DOLORES JAZMIN RIVERA (NPI# 1104466929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104466929 |
Entity Type | Individual |
Full Name | DOLORES JAZMIN RIVERA |
Practice Address |
47915 Oasis St Indio CA 92201-6950 |
Mailing Address |
88-455 Ave. 57th Space 4 Thermal CA 92274 |
Practice Telephone | 7608638600 |
Mailing Telephone | 4422008922 |
Enumeration Date | 2020-01-09 |
Last Update Date | 2020-01-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 273R00000X | Psychiatric Unit | Hospital Units | ||
Y | 175T00000X | Peer Specialist | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 93773825D | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
47915 Oasis St, Indio, CA 922016950 | 7608638650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538299573 | Dolores Margarita Rivera | Pharmacy Technician | Urb.el Plantio, Calle Bucare A-37b, Toa Baja, PR 00949 | 2007-03-07 |
1477893550 | Dolores Rivera | Counselor | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2013-02-26 |
Street Address |
47915 OASIS ST |
City | INDIO |
State | CA |
Zip Code | 92201-6950 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033212139 | Suzanne Lucretia Garrison | Social Worker | 47915 Oasis St, Indio, CA 92201-6950 | 2006-09-06 |
1942800164 | Isaiah Hubbard | Counselor | 47915 Oasis St, Indio, CA 92201-6950 | 2020-10-27 |
1609475177 | Clarev Jade Torres | Specialist | 47915 Oasis St, Indio, CA 92201-6950 | 2020-10-25 |
1447868146 | Maila Tolentino Patubo | Registered Nurse | 47915 Oasis St, Indio, CA 92201-6950 | 2020-07-20 |
1124654298 | Tiffany Hamm | Psychiatric Unit | 47915 Oasis St, Indio, CA 92201-6950 | 2020-03-20 |
1356976716 | Monica Clark | Licensed Vocational Nurse | 47915 Oasis St, Indio, CA 92201-6950 | 2020-03-05 |
1114552775 | Dave Charles Pearson | Social Worker | 47915 Oasis St, Indio, CA 92201-6950 | 2020-03-04 |
1699309765 | Yarabhi Guadalupe Arce | Case Manager/Care Coordinator | 47915 Oasis St, Indio, CA 92201-6950 | 2020-02-27 |
1457983991 | Milagros Kojo | Licensed Vocational Nurse | 47915 Oasis St, Indio, CA 92201-6950 | 2020-02-11 |
1477183929 | Brianna Nicole Limongelli | Specialist | 47915 Oasis St, Indio, CA 92201-6950 | 2020-01-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
Find all providers in zip 92201 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245831460 | Natalie N Vale I | Peer Specialist | 82485 Miles Ave, Indio, CA 92201-4249 | 2020-11-04 |
1497360192 | Mara Moreno | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2020-09-10 |
1710512793 | Anel N Diaz | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2020-03-10 |
1013555218 | Cariza Amellia Rivera | Peer Specialist | 47915 Oasis St, Indio, CA 92201-6950 | 2019-12-18 |
1114565819 | Julieta Verdugo | Peer Specialist | 82380 Miles Ave, Indio, CA 92201-2608 | 2019-12-13 |
1598303190 | Nancy Azua Montal I | Peer Specialist | 82380 Miles Ave, Indio, CA 92201-2608 | 2019-12-13 |
1598301392 | Christina Saldivar | Peer Specialist | 47915 Oasis St Ste C, Indio, CA 92201-6950 | 2019-11-27 |
1174169148 | Rob James Lara | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-11-25 |
1083259667 | Veronica Alvarez | Peer Specialist | 82485 Miles Ave, Indio, CA 92201-4249 | 2019-11-07 |
1598309148 | Regina Wright | Peer Specialist | 82485 Miles Ave, Indio, CA 92201-4249 | 2019-11-06 |
Find all providers in INDIO |
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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.