IRMA VEGARA (NPI# 1386761310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386761310 |
| Entity Type | Individual |
| Full Name | IRMA VEGARA |
| Practice Address |
233 Base Line Rd # 400 La Verne CA 91750-2353 |
| Practice Telephone | 9095932581 |
| Practice Fax Number | 9095938471 |
| Mailing Telephone | 9095932581 |
| Mailing Fax Number | 9095938471 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OUTPATIENT MENTAL HEALTH | 7565A | 01 |
| Street Address |
233 BASE LINE RD # 400 |
| City | LA VERNE |
| State | CA |
| Zip Code | 91750-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184741217 | Dashawn Parker | Counselor | 233 Base Line Rd # 400, La Verne, CA 91750-2353 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893324 | Alexis Ashley Andom | Occupational Therapist | 2061 Wright Ave., La Verne, CA 91750 | 2020-02-19 |
| 1952810855 | Wendy P Marrufo | Physical Therapist | 2590 Hayes Drive, La Verne, CA 91750 | 2017-09-22 |
| 1770006009 | Lineth Fiorella Florian | Family Medicine | 2333 Foothill Blvd, La Verne, CA 91750 | 2017-07-18 |
| 1205204765 | Heather Amanda Jantz Garcia | Specialist | 2061 Wright Avenue, Suite A-7, La Verne, CA 91750 | 2015-09-14 |
| 1255779864 | Carla Ureno | Counselor | 911 Herbine Street, La Verne, CA 91750 | 2013-06-06 |
| 1538459011 | Sameer K Hassamal | Psychiatry & Neurology | 4201 Hartshorn Ranch Pl, La Verne, CA 91750 | 2011-04-18 |
| 1134351695 | Robin Lorinne Clarkson | Physical Therapist | 2125 Wright Avenue, Ste C1, La Verne, CA 91750 | 2009-08-18 |
| 1477784767 | Sb Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 781 Canyon View Dr, Laverne, CA 91750 | 2009-08-04 |
| 1295978872 | Vi Hung Ly | Chiropractor | 1145 Foothill Blvd., La Verne, CA 91750 | 2009-04-13 |
| 1700906138 | Laura Nazaryan | Physical Therapist | 2123 Foothill Blvd Ste D, La Verne, CA 91750 | 2007-03-30 |
| Find all providers in zip 91750 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801381413 | Michael Sean Howell | Counselor | 1324 5th St, La Verne, CA 91750-4224 | 2018-06-26 |
| 1255779864 | Carla Ureno | Counselor | 911 Herbine Street, La Verne, CA 91750 | 2013-06-06 |
| 1689986051 | Cesar Lopez | Counselor | 4505 Ramona Ave Apt 1, La Verne, CA 91750-3276 | 2010-07-13 |
| 1679727903 | William B Hicks | Counselor | 233 W Baseline Rd, La Verne, CA 91750-3383 | 2008-11-13 |
| 1427210277 | Josephine Nowell | Counselor | 233 West Baseline Rd, La Verne, CA 91750-0400 | 2008-07-01 |
| 1063549509 | Tiffany D. Hunt | Counselor | 233 West Baseline Road, Box400, La Verne, CA 91750-0400 | 2007-02-28 |
| 1134256092 | David Pickup | Counselor | 233 Base Line Rd, Box 400, La Verne, CA 91750-2353 | 2007-02-27 |
| 1467530998 | Marissa Soria | Counselor | 1350 3rd St, La Verne, CA 91750-5201 | 2006-11-01 |
| 1346893450 | Amanda Haley Sisco | Counselor | 1350 3rd St, La Verne, CA 91750-5299 | 2019-07-17 |
| 1962068908 | Lotanna S Nwobu | Counselor | 1350 3rd St, La Verne, CA 91750-5201 | 2019-05-15 |
| Find all providers in LA VERNE | ||||
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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.