BLAIR PAEZ (NPI# 1063057099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063057099 |
| Entity Type | Individual |
| Full Name | BLAIR PAEZ |
| Credential | AMFT |
| Practice Address |
2008 N Garey Ave Pomona CA 91767-2722 |
| Practice Telephone | 9096236131 |
| Practice Fax Number | 9098659281 |
| Mailing Telephone | 9096236131 |
| Mailing Fax Number | 9098659281 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 115378 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2008 N GAREY AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91767-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396796058 | Wayne Edison Houpt Jr. | Psychiatry & Neurology | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2006-05-15 |
| 1508470071 | Melissa Banuelos | Student in an Organized Health Care Education/Training Program | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-09-02 |
| 1144834631 | Elizabeth Cristina Maciel | Student in an Organized Health Care Education/Training Program | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-09-02 |
| 1932713344 | Sara Ann Rodriguez | Student in an Organized Health Care Education/Training Program | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-09-02 |
| 1427662048 | David Marin | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-09-01 |
| 1194337956 | Stephanie Diana Vega | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-08-21 |
| 1205445830 | Marlen De La Torre | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-07-29 |
| 1093354672 | Amanda Roman | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-12-31 |
| 1538703285 | Geanene Gordon | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-11-05 |
| 1578107843 | Elsa Prewett | Rehabilitation Practitioner | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396366928 | Natasha Jones | Marriage & Family Therapist | 1460 E Holt Ave Ste 182, Pomona, CA 91767-5853 | 2020-05-05 |
| 1669037651 | Megan Sara Bowling | Marriage & Family Therapist | 851 S Hamilton Blvd, Pomona, CA 91766-2826 | 2019-05-05 |
| 1386006864 | Evelyn Benitez | Marriage & Family Therapist | 1023 Groff St, Pomona, CA 91768 | 2016-03-24 |
| 1790163194 | Teresa Sanchez | Marriage & Family Therapist | 2143 N Towne Ave Apt 1, Pomona, CA 91767-2437 | 2015-05-18 |
| 1568859668 | Jane Anulika Akponye | Marriage & Family Therapist | 1761 W Holt Ave, Pomona, CA 91768-3315 | 2015-04-16 |
| 1841531258 | Julie Diana Figueroa | Marriage & Family Therapist | 2049 Yorba Dr, Pomona, CA 91768 | 2013-03-10 |
| 1336437219 | Dawn M Wisniewski | Marriage & Family Therapist | 158 Gentry St, Pomona, CA 91767-2100 | 2011-07-13 |
| 1679888275 | Noemi Diaz Corral | Marriage & Family Therapist | 790 E. Bonita Ave, Pomona, CA 91767 | 2010-08-09 |
| 1952546897 | Danielle Nicole Anderson | Marriage & Family Therapist | 2471 Valhalla St, Pomona, CA 91767-2583 | 2008-12-05 |
| 1104080340 | Jennifer Anne Brehme | Marriage & Family Therapist | 363 S Park Ave, Pomona, CA 91766-1560 | 2008-07-16 |
| Find all providers in POMONA | ||||
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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.