PRISCILLA PETERSEN (NPI# 1497193866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497193866 |
| Entity Type | Individual |
| Full Name | PRISCILLA PETERSEN |
| Practice Address |
10428 Lower Azusa Rd El Monte CA 91731-1208 |
| Mailing Address |
621 N 2nd St Alhambra CA 91801-1316 |
| Practice Telephone | 6266520755 |
| Mailing Telephone | 6263431757 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10428 LOWER AZUSA RD |
| City | EL MONTE |
| State | CA |
| Zip Code | 91731-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255471231 | Ana Luisa Chavez-mancillas | Counselor | 10428 Lower Azusa Rd, El Monte, CA 91731-1208 | 2007-02-07 |
| 1578105920 | Liliana L Ulloa | Rehabilitation Practitioner | 10428 Lower Azusa Rd, El Monte, CA 91731-1208 | 2019-10-16 |
| 1144873167 | Abigail Zepeda | Counselor | 10428 Lower Azusa Rd, El Monte, CA 91731-1208 | 2019-07-18 |
| 1215478144 | Jacielle Jeravey Velasco | Counselor | 10428 Lower Azusa Rd, El Monte, CA 91731-1208 | 2017-03-10 |
| 1679926778 | Natalya Sivashov | Student in an Organized Health Care Education/Training Program | 10428 Lower Azusa Rd, El Monte, CA 91731-1208 | 2016-07-13 |
| 1073981320 | Samara Rose Katten | Counselor | 10428 Lower Azusa Rd, El Monte, CA 91731-1208 | 2015-09-03 |
| 1053705350 | Janet Andrea Toxqui Carbajal | Case Manager/Care Coordinator | 10428 Lower Azusa Rd, El Monte, CA 91731-1208 | 2015-03-25 |
| 1043603129 | Jennifer Estephanie Paz | Case Manager/Care Coordinator | 10428 Lower Azusa Rd, El Monte, CA 91731-1208 | 2015-03-12 |
| 1366855033 | Tina Mancilla | Rehabilitation Practitioner | 10428 Lower Azusa Rd, El Monte, CA 91731-1208 | 2014-06-10 |
| 1023421724 | Rebecca Pratt | Rehabilitation Practitioner | 10428 Lower Azusa Rd, El Monte, CA 91731-1208 | 2014-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154965994 | Anahi Mora | Case Manager/Care Coordinator | 3629 Santa Anita Ave, El Monte, CA 91731 | 2019-11-05 |
| 1346882321 | Rosemary Pespisa | Technician | 10558 Emery St., El Monte, CA 91731 | 2019-10-11 |
| 1962058123 | Maria Jesusa Gabriel | Licensed Vocational Nurse | 11041 E. Valley Blvd., El Monte, CA 91731 | 2019-08-14 |
| 1346720679 | Ivan Bustamante | Counselor | 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA 91731 | 2018-08-16 |
| 1891213229 | Abbye Williams | Counselor | 11100 Valley Blvd Suite 116, El Monte, CA 91731 | 2017-09-06 |
| 1215467279 | All Health Alliance Medical Group, Inc. | Physical Medicine & Rehabilitation | 10505 Valley Boulevard, #238, El Monte, CA 91731 | 2017-06-13 |
| 1427416486 | Mai Le | Counselor | 11041 E. Valley Blvd, El Monte, CA 91731 | 2016-02-05 |
| 1235526724 | Kristine Malana | Social Worker | 10418 E. Valley Blvd., Suite A, El Monte, CA 91731 | 2015-04-22 |
| 1376980250 | Aura Hernandez | Rehabilitation Practitioner | 9865 Baldwin Pl., El Monte, CA 91731 | 2013-05-31 |
| 1639411754 | Roxana Yaneth De Paz | Nurse's Aide | 10481 Valley Blvd., El Monte, CA 91731 | 2013-03-27 |
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| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275172207 | Innie H Chang | Rehabilitation Practitioner | 9537 Telstar Ave Ste 101, El Monte, CA 91731-2912 | 2019-12-20 |
| 1487025722 | Jose Castellanos | Rehabilitation Practitioner | 11105 Lambert Ave, El Monte, CA 91731-1644 | 2015-10-13 |
| 1376980250 | Aura Hernandez | Rehabilitation Practitioner | 9865 Baldwin Pl., El Monte, CA 91731 | 2013-05-31 |
| 1598009193 | Josefina Margarita Islas | Rehabilitation Practitioner | 4024 North Durfee Avenue, Wing D, El Monte, CA 91732 | 2012-11-20 |
| 1831411180 | Carmen Aboul-saad | Rehabilitation Practitioner | 14016 Lower Azusa Rd, El Monte, CA 91731 | 2010-02-26 |
| 1447444138 | Eunice Escobedo | Rehabilitation Practitioner | Enki Youth & Family Services, 3208 Rosemead Blvd., Suite 100, El Monte, CA 91731 | 2007-09-05 |
| 1942390760 | Alma Rosa Jacobo | Rehabilitation Practitioner | 3208 Rosemead Blvd Ste 200, El Monte, CA 91731-2830 | 2006-10-13 |
| 1245837509 | Brianna Caitlin Widman | Rehabilitation Practitioner | 3569 Lexington Ave, El Monte, CA 91731-2607 | 2020-10-08 |
| 1578105920 | Liliana L Ulloa | Rehabilitation Practitioner | 10428 Lower Azusa Rd, El Monte, CA 91731-1208 | 2019-10-16 |
| 1902461585 | Janet Serrano | Rehabilitation Practitioner | 4024 Durfee Ave # Wingd, El Monte, CA 91732-2510 | 2019-05-08 |
| Find all providers in EL MONTE | ||||
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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.