MS. PRISCILLA JEAN CONKRITE


Address: 790 East Bonita Avenue, Pomona, CA 91767-4744
Phone: 9096257207

MS. PRISCILLA JEAN CONKRITE (NPI# 1174799381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174799381
Entity Type Individual
Full Name MS. PRISCILLA JEAN CONKRITE
Practice Address 790 East Bonita Avenue
Pomona
CA 91767-4744
Practice Telephone 9096257207
Mailing Telephone 9096257207
Enumeration Date 2008-05-07
Last Update Date 2008-08-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 790 EAST BONITA AVENUE
City POMONA
State CA
Zip Code 91767-4744

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1083134373 Virginia Thompson Counselor 845 E. Arrow Hwy., Pomona, CA 91767 2017-06-27
1215489000 Boys Republic - Pomona Residence Community/Behavioral Health 733 N Garey Ave, Pomona, CA 91767 2016-10-27
1164870499 Karthikeyan Bhuvaneswaran Psychiatry & Neurology 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 2016-05-26
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Taxonomy Information

Taxonomy Code 225400000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Rehabilitation Practitioner

Taxonomy Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043772502 Angie Ann Sandoval Rehabilitation Practitioner 2008 N Garey Ave # 91767, Pomona, CA 91767-2722 2019-04-03
1902322696 Jorge Gamboa Rehabilitation Practitioner 1159 E Alvarado St, Pomona, CA 91767-5139 2017-08-15
1043550825 Richard Lee Hopkins IIi Rehabilitation Practitioner 1900 Royalty Dr Ste 280, Pomona, CA 91767-3009 2013-02-15
1336439488 Stephanie Serrano Rehabilitation Practitioner 1460 E. Holt Ave. Suite 180, Pomona, CA 91767 2011-04-11
1659660322 Laura Castaneda Rehabilitation Practitioner 1460 E Holt Ave Ste 180, Pomona, CA 91767-5853 2011-04-04
1679883094 Jeffrey John Sery Rehabilitation Practitioner 160 E Holt #b, Pomona, CA 91767 2010-10-19
1861702953 Evelyn Cortez Rehabilitation Practitioner 1460 E Holt Ave Ste 8, Pomona, CA 91767-5835 2010-10-07
1396871117 Manuel Ramirez Rehabilitation Practitioner 2030 Royalty Dr, Pomona, CA 91767-2838 2007-02-26
1487789103 Byron Aguirre Rehabilitation Practitioner 7 Hidden Valley Rd, Pomona, CA 91766-4797 2007-02-22
1932718566 Lizette Krystal Alvarez Rehabilitation Practitioner 1902 Royalty Dr Ste 240&260, Pomona, CA 91767-3030 2020-07-29
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Competitor

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City POMONA
Zip Code 91767

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Dataset Information

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.

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