CHARLES A DEMOTT (NPI# 1497897664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497897664 |
| Entity Type | Individual |
| Full Name | CHARLES A DEMOTT |
| Credential | RN |
| Practice Address |
1269 Granada St Upland CA 91784-1095 |
| Practice Telephone | 9093877047 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
481489 | CA | Behavioral Health & Social Service Providers |
| X | 251S00000X | Community/Behavioral Health | 481489 | CA | Agencies |
| Street Address |
1269 GRANADA ST |
| City | UPLAND |
| State | CA |
| Zip Code | 91784-1095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488265 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 2121 W Baseline Rd, Upland, CA 91784 | 2018-05-22 |
| 1518490135 | Christopher Velasquez | Emergency Medicine | 481 Fremont St, Upland, CA 91784 | 2017-04-10 |
| 1558613240 | Yung Huang | Marriage & Family Therapist | 1550 Geryser St., Upland, CA 91784 | 2012-10-05 |
| 1508132051 | Bunsri Thanasophon | Orthopaedic Surgery | 285 East 24th Street, Upland, CA 91784 | 2012-03-29 |
| 1265742605 | Shahin Taheri | Pharmacist | 15222 Summit Ave, Fontana, CA 91784 | 2010-10-19 |
| 1093883886 | Asha Nayak Ubhayakar | Family Medicine | 1157 West 22nd Street, Upland, CA 91784 | 2006-12-01 |
| 1790385250 | David Christopher Sudyka | Counselor | 1106 W 22nd St, Upland, CA 91784 | 2020-10-26 |
| 1770786428 | Mahmoud Torabinejad | Dentist | 600 N Euclid Ave, #102, Upland, CA 91784 | 2007-06-08 |
| 1730532946 | Michael Cervantes | Dentist | 2523 Mountain Ln, Upland, CA 91784-1075 | 2016-07-22 |
| 1497099220 | Ellen Liu | Nurse Practitioner | 1307 Mallorca St, Upland, CA 91784-1090 | 2012-11-16 |
| Find all providers in zip 91784 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437963 | Chelsea Heller | Counselor | 968 Carson St, Upland, CA 91784-1831 | 2020-05-01 |
| 1225669393 | All In Family Counseling | Counselor | 1857 Wilson Ave, Upland, CA 91784-7449 | 2020-01-28 |
| 1063059905 | Courtney Cope | Counselor | 1207 Jacaranda Pl, Upland, CA 91784-7410 | 2019-12-10 |
| 1780231449 | Lupita Rojas | Counselor | 1425 W Foothill Blvd Fl Ave3, Upland, CA 91786-8007 | 2019-08-19 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1023585841 | Andrea L Hollis | Counselor | 1420 Chaffee St Apt 154, Upland, CA 91786-5575 | 2018-10-30 |
| 1336614940 | Karisa Nicole Quick | Counselor | 231 N Euclid Ave, Upland, CA 91786-6038 | 2018-10-10 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1477090413 | Evelyne Banks | Counselor | 1126 W Foothill Blvd Ste 110, Upland, CA 91786-3786 | 2017-01-29 |
| 1558814830 | Sabrina Analise Elias | Counselor | 1425 W Foothill Blvd Ste 300, Upland, CA 91786 | 2016-08-03 |
| Find all providers in UPLAND | ||||
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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.