MR. KENT BARTKOWSKI (NPI# 1144554742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144554742 |
| Entity Type | Individual |
| Full Name | MR. KENT BARTKOWSKI |
| Credential | RAS |
| Practice Address |
6763 Diamond Dr Pollock Pines CA 95726-9511 |
| Practice Telephone | 5306441808 |
| Mailing Telephone | 5306441808 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | RI-B0906291714 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | REGISTERED ADDICTION SPECIALIST | RI-B0906291714 | 01 |
| Street Address |
6763 DIAMOND DR |
| City | POLLOCK PINES |
| State | CA |
| Zip Code | 95726-9511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932395670 | James Louis Dawson | Dentist | 6387 Pony Express Trail, Pollock Pines, CA 95726 | 2007-09-17 |
| 1699899708 | Robert John Stadelhofer | Specialist | 5494 Pony Express Trail, Pollock Pines, CA 95726 | 2007-03-16 |
| 1932295714 | Joseph Cree Taylor | Specialist | 3942 Pearl Road, Pollock Pines, CA 95726 | 2006-10-05 |
| 1952406878 | Michael D Aveni | Chiropractor | 6023 Pony Express Tr, Pollock Pines, CA 95726 | 2006-09-14 |
| 1922667997 | Kathleen Trosper | Counselor | 5494 Pony Express Trail, Pollock Pines, CA 95726 | 2019-06-12 |
| 1396243606 | Alesha Hamm | Counselor | 5494 Pony Express Tr, Pollock Pines, CA 95726 | 2018-02-01 |
| 1952809253 | Lauren Baasch | Counselor | 5494 Pony Express Tr, Pollock Pines, CA 95726 | 2018-02-01 |
| 1659729887 | Debbie Salvino | Counselor | 5494 Pony Express Trail, Pollock Pines, CA 95726 | 2016-05-27 |
| 1831503929 | Russ C Mcdowell Sr. | Specialist | 5494 Pony Express Trail, Pollock Pines, CA 95726 | 2014-06-17 |
| 1023421252 | Christi Mateen | Specialist | 5494 Pony Express Trail, Pollock Pines, CA 95726 | 2014-06-05 |
| Find all providers in zip 95726 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699899708 | Robert John Stadelhofer | Specialist | 5494 Pony Express Trail, Pollock Pines, CA 95726 | 2007-03-16 |
| 1932295714 | Joseph Cree Taylor | Specialist | 3942 Pearl Road, Pollock Pines, CA 95726 | 2006-10-05 |
| 1831503929 | Russ C Mcdowell Sr. | Specialist | 5494 Pony Express Trail, Pollock Pines, CA 95726 | 2014-06-17 |
| 1023421252 | Christi Mateen | Specialist | 5494 Pony Express Trail, Pollock Pines, CA 95726 | 2014-06-05 |
| 1255465530 | Theresa Joanne Russell | Specialist | 5494 Pony Express Trail, Pollock Pines, CA 95726 | 2007-03-16 |
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|---|---|---|---|---|
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| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | POLLOCK PINES |
| Zip Code | 95726 |
Please comment or provide details below to improve the information on MR. KENT BARTKOWSKI.
| 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.