 1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
| 1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
| 1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
| 1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
| Find all providers in zip 91761 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558620 | Amber Mechelle Berger | Nurse Practitioner | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2020-08-11 |
| 1568977130 | Andrea Lynn Dunkel | Nurse Practitioner | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2017-12-05 |
| 1588999007 | Four Rivers Healthcare Clinic | Nurse Practitioner | 932 W Idaho Ave Ste 100, Ontario, OR 97914-2155 | 2009-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
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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.