PROTOTYPES (NPI# 1245867241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245867241 |
| Entity Type | Organization |
| Organization Name | PROTOTYPES |
| Practice Address |
831 E Arrow Hwy Pomona CA 91767-2535 |
| Practice Telephone | 9096241233 |
| Mailing Telephone | 9096241233 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Authorized Official Name | DULCE MARIA GONZALEZ (COUNSELOR/ADDICTION (SUBSTANCEUSE)) |
| Authorized Official Telephone | 9096241233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457797540 | Prototypes | Case Management | 2555 E Colorado Blvd # 100, Pasadena, CA 91107-6622 | 2013-05-15 |
| 1659654986 | Prototypes | Licensed Vocational Nurse | 2555 E. Colorado Blvd, Suite 100-101, Pasadena, CA 91107 | 2011-09-22 |
| 1750587507 | Prototypes | Substance Abuse Rehabilitation Facility | 3755 Valle Vista Dr, Chino Hills, CA 91709-2943 | 2007-06-26 |
| 1265069355 | Prototypes | Counselor | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-03-26 |
| 1164801643 | Prototypes | Case Management | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2015-05-29 |
| 1568891612 | Prototypes | Exclusive Provider Organization | 2555 E Colorado Blvd, Suite 100-101, Pasadena, CA 91107-6622 | 2013-11-08 |
| 1336571280 | Prototypes | Community/Behavioral Health | 2555 E Colorado Blvd, Ste.100, Pasadena, CA 91107-6622 | 2013-08-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PROTOTYPES, INC. | Pike Tower 520 Pike St # 2600, Seattle, WA 98101-4001 |
| Street Address |
831 E ARROW HWY |
| City | POMONA |
| State | CA |
| Zip Code | 91767-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228396 | Heather Miller Kurera | Psychiatry & Neurology | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2005-07-12 |
| 1730789835 | Lareen Gutierrez | Case Manager/Care Coordinator | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-10-28 |
| 1992312060 | Steven Shingo Berry | Counselor | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-09-23 |
| 1457967663 | Brenda Janette Avalos | Specialist | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-09-22 |
| 1528674322 | Brittany N Rodriguez | Licensed Vocational Nurse | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-09-17 |
| 1235743873 | Vanessa Serrato | Social Worker | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-09-01 |
| 1174144000 | Melissa Kiersten Bergstrom | Community/Behavioral Health | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-05-01 |
| 1811518046 | Iris Alexcia Vanegas | Community/Behavioral Health | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-04-28 |
| 1619506029 | Evanne Bree Jackson | Counselor | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-04-07 |
| 1982233540 | Dulce Maria Gonzalez | Counselor | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 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 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519034 | Nancy Maritza Trujillo | Counselor | 150 W Foothill Blvd Apt 20d, Pomona, CA 91767-1169 | 2020-08-19 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1427690338 | Sharon Beatrice Moreno | Counselor | 2180 Valley Bvld, Pomona, CA 91768 | 2019-10-11 |
| 1962988311 | Marissa Katrina Vasquez | Counselor | 1812 Fleming St, Pomona, CA 91766-1027 | 2018-07-18 |
| 1710492087 | Freddie Lee Dominguez | Counselor | 2180 W Vally Blvd, Pomona, CA 91768 | 2017-12-08 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1508386806 | Emily Rose Marlen | Counselor | 845 E. Arrow Highway, Pomona, CA 91739 | 2017-06-27 |
| 1154851913 | Maria Concepcion Galvez | Counselor | 2180 W Valley Blvd, Pomona, CA 91768 | 2017-06-14 |
| 1487196721 | Artimus Jenkins | Counselor | 404 N Gibbs St, Pomona, CA 91767-5416 | 2016-11-16 |
| 1629434162 | Ann Marie Lara | Counselor | 629 W 8th St, Pomona, CA 91766-3013 | 2016-01-13 |
| Find all providers in POMONA | ||||
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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.