MISS NICOLE DENISE LOPEZ (NPI# 1386897510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386897510 |
| Entity Type | Individual |
| Full Name | MISS NICOLE DENISE LOPEZ |
| Practice Address |
790 E Bonita Ave Pomona CA 91767-1906 |
| Practice Telephone | 9096257207 |
| Mailing Telephone | 9096257207 |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT34290 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969444 | Nicole Lopez | Nurse Practitioner | 828 County Road 3364, Kempner, TX 76539-3536 | 2020-10-13 |
| 1508478504 | Nicole Eliabeth Lopez | Behavior Technician | 21884 Walnut St, Wildomar, CA 92595-8946 | 2020-08-20 |
| 1356995518 | Nicole Lopez | Behavioral Analyst | 1550 Sw Lost Trail Dr, Pullman, WA 99163-6002 | 2019-07-26 |
| 1457912974 | Nicole Lopez | Specialist/Technologist | 309 Crawford Hall, Irvine, CA 92697-0001 | 2019-06-25 |
| 1568912749 | Nicole Lopez | Social Worker | 5841 Hwy, 421 S., Buies Creek, NC 27506 | 2016-10-11 |
| 1265808265 | Nicole Alexis Lopez | Family Medicine | 32 S Main St Ste 100, Randolph, MA 02368-4835 | 2015-08-13 |
| 1568865350 | Nicole Dawn Lopez | Speech-Language Pathologist | 25902 White Alder Ln, Laguna Hills, CA 92653-5420 | 2014-10-07 |
| 1134561756 | Nicole Allison Lopez | Chiropractor | # 25 Ave. Degetau, Caguas, PR 00725-5819 | 2013-07-24 |
| 1982999140 | Nicole Melisa Montero Lopez | Orthopaedic Surgery | 280 Newton Sparta Rd Ste 4, Newton, NJ 07860-2775 | 2011-06-16 |
| 1255524815 | Nicole V Lopez | Marriage & Family Therapist | 15217 San Bernardino Ave, Fontana, CA 92335-5327 | 2007-08-27 |
| Street Address |
790 E BONITA AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91767-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558335752 | Sarvotham K Reddy Md Inc | Colon & Rectal Surgery | 790 E Bonita Ave, # 230, Pomona, CA 91767 | 2006-02-14 |
| 1366060626 | Andrea Carbajal Flores | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-07-13 |
| 1033737184 | Pedro Garcia Bengochea | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-07-06 |
| 1255956314 | Gracie Ellen Jackson | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-06-14 |
| 1417582115 | Jazminne Robles | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-03-03 |
| 1306480173 | Claire Skomsvold | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-11-04 |
| 1841849148 | Elena Noemi Becerra | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-09-09 |
| 1265099428 | Ruby Martinez | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-05-23 |
| 1992368476 | Jessica Amber Alle-corliss | Social Worker | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-04-19 |
| 1952868267 | Jonathan A Centeno | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| 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 |
|---|---|---|---|---|
| 1235535527 | Maya Malik | Licensed Psychiatric Technician | 6 Ridge Crest Cir, Pomona, CA 91766-4913 | 2014-11-13 |
| 1043841745 | Alex Sarpong | Licensed Psychiatric Technician | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-01-31 |
| 1376101212 | Nelson Jose Bolanos | Licensed Psychiatric Technician | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-06-05 |
| 1477118990 | Shawna Marie Acosta | Licensed Psychiatric Technician | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-05-09 |
| 1073076857 | Mary Fluke | Licensed Psychiatric Technician | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2019-04-09 |
| 1609388925 | Brenda Joyce Brown | Licensed Psychiatric Technician | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2017-10-26 |
| 1093226417 | Chamille Seante Tate | Licensed Psychiatric Technician | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2017-10-12 |
| 1437693728 | Nora Delia Garcia | Licensed Psychiatric Technician | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2016-12-06 |
| 1205379237 | Stephanie Lambourg | Licensed Psychiatric Technician | 160 E Holt Ave, B, Pomona, CA 91767-5406 | 2016-11-22 |
| 1619328952 | Noehly Partida | Licensed Psychiatric Technician | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2016-06-28 |
| Find all providers in POMONA | ||||
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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.