KRISTEN NIAN LASTRA (NPI# 1235468836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235468836 |
| Entity Type | Individual |
| Full Name | KRISTEN NIAN LASTRA |
| Practice Address |
1300 Montecito Ave Apt 5 Mountain View CA 94043-4549 |
| Practice Telephone | 6503866118 |
| Mailing Telephone | 6503866118 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
1300 MONTECITO AVE APT 5 |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip Code | 94043-4549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498211 | Sally A Clark | Marriage & Family Therapist | 2462 Alvin St, Mountain View, CA 94043 | 2020-05-18 |
| 1114587953 | Jared Kyle Leaderman | Counselor | 421 N Shoreline Blvd, Suite 4, Mountain View, CA 94043 | 2019-06-14 |
| 1841779774 | Gilbert Gallahar | Technician | 312 Wescoat Ct, Mountain View, CA 94043 | 2018-08-10 |
| 1871085670 | Randeep Dhillon | Dentist | 65 Evandale Ave Apt B, Mountain View, CA 94043 | 2018-06-06 |
| 1013436724 | Allison N Smith | Pharmacist | 555 W. Middlefield Rd., D307, Mountain View, CA 94043 | 2017-09-13 |
| 1205350071 | Jacob Allan Hall | Audiologist | 295 Bernardo Ave, Mountain View, CA 94043 | 2017-08-02 |
| 1306144431 | Costco Wholesale | Pharmacist | 1000 N. Rengstorff Ave., Mt. View, CA 94043 | 2011-03-15 |
| 1871803155 | Ashley D Moffett | Marriage & Family Therapist | 2680 Bayshore Parkway, Suite 106, Mountain View, CA 94043 | 2010-10-20 |
| 1720205396 | Dalia Shiran | Psychologist | 2672 East Bayshore Pkwy, Suite 602, Mountain View, CA 94043 | 2007-04-18 |
| 1811033533 | Paul Gartlan | Registered Nurse | 501 Whisman Rd., Mountain View, CA 94043 | 2007-01-29 |
| Find all providers in zip 94043 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474204 | Whetstone Boys Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 6850 County Road 2660, Mountain View, MO 65548-8146 | 2020-10-15 |
| 1700245842 | Bill Wilson Center | Residential Treatment Facility, Emotionally Disturbed Children | 509 View St, Mountain View, CA 94041-2041 | 2016-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
| 1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
| 1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
| 1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 94043 |
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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.