AZUSA PACIFIC UNIVERSITY (NPI# 1104002146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104002146 |
| Entity Type | Organization |
| Organization Name | AZUSA PACIFIC UNIVERSITY |
| Practice Address |
918 E Alosta Ave Azusa CA 91702-2709 |
| Mailing Address |
901 E Alosta Ave Azusa CA 91702-2701 |
| Practice Telephone | 6268155421 |
| Mailing Telephone | 6268155421 |
| Mailing Fax Number | 6268155015 |
| Enumeration Date | 2008-01-19 |
| Last Update Date | 2008-01-19 |
| Authorized Official Name | DR. MARK DICKERSON (VICE PRESIDENT) |
| Authorized Official Telephone | 6263875763 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437408895 | Azusa Pacific University | Specialist | 901 E Alosta Ave, Azusa, CA 91702-2701 | 2012-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | AZUSA PACIFIC UNIVERSITY | 901 E Alosta Ave, Azusa, CA 91702-2701 |
| Massachusetts Corporations | AZUSA PACIFIC UNIVERSITY | 901 E. Alosta Ave., Azusa, CA 91702 |
| Street Address |
918 E ALOSTA AVE |
| City | AZUSA |
| State | CA |
| Zip Code | 91702-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790311041 | Amy Van Mcmichael | Marriage & Family Therapist | 918 E Alosta Ave, Azusa, CA 91702-2709 | 2020-03-18 |
| 1053690586 | Christina Kabiri | Rehabilitation Practitioner | 918 E Alosta Ave, Azusa, CA 91702-2709 | 2011-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345341 | Rosaura Contreras | Nutritionist | 109 West 6th Street, Azusa, CA 91702 | 2018-05-07 |
| 1093224396 | Beatriz Leyva Torres | Nurse Practitioner | 237 S. Vernon Ave, Azusa, CA 91702 | 2017-09-29 |
| 1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
| 1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
| 1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
| 1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
| 1467850693 | Juana Gaeta | Speech-Language Pathologist | 1016 E Ghent St, Azusa, CA 91702 | 2014-12-22 |
| 1649674508 | Colleen Anne Montz | Nurse Practitioner | 901 E. Alosta Ave., Student Health Center, Azusa, CA 91702 | 2014-10-21 |
| 1285061390 | Patrick Ryan Bergeron | Physical Therapist | 900 W Sierra Madre Avenue, #33, Azusa, CA 91702 | 2013-10-03 |
| 1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
| Find all providers in zip 91702 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366953994 | Mckinley Children's Center, Inc. | Community/Behavioral Health | 340 W 5th St, Azusa, CA 91702-2912 | 2017-10-23 |
| 1821509563 | Mckinley Children's Center, Inc. | Community/Behavioral Health | 151 N Fenimore Ave, Azusa, CA 91702-3921 | 2017-10-20 |
| 1518299239 | Center for Integrated Family and Health Services | Community/Behavioral Health | 5355 N Enid Ave, Unit D, Azusa, CA 91702 | 2010-02-05 |
| 1033307160 | Pacific Clinics | Community/Behavioral Health | 240 N Cerritos Ave, Azusa, CA 91702-3733 | 2007-10-15 |
| 1821126939 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2007-03-01 |
| 1376054999 | Mckinley Children's Center, Inc. | Community/Behavioral Health | 240 N Cerritos Ave, Azusa, CA 91702-3733 | 2017-10-23 |
| 1124342845 | California Pediatric & Family Services, Inc. | Community/Behavioral Health | 326 E Foothill Blvd, Azusa, CA 91702-2515 | 2010-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.