JENNIFER LYNN MALONE


Address: 14677 Merrall Ave, Fontana, CA 92335
Phone: 9516432340

JENNIFER LYNN MALONE (NPI# 1275199770) 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) 1275199770
Entity Type Individual
Full Name JENNIFER LYNN MALONE
Practice Address 14677 Merrall Ave
Fontana
CA 92335
Mailing Address 9828 Yucaipa Ridge Rd
Yucaipa
CA 92399-2971
Practice Telephone 9516432340
Mailing Telephone 9095216845
Enumeration Date 2019-05-10
Last Update Date 2019-05-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers JENNIFER MALONE

NPI Name Taxonomy Address Enumeration
1992357339 Jennifer E Malone Counselor 1328 Williamsburg Rd, Flint, MI 48507-5628 2019-07-16
1841852720 Jennifer Malone Physical Therapist 127 Cambridge St, Burlington, MA 01803-3773 2019-07-01
1992979975 Jennifer Malone Physical Therapist 4400 S Western Ave, Oklahoma City, OK 73109-3414 2008-04-21
1609946045 Jennifer L Malone Speech-Language Pathologist 4160 Il Route 83, Suite 101, Long Grove, IL 60047-5083 2006-11-09
1790285955 Jennifer Jean Malone Behavioral Analyst 835 Bloomfield Ave, Windsor, CT 06095-2363 2018-02-14
1245604750 Jennifer Kay Malone Registered Nurse 429 Manor Dr, Suite 10, Ebensburg, PA 15931-4917 2015-11-20
1992192306 Jennifer Malone Social Worker 700 Brooksedge Blvd, Westerville, OH 43081-2820 2015-04-23
1225443070 Jennifer Kyra Kobayashi Malone Student in an Organized Health Care Education/Training Program 11240 Waples Mill Rd, Suite 202, Fairfax, VA 22030-6078 2014-06-30
1629483045 Jennifer Malone Marriage & Family Therapist 150 Nellen Ave Ste 100, Corte Madera, CA 94925-1197 2014-06-24
1346663697 Jennifer Malone Marriage & Family Therapist 5036 Sunrey Rd, Placerville, CA 95667-9529 2014-01-22

Office Location

Street Address 14677 MERRALL AVE
City FONTANA
State CA
Zip Code 92335

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104425131 Hossein Malakooti A Dental Corporation Clinic/Center 16540 Merrill Ave, Fontana, CA 92335 2020-10-21
1790312791 Trevor Nguyen Student in an Organized Health Care Education/Training Program 17234 Valley Blvd, Building A, Fontana, CA 92335 2020-03-27
1184251365 Benjamin Chang Student in an Organized Health Care Education/Training Program 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 2020-03-26
1407487309 Perla Hernandez Licensed Vocational Nurse 14677 Merrill Aver, Fontana, CA 92335 2020-01-29
1013552660 Valencia Malone Licensed Vocational Nurse 14677 Merrill, Fontana, CA 92335 2019-11-07
1831749779 Daniel Eric Wright Student in an Organized Health Care Education/Training Program 14677 Merrell Ave., Fontana, CA 92335 2019-09-12
1962069815 Melissa Rivera Licensed Vocational Nurse 15217 San Bernardino Ave., Fontana, CA 92335 2019-05-28
1770147894 Noelle Chong Registered Nurse 14677 Merill Ave, Fontana, CA 92335 2019-04-24
1992261929 Destiny Alzate Counselor 1467 Merrill Ave, Fontana, CA 92335 2019-02-14
1316411911 Jared Willhide-james Counselor 14677 Merill Ave., Fontana, CA 92335 2019-01-16
Find all providers in zip 92335

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649749169 Ian Schultheiss Peer Specialist 14677 Merril Avenue, Fontana, CA 92335 2018-11-14
1801409081 Terence Smith Peer Specialist 14677 Merrill Ave, Fontana, CA 92335-4219 2020-08-26
1922619493 Ryan Jones Peer Specialist 14677 Merrill Ave, Fontana, CA 92335-4219 2020-08-10
1801412069 Alana Guatimea Leary Peer Specialist 14677 Merrill Ave, Fontana, CA 92335-4219 2020-06-23
1386270270 Michael Scott Mattice Peer Specialist 14677 Merrill Ave, Fontana, CA 92335-4219 2020-03-23
1043855059 Maria Lourdes Avila Peer Specialist 17053 Foothill Blvd, Fontana, CA 92335-3574 2019-11-13
1518502525 Gregory None Nyx Peer Specialist 17053 Foothill Blvd, Fontana, CA 92335-3574 2019-11-13
1164065041 John Edward Prater Sr. Peer Specialist 14677 Merrill Av., Fontana, CA 92335 2019-10-23
1104486471 Tanisha Sharee Blaze Peer Specialist 14677 Merrill Ave, Fontana, CA 92335 2019-06-18
1245898220 Francine Prieto-estrada Peer Specialist 14677 Merrill Ave., Fontana, CA 92335 2019-06-04
Find all providers in FONTANA

Competitor

Search similar providers

City FONTANA
Zip Code 92335

Improve Information

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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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