GLORIA GRAHAM (NPI# 1376704866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376704866 |
| Entity Type | Individual |
| Full Name | GLORIA GRAHAM |
| Practice Address |
7922 Palm St Lemon Grove CA 91945-2956 |
| Mailing Address |
4355 46th St #16 San Diego CA 92115-4349 |
| Practice Telephone | 6194643488 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 25587 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932519964 | Gloria Graham | Family Medicine | 50249 Harrison St, Coachella, CA 92236 | 2014-04-29 |
| 1275549172 | Gloria L Graham | Nurse Practitioner | 2921 Hwy 77 S, Suite 20, Marion, AR 72364-2367 | 2006-07-31 |
| 1760487565 | Gloria Flippin Graham | Dermatology | 4252 Arendell St H, Morehead City, NC 28557-0015 | 2005-06-17 |
| 1639202187 | Gloria Ann Graham | Occupational Therapist | 5700 Executive Center Dr, Suite 115, Charlotte, NC 28212-8858 | 2007-03-13 |
| Street Address |
7922 PALM ST |
| City | LEMON GROVE |
| State | CA |
| Zip Code | 91945-2956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053496661 | Melquades Reyes Cananes IIi | Licensed Vocational Nurse | 7922 Palm St, Lemon Grove, CA 91945-2956 | 2006-10-25 |
| 1205303831 | Cezaria Kimmayong Weger | Licensed Vocational Nurse | 7922 Palm St, Lemon Grove, CA 91945-2956 | 2018-11-01 |
| 1639502511 | Kasey Rae Tolbert | Physical Therapist | 7922 Palm St, Lemon Grove, CA 91945-2956 | 2013-08-15 |
| 1760709687 | Aetas Health Services | Skilled Nursing Facility | 7922 Palm St, Lemon Grove, CA 91945-2956 | 2010-05-03 |
| 1134380611 | Bridget Burris | Social Worker | 7922 Palm St, Lemon Grove, CA 91945-2956 | 2008-06-18 |
| 1619138112 | Maria Mcclure | Technician | 7922 Palm St, Lemon Grove, CA 91945-2956 | 2008-06-18 |
| 1184885667 | Paula Best | Counselor | 7922 Palm St, Lemon Grove, CA 91945-2956 | 2008-06-18 |
| 1770744260 | Michael Abuyo | Licensed Vocational Nurse | 7922 Palm St, Lemon Grove, CA 91945-2956 | 2008-06-18 |
| 1295996783 | John Cowper | Technician | 7922 Palm St, Lemon Grove, CA 91945-2956 | 2008-06-18 |
| 1780877340 | Marilyn Ruttenberg | Counselor | 7922 Palm St, Lemon Grove, CA 91945-2956 | 2007-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347759 | Myisha Michelle Holloway-griffin | Counselor | 2409 Skyline Dr, Lemon Grove, CA 91945 | 2020-02-10 |
| 1831737626 | Jennifer Murillo | Counselor | 2049 Skyline Dr. Lemon Grove Ca, 91945, Lemon Grove, CA 91945 | 2019-12-12 |
| 1487193140 | Golden State Nem Transportation.llc | Non-emergency Medical Transport (VAN) | 7107 Broadway Unit 158, Lemon Grove, CALIFORNIA 91945 | 2017-02-14 |
| 1700323581 | Juuni Transportation | Non-emergency Medical Transport (VAN) | 7138 Westview Pl #a, Lemon Grove, CA 91945 | 2017-01-31 |
| 1568815249 | Danyelle Goldstein | Substance Abuse Rehabilitation Facility | 2049 Sklyline Dr, Lemon Grove, CA 91945 | 2016-07-19 |
| 1942550397 | Debora L Stolz | Case Manager/Care Coordinator | 3434 Lemon Grove St, Lemon Grove, CA 91945 | 2012-09-13 |
| 1336449321 | Leslie Ann Warner | Counselor | 7526 Mt. Vernon St, Lemon Grove, CA 91945 | 2010-10-25 |
| 1013235126 | Mcalister Institute | Case Management | 2049 Skyline Drive, Lemon Grove, CA 91945 | 2010-05-13 |
| 1639389554 | Jarbou & Jarbou, Inc | Secured Medical Transport (VAN) | 6975 North Ave, Lemon Grove, CA 91945 | 2007-05-22 |
| 1275656555 | Amy L Stewart | Physical Therapist | 4171 Las Palmas Square, San Diego, CA 91945 | 2007-04-09 |
| Find all providers in zip 91945 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275618290 | Roland Milan | Licensed Psychiatric Technician | 7922 Palm St, Lemon Grove, CA 91945-2956 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | LEMON GROVE |
| Zip Code | 91945 |
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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.