COLLINS BOAMPONG (NPI# 1225449622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225449622 |
Entity Type | Individual |
Full Name | COLLINS BOAMPONG |
Practice Address |
10935 Terra Vista Pkwy Apt 244 Rancho Cucamonga CA 91730-6360 |
Mailing Address |
1805 Medical Center Dr San Bernardino CA 92411-1217 |
Practice Telephone | 9099443205 |
Mailing Telephone | 9098876333 |
Enumeration Date | 2014-05-19 |
Last Update Date | 2020-10-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP950000655 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10935 TERRA VISTA PKWY APT 244 |
City | RANCHO CUCAMONGA |
State | CA |
Zip Code | 91730-6360 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
Find all providers in zip 91730 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518571462 | Jessica Annaheim | Nurse Practitioner | 11049 Cedar Creek Dr, Rancho Cucamonga, CA 91737-7855 | 2020-09-08 |
1407312242 | Ryan Briggs | Nurse Practitioner | 9660 Haven Ave Ste 203, Rancho Cucamonga, CA 91730-5896 | 2019-02-18 |
1801365713 | Jennifer Ann Ordonio | Nurse Practitioner | 7365 Carnelian St Ste 130, Rancho Cucamonga, CA 91730-1100 | 2018-11-20 |
1205311875 | Jocelyn Arranaga | Nurse Practitioner | 7903 Elm Ave Apt 37, Rancho Cucamonga, CA 91730-6868 | 2018-09-30 |
1154801140 | Paulyn Gapay Harris | Nurse Practitioner | 10400 Arrow Rte Apt V10, Rancho Cucamonga, CA 91730-4782 | 2018-08-19 |
1093208316 | Randi Celeste Edwards | Nurse Practitioner | 8237 Rochester Ave Ste 110, Rancho Cucamonga, CA 91730-0717 | 2018-06-12 |
1770090128 | Jonathan Gene Lee | Nurse Practitioner | 8692 9th St Unit 24, Rancho Cucamonga, CA 91730-0809 | 2018-01-08 |
1144769753 | R Chenise Cole | Nurse Practitioner | 11232 Terra Vista Pkwy Apt 91, Rancho Cucamonga, CA 91730-6769 | 2017-02-15 |
1750738613 | Rms Cherubim Health Care Services, Inc | Nurse Practitioner | 8350 Archibald Ave Ste 230, Rancho Cucamonga, CA 91730-3672 | 2016-05-20 |
1336502582 | Krisolito Mones Labarda | Nurse Practitioner | 6299 Filly Ct, Rancho Cucamonga, CA 91739-9590 | 2016-04-04 |
Find all providers in RANCHO CUCAMONGA |
City | RANCHO CUCAMONGA |
Zip Code | 91730 |
Please comment or provide details below to improve the information on COLLINS BOAMPONG.
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.