MR. RANDALL LYLE KERR (NPI# 1457459877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457459877 |
| Entity Type | Individual |
| Full Name | MR. RANDALL LYLE KERR |
| Credential | MFTI, CAS II |
| Practice Address |
1330 E Cooley Dr Colton CA 92324-3905 |
| Practice Telephone | 9094230750 |
| Mailing Telephone | 9094230750 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAS II # 03-0013 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184662975 | Randall Kerr | Anesthesiology | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2006-06-03 |
| Street Address |
1330 E COOLEY DR |
| City | COLTON |
| State | CA |
| Zip Code | 92324-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417569070 | Veronica Saenz | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-08-17 |
| 1255957486 | Dpartment of Behavioral Health | Clinic/Center | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-06-23 |
| 1871113548 | Winston James Williams | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-04-22 |
| 1114579117 | Shaneece Williams | Case Manager/Care Coordinator | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2019-07-10 |
| 1437658929 | Mary Sodiyan | Registered Nurse | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2018-02-09 |
| 1982124897 | Elizabeth Marie Maldonado | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-06-21 |
| 1346778446 | Zachary Robert Eckert | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-06-01 |
| 1972030575 | Angel Magallanes | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-05-15 |
| 1740720580 | Melissa Daniels | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-02-27 |
| 1164875324 | Joshua Ellis-kennedy | Case Manager/Care Coordinator | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2016-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245864990 | Angel Mora | Counselor | 335 E N St, Colton, CA 92324-3432 | 2020-03-02 |
| 1457887002 | Daneen Alves | Counselor | 11646 Encanto Ln, Colton, CA 92324-9218 | 2017-05-02 |
| 1184968570 | Dominique Terrell Pettis | Counselor | 2275 E. Cooley Dr, Colton, CA 92324 | 2012-11-26 |
| 1720331622 | Paula R Richardson | Counselor | 2275 E. Cooley Drive, Colton, CA 92324 | 2012-10-17 |
| 1003126319 | Paul William Klier | Counselor | 1076 Santo Antono, Suite B, Colton, CA 92342 | 2010-10-20 |
| 1093996779 | Belen M Vargas | Counselor | 1076 Santo Antonio, Suite B, Colton, CA 92324 | 2007-11-21 |
| 1952593089 | Patricia Owens | Counselor | 23950 Prado Ln, Colton, CA 92324-9734 | 2007-08-13 |
| 1760674881 | Jennifer Daeun Yang | Counselor | 1461 E. Cooley Dr. Suite 100, Colton, CA 92324 | 2007-08-13 |
| 1730213422 | Birgit Claussen | Counselor | 1076 Santo Antonio Dr Ste B, Colton, CA 92324-8183 | 2007-03-15 |
| 1568522928 | Wchs, Inc. | Counselor | 2275 E Cooley Dr, Colton, CA 92324-6324 | 2006-12-08 |
| Find all providers in COLTON | ||||
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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.