ROBERTO C PALACIOS (NPI# 1164082160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164082160 |
| Entity Type | Individual |
| Full Name | ROBERTO C PALACIOS |
| Practice Address |
13682 Yorba St Tustin CA 92780-1831 |
| Mailing Address |
6412 Bollenbacher Dr Pico Rivera CA 90660-3445 |
| Practice Telephone | 7147305399 |
| Practice Fax Number | 7147303505 |
| Mailing Telephone | 7177305399 |
| Mailing Fax Number | 7147303505 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
13682 YORBA ST |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801456975 | Crystal Lea Vargas | Counselor | 13682 Yorba St, Tustin, CA 92780-1831 | 2019-06-19 |
| 1093316036 | Sean Martin Avila | Licensed Vocational Nurse | 13682 Yorba St, Tustin, CA 92780-1831 | 2020-11-05 |
| 1326648288 | Michelle Veronica Cole | Licensed Vocational Nurse | 13682 Yorba St, Tustin, CA 92780-1831 | 2020-10-29 |
| 1770181604 | Lietta Diana Brutsche | Counselor | 13682 Yorba St, Tustin, CA 92780-1831 | 2020-10-13 |
| 1205445665 | Oumaima Shilleh | Licensed Psychiatric Technician | 13682 Yorba St, Tustin, CA 92780-1831 | 2020-07-30 |
| 1538718044 | Roberto Hernandez | Counselor | 13682 Yorba St, Tustin, CA 92780-1831 | 2019-09-06 |
| 1568017978 | Jose Gulick | Licensed Vocational Nurse | 13682 Yorba St, Tustin, CA 92780-1831 | 2019-08-03 |
| 1841851854 | Montana Dellinger | Counselor | 13682 Yorba St, Tustin, CA 92780-1831 | 2019-06-21 |
| 1104486109 | Juliet Macias | Counselor | 13682 Yorba St, Tustin, CA 92780-1831 | 2019-06-20 |
| 1942860010 | Tami Campbell | Counselor | 13682 Yorba St, Tustin, CA 92780-1831 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760962864 | Lynn Marie Farrell | Counselor | 14181 Yorba St, Tustin, CA 92780-2054 | 2018-08-17 |
| 1053847111 | Kylie Jean Kellas Cline | Counselor | 242 W Main St Ste 200i, Tustin, CA 92780-7742 | 2017-05-11 |
| 1326424797 | Sean Plummer | Counselor | 18302 Irvine Blvd. Suite 300, Tustin, CA 92780-3437 | 2015-08-07 |
| 1043635188 | Rannia Brown | Counselor | 15405 Lansdowne Rd Ste C, Tustin, CA 92782-0201 | 2014-02-26 |
| 1609211978 | Rochelle M Weiser | Counselor | 12630 Stanton Ave, Tustin, CA 92782-1027 | 2013-05-01 |
| 1831404557 | Megan Louise Ressel | Counselor | 17821 17th St, Ste 260, Tustin, CA 92780-2136 | 2010-08-18 |
| 1124266085 | Stacie Lynn Aragon | Counselor | 1 Hope Dr., Tustin, CA 92782 | 2009-01-30 |
| 1245426048 | Jennifer Lazarraga Del Mundo | Counselor | 17621 Irvine Blvd Ste 216, Tustin, CA 92780-3131 | 2007-09-14 |
| 1962537597 | Jose E. Garcia | Counselor | 18302 Irvine Blvd Ste 300, Tustin, CA 92780-3437 | 2007-02-22 |
| 1164563490 | Daniel Mejia | Counselor | 18302 Irvine Blvd, Suite 300, Tustin, CA 92780 | 2007-02-09 |
| Find all providers in TUSTIN | ||||
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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.