KIMBERLY MATILDE QUINTANILLA (NPI# 1144601287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144601287 |
| Entity Type | Individual |
| Full Name | KIMBERLY MATILDE QUINTANILLA |
| Practice Address |
1126 N Grand Ave Ste.d Covina CA 91724-1551 |
| Practice Telephone | 6269671667 |
| Practice Fax Number | 6269676027 |
| Mailing Telephone | 6269671667 |
| Mailing Fax Number | 6269676027 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2016-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831447952 | Kimberly Lisbeth Quintanilla | Pediatrics | 8200 Wednesbury Ln Ste 485, Houston, TX 77074-2932 | 2012-08-21 |
| Street Address |
1126 N GRAND AVE STE.D |
| City | COVINA |
| State | CA |
| Zip Code | 91724-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316085046 | Michael Kevin Garrity | Marriage & Family Therapist | 1126 N Grand Ave, Ste D, Covina, CA 91724-1551 | 2007-02-02 |
| 1013555879 | Natasha Thompson I | Counselor | 1126 N Grand Ave, Covina, CA 91724-1551 | 2019-12-11 |
| 1891344990 | Timothy Harris | Case Manager/Care Coordinator | 1126 N Grand Ave, Covina, CA 91724-1551 | 2019-09-10 |
| 1083273254 | Abel Paul Lara | Student in an Organized Health Care Education/Training Program | 1126 N Grand Ave, Covina, CA 91724-1551 | 2019-06-11 |
| 1700445186 | Adilene Edith Alaniz | Counselor | 1126 N Grand Ave, Covina, CA 91724-1551 | 2019-06-10 |
| 1326604786 | Patricia Ramos | Case Manager/Care Coordinator | 1126 N Grand Ave, Covina, CA 91724-1551 | 2019-05-11 |
| 1740745991 | Christine Marie Elisabeth | Counselor | 1126 N Grand Ave, Covina, CA 91724-1551 | 2019-02-01 |
| 1750845533 | David Leonard Smith | Counselor | 1126 N Grand Ave, Covina, CA 91724-1551 | 2019-01-26 |
| 1124593991 | Luis Praxedis Lopez Hernandez | Case Manager/Care Coordinator | 1126 N Grand Ave, Covina, CA 91724-1551 | 2018-10-09 |
| 1609350552 | Mary Bernadette Sanchez | Case Manager/Care Coordinator | 1126 N Grand Ave, Covina, CA 91724-1551 | 2018-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902320922 | Kimberly Suzanne Manzanares-mora | Rehabilitation Practitioner | 1359 North Grand Avenue, Covina, CA 91724 | 2017-08-01 |
| 1689194680 | Cynthia Garcia | Counselor | 1359 N. Grand Ave., Covina, CA 91724 | 2017-06-21 |
| 1386191963 | West Covina Group Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1274 Center Court Dr, #208, Covina, CA 91724 | 2016-09-01 |
| 1184094781 | Veronica May Roberts | Licensed Vocational Nurse | 222 S. Wilson Ave, Covina, CA 91724 | 2015-09-25 |
| 1912216292 | Joan Mendoza | Social Worker | 1338 Center Court Dr Ste 107, Covina, CA 91724 | 2010-10-04 |
| 1548583602 | Lille-anne Nzeribe | Rehabilitation Practitioner | 1126 N. Grand Ave. Suite D, Covina, CA 91724 | 2010-03-03 |
| 1154534212 | Verna L Lewis | Marriage & Family Therapist | 420 South Grand Ave., Covina, CA 91724 | 2007-05-07 |
| 1093937310 | Heather Annn Pedevillano | Specialist/Technologist | 1805 E. Lomira Dr, Covina, CA 91724 | 2007-05-03 |
| 1669503579 | Maritza Mercedes Reyes | Rehabilitation Practitioner | 1411 N. Grand Ave., Covina, CA 91724 | 2007-03-09 |
| 1417014085 | Bernadette Luyun Guaring Bagay | Dentist | 984 E Badillo St, Suite E, Covina, CA 91724 | 2007-01-03 |
| Find all providers in zip 91724 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689194680 | Cynthia Garcia | Counselor | 1359 N. Grand Ave., Covina, CA 91724 | 2017-06-21 |
| 1851741136 | Olga Lydia Amador | Counselor | 1338 Center Court Dr Ste 105, Covina, CA 91724-3681 | 2016-06-16 |
| 1760836035 | Ruby Lewis | Counselor | 545 E Rue Royale St Apt 23, Covina, CA 91723-1745 | 2016-04-22 |
| 1811374267 | Anna Marie Hunter | Counselor | 1126 N. Grand Ave, Covina, CA 91724-1552 | 2015-05-05 |
| 1467570960 | Tyrone Antonio Rush | Counselor | 348 E Italia St, Covina, CA 91723-2203 | 2007-03-26 |
| 1750414033 | Vanessa Castillo Hernandez | Counselor | 535 S. 2nd Ave, Covina, CA 91761 | 2007-03-14 |
| 1366571861 | Lupe Manuela Gordon | Counselor | 510 S 2nd Ave, Suite 7, Covina, CA 91723-3017 | 2007-03-02 |
| 1184759813 | Remitha Latriss Houston | Counselor | 754 E Arrow Hwy Ste F, Covina, CA 91722-2107 | 2007-02-22 |
| 1003843111 | Alma F. Whitsitt | Counselor | 750 Terrado Plz Ste 215, Covina, CA 91723-3412 | 2006-06-26 |
| 1053918789 | Paloma Saldana | Counselor | 1359 N Grand Ave, Covina, CA 91724-1016 | 2020-10-06 |
| Find all providers in COVINA | ||||
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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.