MR. CHARLES ROMAINE TRUSLOW (NPI# 1457912768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457912768 |
| Entity Type | Individual |
| Full Name | MR. CHARLES ROMAINE TRUSLOW |
| Credential | CADC,CAS-CA |
| Practice Address |
23119 Cottonwood Ave Moreno Valley CA 92553-9661 |
| Mailing Address |
1431 Lochaber Ct Riverside CA 92507-8490 |
| Practice Telephone | 9517825000 |
| Practice Fax Number | 9514135230 |
| Mailing Telephone | 9519656719 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2020-08-06 |
| 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) |
C034900615 | CA | Behavioral Health & Social Service Providers |
| Street Address |
23119 COTTONWOOD AVE |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-9661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629164991 | Jesse Marez | Social Worker | 23119 Cottonwood Ave, Bld A Suite 110, Moreno Valley, CA 92553-9661 | 2006-10-05 |
| 1215461835 | Williemae Maciel | Counselor | 23119 Cottonwood Ave, Moreno Valley, CA 92553-9661 | 2017-04-20 |
| 1801280821 | Michelle Albert | Counselor | 23119 Cottonwood Ave, Bldg. A, Suite 110, Moreno Valley, CA 92553-9661 | 2015-03-27 |
| 1750780060 | Nick Giorgio Bettosini | Counselor | 23119 Cottonwood Ave, Moreno Valley, CA 92553-9661 | 2014-08-22 |
| 1427462654 | Maria Morales | Licensed Vocational Nurse | 23119 Cottonwood Ave, Bldg A, Suite110, Moreno Valley, CA 92553-9661 | 2014-06-16 |
| 1952714909 | Cynthia Gail Nylander | Marriage & Family Therapist | 23119 Cottonwood Ave, Building A, Suite 110, Moreno Valley, CA 92553-9661 | 2014-06-07 |
| 1417372137 | Kathy Webb | Case Manager/Care Coordinator | 23119 Cottonwood Ave, Building A, Suite 110, Moreno Valley, CA 92553-9661 | 2014-03-04 |
| 1033544770 | Cynthia Camacho | Marriage & Family Therapist | 23119 Cottonwood Ave, Bldg. A, Suite 110, Moreno Valley, CA 92553-9661 | 2013-09-12 |
| 1942641634 | Jamie Lianne Freier | Marriage & Family Therapist | 23119 Cottonwood Ave, Suite A-110, Moreno Valley, CA 92553-9661 | 2013-07-10 |
| 1871808618 | Corinne Hibbard | Marriage & Family Therapist | 23119 Cottonwood Ave, Moreno Valley, CA 92553-9661 | 2010-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265990386 | Krystal Elvia Cancelada | Counselor | 23119 Cottonwood Ave Ste 101, Moreno Valley, CA 92553-9661 | 2019-03-07 |
| 1184112179 | Ta Tanisha Jones | Counselor | 21250 Box Springs Rd Ste 203, Moreno Valley, CA 92557-8712 | 2018-04-25 |
| 1710362751 | Roy Geter | Counselor | 12950 Perris Blvd Ste 310, Moreno Valley, CA 92553-2368 | 2015-07-20 |
| 1508116518 | Siamak Ehteshamzadeh | Counselor | 25320 Lurin Ave, Moreno Valley, CA 92551-2405 | 2012-09-17 |
| 1578763710 | Valentin Lopez | Counselor | 24384 Sunnymead Blvd, Suite 240, Moreno Valley, CA 92553-3069 | 2007-07-24 |
| 1528195609 | Immaculate Care Centr Inc. | Counselor | 24384 Sunnymead Blvd Ste 240, Moreno Valley, CA 92553-7765 | 2007-02-27 |
| 1497898498 | Guadalupe Madrigal | Counselor | 23119 Cottonwood Ave Ste A100, Moreno Valley, CA 92553-9661 | 2007-02-15 |
| 1124636246 | Marie Therese Fonseca | Counselor | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-07-15 |
| 1215461835 | Williemae Maciel | Counselor | 23119 Cottonwood Ave, Moreno Valley, CA 92553-9661 | 2017-04-20 |
| 1104279991 | William Charles Coman | Counselor | 23119 Cottonwood Ave Ste 100, Moreno Valley, CA 92553-9661 | 2016-07-18 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
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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.