TABATHA HERNANDEZ (NPI# 1396143160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396143160 |
| Entity Type | Individual |
| Full Name | TABATHA HERNANDEZ |
| Practice Address |
508 Mendocino Ct Atwater CA 95301-4230 |
| Mailing Address |
6517 Charles Ct Winton CA 95388-9450 |
| Practice Telephone | 2093575262 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
508 MENDOCINO CT |
| City | ATWATER |
| State | CA |
| Zip Code | 95301-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871794909 | Community Social Model Advocates, Inc. | Substance Abuse Rehabilitation Facility | 508 Mendocino Ct, Atwater, CA 95301-4230 | 2007-05-29 |
| 1699329391 | Sonya Ann Maier | Counselor | 508 Mendocino Ct, Atwater, CA 95301-4230 | 2019-07-31 |
| 1396148797 | Kathy Mace | Counselor | 508 Mendocino Ct, Atwater, CA 95301-4230 | 2014-09-30 |
| 1467886820 | Lori Newman | Counselor | 508 Mendocino Ct, Atwater, CA 95301-4230 | 2013-08-21 |
| 1003108754 | Misty Rose-collins | Counselor | 508 Mendocino Ct, Atwater, CA 95301-4230 | 2011-05-12 |
| 1326330077 | Cristy Clinghan | Counselor | 508 Mendocino Ct, Atwater, CA 95301-4230 | 2011-05-12 |
| 1124310883 | Laura Gort | Counselor | 508 Mendocino Ct, Atwater, CA 95301-4230 | 2011-05-12 |
| 1619269677 | Raevin Marie Manzanares | Counselor | 508 Mendocino Ct, Atwater, CA 95301-4230 | 2011-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043731052 | Tlc Non-emergency Medical Transportation | Transportation Broker | 6235 Josie Street, Atwater, CA 95301 | 2017-06-29 |
| 1740536168 | Richard Adjetey Sewoatsri | Pharmacist | 2511 Boulder Dr, Atwater, CA 95301 | 2012-08-03 |
| 1396003588 | Muhammad Iqbal Choudhry | Physician Assistant | 1775 Third Street, Atwater, CA 95301 | 2012-04-25 |
| 1003117185 | Barbara Gatlin | Social Worker | 540 E Bellevue Rd, Atwater, CA 95301 | 2010-11-05 |
| 1063722635 | Carlos C Say,m..d.inc | Internal Medicine | 329 East Bellevue Rd, Atwater, CA 95301 | 2010-10-18 |
| 1689851669 | Simplicity of Heart Counseling Service LLC | Family Medicine | 1201 Cedar Avenue, Atwater, CA 95301 | 2008-01-22 |
| 1154507374 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1651 Bellevue Rd, Atwater, CA 95301 | 2008-01-17 |
| 1881893600 | Cheryl Anne Assante | Registered Nurse | 6255 W. Camellia Drive, Atwater, CA 95301 | 2007-07-12 |
| 1669502027 | Atwater Chiropractic, Inc. | Chiropractor | 2601 First Street, Atwater, CA 95301 | 2007-03-06 |
| 1215002902 | Martin Kinsman Vacca | Pharmacist | 571 Bellevue Rd, Atwater, CA 95301 | 2006-11-21 |
| Find all providers in zip 95301 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275733214 | Becky Sue Brown | Substance Abuse Rehabilitation Facility | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2007-07-18 |
| 1871794909 | Community Social Model Advocates, Inc. | Substance Abuse Rehabilitation Facility | 508 Mendocino Ct, Atwater, CA 95301-4230 | 2007-05-29 |
| 1629515192 | Brandi Taamai | Substance Abuse Rehabilitation Facility | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2017-01-23 |
| 1861820706 | Fraulein Lacy | Substance Abuse Rehabilitation Facility | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2013-10-30 |
| 1174860555 | Tranquility Village Recovery | Substance Abuse Rehabilitation Facility | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2013-01-06 |
| 1578881595 | Rose Julia Riordan Tranquility Village | Substance Abuse Rehabilitation Facility | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2010-05-14 |
| 1487893970 | Nina Ann Decker | Substance Abuse Rehabilitation Facility | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2009-02-06 |
| 1073713012 | Lynn Rene' Lemire | Substance Abuse Rehabilitation Facility | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2007-07-18 |
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|---|---|---|---|---|
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| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.