DANA DORTICOS (NPI# 1417440447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417440447 |
| Entity Type | Individual |
| Full Name | DANA DORTICOS |
| Credential | RADT |
| Practice Address |
58945 Business Center Dr Yucca Valley CA 92284-7307 |
| Mailing Address |
58945 Business Center Dr Ste J Yucca Valley CA 92284-7310 |
| Practice Telephone | 7603691074 |
| Practice Fax Number | 7603691293 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| 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 |
| Street Address |
58945 BUSINESS CENTER DR |
| City | YUCCA VALLEY |
| State | CA |
| Zip Code | 92284-7307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033258207 | Terry J Kelley | Case Manager/Care Coordinator | 58945 Business Center Dr, Suite D, Yucca Valley, CA 92284-7307 | 2007-02-05 |
| 1982118816 | Karen Louise Perry | Marriage & Family Therapist | 58945 Business Center Dr, Yucca Valley, CA 92284-7307 | 2017-11-30 |
| 1437606712 | Jacqueline R Guevara | Case Manager/Care Coordinator | 58945 Business Center Dr, Suite D/e, Yucca Valley, CA 92284-7307 | 2016-09-05 |
| 1922555259 | Alicia Chambers | Case Manager/Care Coordinator | 58945 Business Center Dr, Yucca Valley, CA 92284-7307 | 2016-09-02 |
| 1295281673 | Ramona Arechiga | Case Manager/Care Coordinator | 58945 Business Center Dr, Suite D, Yucca Valley, CA 92284-7307 | 2016-08-26 |
| 1265985592 | Michael Stearns | Counselor | 58945 Business Center Dr, Yucca Valley, CA 92284-7307 | 2016-08-03 |
| 1710353180 | Darlene Marie Campbell | Counselor | 58945 Business Center Dr, Suite J, Yucca Valley, CA 92284-7307 | 2015-08-19 |
| 1285018861 | Robert Timothy Lester | Counselor | 58945 Business Center Dr, Ste J, Yucca Valley, CA 92284-7307 | 2015-07-14 |
| 1952798563 | Sara Elizabeth Ball | Rehabilitation Practitioner | 58945 Business Center Dr, Yucca Valley, CA 92284-7307 | 2015-04-21 |
| 1023415908 | Mary Ary | Counselor | 58945 Business Center Dr, Suite J, Yucca Valley, CA 92284-7307 | 2014-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821646746 | Dawn Irene Blue | Registered Nurse | 55887 Yucca Valley Trail, Yucca Valley, CA 92284 | 2019-09-04 |
| 1659838415 | Lifeline Marketing Group, LLC Kenneth M Folwell Sole Mbr | Genetic Counselor, MS | 57675 Twentynine Palms Hwy, Suite 102, Yucca Valley, CA 92284 | 2019-02-27 |
| 1790240026 | Rosenda Marie Quintero | Case Manager/Care Coordinator | 7281 Dumosa Avneue, Ste 4, Yucca Valley, CA 92284 | 2019-01-31 |
| 1740790617 | Robert Farrer | Pharmacist | 57701 Twentynine Palms Highway, Yucca Valley, CA 92284 | 2017-10-05 |
| 1881128981 | Louis James Medina | Case Manager/Care Coordinator | 58471 Twentynine Palms Hwy #102, Yucca Valley, CA 92284 | 2017-04-14 |
| 1003369620 | Hi -desert Memorial Health Care District | Clinic/Center | 57019 Yucca Trail Ste C, Yucca Valley, CA 92284 | 2016-08-01 |
| 1346639002 | Virginia Susan Mccann | Marriage & Family Therapist | 58945 Business Cernter Drive, Suite D, Yucca Valley, CA 92284 | 2015-01-20 |
| 1578964375 | Desert Oasis Healthcare | Clinic/Center | 57-840 29 Palms Hwy, Yucca Valley, CA 92284 | 2014-09-11 |
| 1306245113 | Katie Z Topper | Nurse Practitioner | 57402 Twentynine Palm Highway, Ste 1, Yucca Valley, CA 92284 | 2014-08-18 |
| 1215347307 | Sandip Patel | Pharmacist | 57701 Twentynine Palms Hwy, Yucca Valley, CA 92284 | 2014-04-29 |
| Find all providers in zip 92284 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629254537 | Stephanie Stafford | Counselor | 58471 29 Palms Hwy Ste 102, Yucca Valley, CA 92284-5818 | 2008-01-10 |
| 1396200655 | Danny Joe Coats | Counselor | 58945 Business Center Dr Ste J, Yucca Valley, CA 92284-7310 | 2019-01-31 |
| 1902384480 | Karl Anton Sarkisian | Counselor | 58945 Business Center Dr Ste J, Yucca Valley, CA 92284-7310 | 2018-08-06 |
| 1932693819 | Natalie Dick | Counselor | 58945 Business Center Dr Ste J, Yucca Valley, CA 92284-7310 | 2018-06-14 |
| 1861992943 | Edy Paul Lehrbass | Counselor | 58945 Business Center Dr Ste J, Yucca Valley, CA 92284-7310 | 2018-02-15 |
| 1902311855 | Jeffrey Allan Proff | Counselor | 58945 Business Center Dr Ste J, Yucca Valley, CA 92284-7310 | 2017-12-13 |
| 1265985592 | Michael Stearns | Counselor | 58945 Business Center Dr, Yucca Valley, CA 92284-7307 | 2016-08-03 |
| 1710353180 | Darlene Marie Campbell | Counselor | 58945 Business Center Dr, Suite J, Yucca Valley, CA 92284-7307 | 2015-08-19 |
| 1710364518 | Patricia Hamrick | Counselor | 58945 Business Center Dr Ste J, Yucca Valley, CA 92284-7310 | 2015-04-30 |
| 1023415908 | Mary Ary | Counselor | 58945 Business Center Dr, Suite J, Yucca Valley, CA 92284-7307 | 2014-11-20 |
| Find all providers in YUCCA VALLEY | ||||
| City | YUCCA VALLEY |
| Zip Code | 92284 |
Please comment or provide details below to improve the information on DANA DORTICOS.
| 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.