JAKOB MCCARTHY (NPI# 1114532827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114532827 |
| Entity Type | Individual |
| Full Name | JAKOB MCCARTHY |
| Practice Address |
11951 Hesperia Rd Hesperia CA 92345-1855 |
| Practice Telephone | 7609562434 |
| Mailing Telephone | 7609562434 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
11951 HESPERIA RD |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265579023 | Cynthia Anne Harvey | Marriage & Family Therapist | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2007-01-31 |
| 1730701905 | Re'vin Slack | Marriage & Family Therapist | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2020-05-11 |
| 1346878931 | Vanessa Evette Stone | Social Worker | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2020-03-30 |
| 1962972331 | Miya Edwards | Counselor | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2018-11-28 |
| 1568938694 | Kelly Hake | Marriage & Family Therapist | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2018-10-16 |
| 1750865002 | Triniece Nicole Simpson | Marriage & Family Therapist | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2018-09-23 |
| 1104311497 | Estela Silva | Case Manager/Care Coordinator | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2018-06-28 |
| 1407343452 | Shanice K Lockhart | Case Manager/Care Coordinator | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2018-04-16 |
| 1649777624 | Pammeli Carlos | Counselor | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2018-04-06 |
| 1548763956 | Linda Alcala | Marriage & Family Therapist | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2018-03-12 |
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| 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 | 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 |
|---|---|---|---|---|
| 1386267169 | Patricia Unia Daniels | Student in an Organized Health Care Education/Training Program | 16501 Walnut St Ste 12, Hesperia, CA 92345-3684 | 2020-05-27 |
| 1578077186 | Alexandra Lopez | Student in an Organized Health Care Education/Training Program | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2017-11-20 |
| 1659892073 | Jessica Cazares Armenta | Student in an Organized Health Care Education/Training Program | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2017-07-06 |
| 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.