MELISSA BANUELOS (NPI# 1508470071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508470071 |
Entity Type | Individual |
Full Name | MELISSA BANUELOS |
Practice Address |
2008 N Garey Ave Pomona CA 91767-2722 |
Mailing Address |
2186 Blossom Ln La Verne CA 91750-5208 |
Practice Telephone | 9096236131 |
Mailing Telephone | 2096135043 |
Enumeration Date | 2020-09-02 |
Last Update Date | 2020-10-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
2186 Blossom Ln, La Verne, CA 917505208 | 2096135043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356849715 | Melissa Maria Banuelos | Behavior Technician | 38469 5th St W Apt K190, Palmdale, CA 93551-4551 | 2018-01-31 |
1407469794 | Melissa Lynn Banuelos | Speech-Language Pathologist | 4401 E Colonial Dr Ste 107, Orlando, FL 32803-5200 | 2020-08-26 |
Street Address |
2008 N GAREY AVE |
City | POMONA |
State | CA |
Zip Code | 91767-2722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396796058 | Wayne Edison Houpt Jr. | Psychiatry & Neurology | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2006-05-15 |
1144834631 | Elizabeth Cristina Maciel | Student in an Organized Health Care Education/Training Program | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-09-02 |
1932713344 | Sara Ann Rodriguez | Student in an Organized Health Care Education/Training Program | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-09-02 |
1427662048 | David Marin | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-09-01 |
1194337956 | Stephanie Diana Vega | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-08-21 |
1205445830 | Marlen De La Torre | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-07-29 |
1093354672 | Amanda Roman | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-12-31 |
1063057099 | Blair Paez | Marriage & Family Therapist | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-11-13 |
1538703285 | Geanene Gordon | Counselor | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-11-05 |
1578107843 | Elsa Prewett | Rehabilitation Practitioner | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-10-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
Find all providers in zip 91767 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972126456 | Hauna Rene Payne | Student in an Organized Health Care Education/Training Program | 2173 Florida Rd, Pomona, KS 66076-9104 | 2020-05-19 |
1992334726 | Brandon Don Huynh | Student in an Organized Health Care Education/Training Program | 309 E 2nd St # 2319, Pomona, CA 91766-1854 | 2020-04-03 |
1710514351 | Syeda Sundus Mujahid | Student in an Organized Health Care Education/Training Program | 2 Kohut St, Pomona, NY 10970-3720 | 2020-03-24 |
1447880091 | Reem Aljanabi | Student in an Organized Health Care Education/Training Program | 510 E 3rd St Apt 420, Pomona, CA 91766-1904 | 2020-01-23 |
1124550926 | Joshua Napial | Student in an Organized Health Care Education/Training Program | 47 Redrock Ln, Pomona, CA 91766-4943 | 2017-03-30 |
1659820488 | Yessenia Rojas | Student in an Organized Health Care Education/Training Program | 1504 Smith St, Pomona, CA 91766-2517 | 2016-09-21 |
1841516416 | Maria Redinger | Student in an Organized Health Care Education/Training Program | 430 E Kingsley Ave, Pomona, CA 91767-4722 | 2010-04-08 |
1396344479 | Sophie Solow | Student in an Organized Health Care Education/Training Program | 1568 Mcleod Pl, Pomona, CA 91768-1348 | 2020-10-20 |
1598370793 | Jessica Fuentes-ramirez | Student in an Organized Health Care Education/Training Program | 160 E Holt Ave Ste B, Pomona, CA 91767-5407 | 2020-09-14 |
1144834631 | Elizabeth Cristina Maciel | Student in an Organized Health Care Education/Training Program | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2020-09-02 |
Find all providers in POMONA |
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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.