CALVIN MITCHELL BOBBITT HOM (NPI# 1114426319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114426319 |
| Entity Type | Individual |
| Full Name | CALVIN MITCHELL BOBBITT HOM |
| Practice Address |
25909 Moreno Dr Valencia CA 91355-2112 |
| Practice Telephone | 6617558831 |
| Enumeration Date | 2018-02-03 |
| Last Update Date | 2018-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Street Address |
25909 MORENO DR |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092328 | Ariana Escala | Student in an Organized Health Care Education/Training Program | 28198 Angelica Pl, Valencia, CA 91354-1499 | 2020-01-21 |
| 1417415712 | Mckenzie Marie Neal | Student in an Organized Health Care Education/Training Program | 28520 Farrier Dr, Valencia, CA 91354-4502 | 2019-03-05 |
| 1821585373 | Irina Zuyeva-quiros | Student in an Organized Health Care Education/Training Program | 23929 Lakeside Rd, Valencia, CA 91355-1605 | 2018-04-19 |
| 1730574815 | Katherine Reyes | Student in an Organized Health Care Education/Training Program | 26466 Valley Oak Ln, Valencia, CA 91381-0743 | 2015-04-05 |
| 1811223787 | Johanna T. Hays | Student in an Organized Health Care Education/Training Program | 27201 Tourney Road, Suite 225, Valencia, CA 91355 | 2009-10-27 |
| 1871928036 | Christina Michelle Cummings | Student in an Organized Health Care Education/Training Program | 23501 Cinema Dr, Ste. 210, Valencia, CA 91355-5428 | 2013-09-06 |
| 1144653593 | Megan Stevens | Student in an Organized Health Care Education/Training Program | 28245 Avenue Crocker, Ste 220, Valencia, CA 91355-0940 | 2013-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
| 1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
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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.