JESSICA DOLORES BERNAL (NPI# 1447800743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447800743 |
Entity Type | Individual |
Full Name | JESSICA DOLORES BERNAL |
Practice Address |
14659 Olive View Dr Sylmar CA 91342-1652 |
Mailing Address |
4601 S Broadway Los Angeles CA 90037-2729 |
Practice Telephone | 8184850888 |
Practice Fax Number | 8188335690 |
Mailing Telephone | 2132235922 |
Mailing Fax Number | 3238915344 |
Enumeration Date | 2019-09-18 |
Last Update Date | 2020-11-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
95974 | CA | Behavioral Health & Social Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023512159 | Jessica Bernal | Behavior Technician | 1710 S Amphlett Blvd Ste 314, San Mateo, CA 94402-2736 | 2018-03-22 |
1366893240 | Jessica Maria Bernal | Counselor | 102 Pilling St, Brooklyn, NY 11207-1610 | 2016-06-22 |
1548565542 | Jessica S Bernal | Marriage & Family Therapist | 11204 Asher St, El Monte, CA 91731-3404 | 2011-01-21 |
Street Address |
14659 OLIVE VIEW DR |
City | SYLMAR |
State | CA |
Zip Code | 91342-1652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487662946 | Los Angeles County Department of Mental Health | Clinic/Center | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2006-08-03 |
1861005969 | Timothy Scott Williams | Registered Nurse | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2020-08-28 |
1790398295 | Brittany Cadiz | Registered Nurse | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2020-08-25 |
1497303788 | Nicole Oquindo | Student in an Organized Health Care Education/Training Program | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2019-08-29 |
1467000760 | Shoni Taylor | Student in an Organized Health Care Education/Training Program | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2019-08-29 |
1740753565 | Pedro Carlos Figueroa | Registered Nurse | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2019-01-03 |
1710457619 | Justina Elemachi Denis | Registered Nurse | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2018-12-04 |
1326522756 | John George Gaitanis | Registered Nurse | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2018-09-21 |
1083196125 | Yvonne O Nibo | Student in an Organized Health Care Education/Training Program | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2018-09-05 |
1639658636 | Cynthia Lowe | Social Worker | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2018-08-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
Find all providers in zip 91342 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356949986 | Vanessa Lopez | Counselor | 10607 Foothill Blvd, Sylmar, CA 91342-6819 | 2020-10-15 |
1588030662 | Liz Ornelas | Counselor | 12585 Telfair Ave, Sylmar, CA 91342-3739 | 2015-08-12 |
1669657979 | Jermaine Dickerson | Counselor | 13192 Herrick Ave, Sylmar, CA 91342-3931 | 2008-01-04 |
1760513428 | Hathaway-sycamores | Counselor | 8955 Gold Creek Rd, Sylmar, CA 91342-5902 | 2007-03-07 |
1669541629 | Salvador Mariscal Moreno | Counselor | 13584 De Garmo Ave, Sylmar, CA 91342-1210 | 2006-11-06 |
1629678867 | Shengzi Sun | Counselor | 12087 Lopez Canyon Rd # 128, Sylmar, CA 91342-6063 | 2020-10-27 |
1912379512 | Debbie Quinteros | Counselor | 14659 Olive View Dr, Sylmar, CA 91342 | 2015-10-22 |
1528452778 | Jose Destajo | Counselor | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2015-03-25 |
1205118387 | Maria C. Chan Huynh | Counselor | 12669 Encinitas Ave, Sylmar, CA 91342-3635 | 2011-09-14 |
1275664567 | Monica Rangel | Counselor | 8955 Gold Creek Rd, Sylmar, CA 91342-5902 | 2007-03-08 |
Find all providers in SYLMAR |
Please comment or provide details below to improve the information on JESSICA DOLORES BERNAL.
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.