IAN SEABOLT (NPI# 1104274422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104274422 |
| Entity Type | Individual |
| Full Name | IAN SEABOLT |
| Practice Address |
7939 Oxford Ave Hesperia CA 92345-7037 |
| Practice Telephone | 7606483308 |
| Mailing Telephone | 7606483308 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 101YA0400X | 05 |
| Street Address |
7939 OXFORD AVE |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-7037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851925788 | Kevin Buchanan | Counselor | 16621 Mesa St, Hesperia, CA 92345-2138 | 2020-03-01 |
| 1104310424 | Richard J Morrell | Counselor | 11776 Mariposa Rd Ste 101, Hesperia, CA 92345-1622 | 2018-06-20 |
| 1407118110 | Tarence R Mann | Counselor | 11776 Mariposa Rd # 103, Hesperia, CA 92345-1622 | 2012-06-10 |
| 1184886756 | Randall Leo Burden | Counselor | 10662 Maple Ave, Hesperia, CA 92345-2436 | 2008-06-25 |
| 1962554634 | Norman Lani Roberts | Counselor | 11959 Mariposa Rd, Hesperia, CA 92345-1637 | 2007-01-16 |
| 1740331776 | Sabrina Marie Vigil | Counselor | 11959 Mariposa Rd., Hesperia, CA 92345 | 2007-01-16 |
| 1073114658 | Edward Allen Palmer | Counselor | 11776 Mariposa Rd, Hesperia, CA 92345-1622 | 2020-11-02 |
| 1790302859 | Briel La Nae Garcia Cupp | Counselor | 11776 Mariposa Rd, Hesperia, CA 92345-1622 | 2020-07-06 |
| 1932723442 | Marissa Lynn Paz | Counselor | 11776 Mariposa Rd # 103, Hesperia, CA 92345-1622 | 2020-05-31 |
| 1780215335 | Jacqueline Gentry | Counselor | 11776 Mariposa Rd, Hesperia, CA 92345-1622 | 2020-02-03 |
| Find all providers in HESPERIA | ||||
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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.