EDMUND S BIENKOWSKI (NPI# 1255495297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255495297 |
| Entity Type | Individual |
| Full Name | EDMUND S BIENKOWSKI |
| Practice Address |
12440 Firestone Blvd Ste 3020 Norwalk CA 90650-9328 |
| Mailing Address |
31460 Congressional Dr Temecula CA 92591-6986 |
| Practice Telephone | 5628647821 |
| Practice Fax Number | 5628647864 |
| Mailing Telephone | 5628647821 |
| Mailing Fax Number | 5628647864 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY12572 | CA | Behavioral Health & Social Service Providers |
| Street Address |
12440 FIRESTONE BLVD STE 3020 |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-9328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063576098 | Jackie Jackson | Specialist | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2006-12-21 |
| 1881201499 | Amberlynne Dickens | Social Worker | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-09-28 |
| 1811503220 | Kimberly Pacheco | Case Manager/Care Coordinator | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-09-21 |
| 1205441805 | Varsha Kumar | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-09-10 |
| 1215542824 | Jana Elrabaa | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-09-10 |
| 1881208759 | Monica Esmeralda Garcia | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-09-08 |
| 1982215463 | Mackenzie Watkins | Case Manager/Care Coordinator | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-08-10 |
| 1235740713 | Sergio I Osorio | Case Manager/Care Coordinator | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-08-10 |
| 1881212173 | Joselyn Isabel Beltran | Case Manager/Care Coordinator | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-07-13 |
| 1871110379 | Veronica Lizett Soni | Licensed Psychiatric Technician | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1619514619 | Marcella C Avina | Psychologist | 11401 Bloomfield Ave Ofc C&p, Norwalk, CA 90650-2015 | 2019-12-09 |
| 1013460252 | Erin Kleifield | Psychologist | 25 Mark Dr, Norwalk, CT 06851-3133 | 2016-07-23 |
| 1336578087 | Sasha Carr | Psychologist | 114 Perry Ave, Norwalk, CT 06850-1208 | 2013-11-04 |
| 1386944734 | Joel Jonathan Baum | Psychologist | 248 Silvermine Ave, Norwalk, CT 06850-1608 | 2010-11-01 |
| 1114255072 | Masao Tsuru | Psychologist | 12440 E Imperial Hwy., Suite 116, Norwalk, CA 90650 | 2009-12-03 |
| 1124269246 | Maritza Baez | Psychologist | 12643 Rexton St, Norwalk, CA 90650-4459 | 2009-03-19 |
| 1558555862 | Shivani Girish Patel Escamilla | Psychologist | 12440 E. Firestone Blvd., Ste 3010, Norwalk, CA 90650-9331 | 2007-08-29 |
| 1659303675 | Kaneeza Lafir | Psychologist | 12006 Rosecrans Ave, Norwalk, CA 90650-4119 | 2006-07-07 |
| 1073138368 | Kiera Himsl | Psychologist | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 | 2020-06-11 |
| Find all providers in NORWALK | ||||
Please comment or provide details below to improve the information on EDMUND S BIENKOWSKI.
| 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.