JARY BARRETO CRISI CENTER (NPI# 1477175883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477175883 |
| Entity Type | Organization |
| Organization Name | JARY BARRETO CRISI CENTER |
| Practice Address |
2865 Logan Ave San Diego CA 92113-2411 |
| Mailing Address |
367 Callesita Mariola Chula Vista CA 91914-4411 |
| Practice Telephone | 6192324357 |
| Mailing Telephone | 6198620679 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-09 |
| Authorized Official Name | MS. TESSA SANCHEZ (LEAD HR SPECIALIST -ONBOARDING) |
| Authorized Official Telephone | 6192750822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 164W00000X | Licensed Practical Nurse | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | LICENSE PRACTICAL NURSE | 201902804LPN | 01 |
| Other Name | Type Code |
|---|---|
| Community Research Foundation | Other Name - Individual/Organization |
| Street Address |
2865 LOGAN AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92113-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659445815 | Joanne Lorraine Miller | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2006-11-20 |
| 1518575844 | Long Wang | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-07-22 |
| 1609484559 | Caitlin Donnelly | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-07-16 |
| 1194342816 | Laurel Thiel Silver | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-06-29 |
| 1831712793 | Carly Lynn Gunnersen | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-26 |
| 1477175602 | Safyyah Deseree Davis | Licensed Vocational Nurse | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-11 |
| 1134741549 | Angela Sarmiento | Licensed Vocational Nurse | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-08 |
| 1689205510 | Jasmine De Santiago | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-01-29 |
| 1518597103 | Karalyn Cardinale Hingorani | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-01-22 |
| 1548808298 | Sylvia Nicholas | Licensed Vocational Nurse | 2865 Logan Ave, San Diego, CA 92113-2411 | 2019-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609305986 | Cynthia Alba | Nutritionist | 1809 National Ave., San Diego, CA 92113 | 2017-06-08 |
| 1184153983 | Jessy Milligan | Counselor | 4125 Alpha Street, San Diego, CA 92113 | 2017-06-06 |
| 1730557406 | Deborah Mary Malloy | Counselor | Jary Barreto, 2865 Logan Avenue, San Diego, CA 92113 | 2015-09-10 |
| 1104220912 | Imhotep Mustaqeem | Counselor | 3336 Steel Street, San Diego, CA 92113 | 2014-10-22 |
| 1831507300 | Olga Vasileva | Student in an Organized Health Care Education/Training Program | 2865 Logan Avenue, San Diego, CA 92113 | 2014-07-29 |
| 1477961951 | Angelica Quezada | Counselor | 32510 Newton Avenue B103, San Diego, CA 92113 | 2014-07-28 |
| 1477986750 | Anita Pena | Licensed Vocational Nurse | 604 Olivewood Ter, San Diego, CA 92113 | 2013-08-09 |
| 1134459399 | Susana Cabada | Technician, Other | 4031 Marine View Ave., San Diego, CA 92113 | 2010-01-11 |
| 1669595609 | Maria Emilia Siller | Registered Nurse | 3177a Oceanview Blvd, San Diego, AL 92113 | 2007-04-06 |
| 1710009691 | Maria Engracia Siordia | Licensed Vocational Nurse | 3177a Ocean View Blvd, San Diego, CA 92113 | 2007-04-04 |
| Find all providers in zip 92113 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497139836 | Leslie Reynolds | Licensed Practical Nurse | 4077 Menlo Ave Apt 4, San Diego, CA 92105-1945 | 2015-07-15 |
| 1841681681 | Marieta Simpao Tayag | Licensed Practical Nurse | 10319 Azuaga St Unit 301, San Diego, CA 92129-6021 | 2015-02-16 |
| 1174883649 | Tommy Hiers | Licensed Practical Nurse | 7682 Mocking Bird Dr, San Diego, CA 92123-3302 | 2012-05-18 |
| 1699079624 | Latasha Denise Gates | Licensed Practical Nurse | 1504 Paseo Aurora, San Diego, CA 92154-4858 | 2011-01-05 |
| 1740594993 | Nicoleta Victoria Radulescu | Licensed Practical Nurse | 15667 Avenida Alcachofa Apt D, San Diego, CA 92128-4449 | 2010-07-29 |
| 1063744571 | Charles Miller Johnson Jr. | Licensed Practical Nurse | 1020 Robinson Ave Apt 2, San Diego, CA 92103-4473 | 2010-02-08 |
| 1770753527 | Jaynee Lau Pura | Licensed Practical Nurse | 11440 W Bernardo Ct Ste 300, San Diego, CA 92127-1644 | 2008-03-07 |
| 1528681186 | Rosalinda Garcia | Licensed Practical Nurse | 892 27th St, San Diego, CA 92154-1444 | 2020-05-18 |
| 1770048878 | Valerie Galvez | Licensed Practical Nurse | 1963 4th Ave, San Diego, CA 92101-2394 | 2019-02-04 |
| 1588142210 | Liliani Kaitapu Stiffler | Licensed Practical Nurse | 7986 Dagget St, San Diego, CA 92111-2321 | 2018-08-03 |
| Find all providers in SAN DIEGO | ||||
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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.