JESSICA CABALLERO (NPI# 1306323811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306323811 |
| Entity Type | Individual |
| Full Name | JESSICA CABALLERO |
| Practice Address |
39300 Bob Hope Dr Rancho Mirage CA 92270-3233 |
| Mailing Address |
1612 1st St Coachella CA 92236-1407 |
| Practice Telephone | 7607733075 |
| Practice Fax Number | 7607733091 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 84109 La Jolla Ave, Coachella, CA 922369575 | 7603989000 | |
| 1330 N Indian Canyon Dr, Palm Springs, CA 922624880 | 7603229065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255356010 | Jessica A Caballero | Dentist | 13231 Champion Forest Dr, #304, Houston, TX 77069-2600 | 2006-07-13 |
| Street Address |
39300 BOB HOPE DR |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-3233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516738 | Alan S Coit | Pediatrics | 39300 Bob Hope Dr, Ste B1108, Rancho Mirage, CA 92270-3203 | 2005-05-24 |
| 1417291675 | Sadaf Regar | Physician Assistant | 39300 Bob Hope Dr, Bannan Building Suite 1203, Rancho Mirage, CA 92270-3203 | 2012-11-11 |
| 1033475751 | Alan E Williamson Md Inc | Surgery | 39300 Bob Hope Dr, Bannan Building, Suite 1101, Rancho Mirage, CA 92270-3203 | 2012-04-06 |
| 1700159548 | Bruce B Chisholm Md A Professional Corporation | Plastic Surgery | 39300 Bob Hope Dr, Bannan Bldg Suite 1208, Rancho Mirage, CA 92270-7088 | 2012-02-09 |
| 1710272893 | Eisenhower Medical Center | General Acute Care Hospital | 39300 Bob Hope Dr, Bannan Building, Rancho Mirage, CA 92270-3203 | 2011-06-16 |
| 1700096005 | Chisholm Bruce B Mc Asc | Clinic/Center | 39300 Bob Hope Dr, Bannan Bldg 1208, Rancho Mirage, CA 92270-3203 | 2007-05-23 |
| 1447465109 | Mark F Kaufman, Md Inc | Specialist | 39300 Bob Hope Dr, Bannan Bldg Ste 1113, Rancho Mirage, CA 92270-3203 | 2007-05-14 |
| 1093885675 | Rancho Mirage Pain Center Inc | Clinic/Center | 39300 Bob Hope Dr, Bannan Building, Suite 1203, Rancho Mirage, CA 92270-3203 | 2006-11-09 |
| 1730286600 | Rancho Mirage Pain Associates, Inc. | Anesthesiology | 39300 Bob Hope Dr, Bannan Building, Suite 1203, Rancho Mirage, CA 92270-3203 | 2006-09-20 |
| 1932206851 | Bruce B Chisholm | Oral & Maxillofacial Surgery | 39300 Bob Hope Dr, Bannan Bldg Suite 1208, Rancho Mirage, CA 92270-3203 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053714600 | Joseph White | Counselor | 72 Palma Dr, Rancho Mirage, CA 92270-3843 | 2014-09-26 |
| 1376030270 | William Worthington | Counselor | 69730 Highway 111 Ste 109, Rancho Mirage, CA 92270-2873 | 2018-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1538760871 | Ky Washington | Counselor | 1625 Sweetwater Rd # C1, National City, CA 91950-7647 | 2020-11-03 |
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1285233155 | Alaric Fairchild | Counselor | 1400 N Johnson Ave Ste 1011400n, El Cajon, CA 92020-1650 | 2020-10-21 |
| 1487253571 | Roxanne Rene Coito | Counselor | 1919 Apple St # D, Oceanside, CA 92054-4425 | 2020-10-20 |
| 1255939732 | Diana Palencia | Counselor | 44459 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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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.