DR. CHERYL ANN PFENT (NPI# 1518003250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518003250 |
| Entity Type | Individual |
| Full Name | DR. CHERYL ANN PFENT |
| Credential | PSYD |
| Practice Address |
790 Via Lata Suite 250 Colton CA 92324-3978 |
| Mailing Address |
24813 Iceland Poppy Ct Murrieta CA 92563 |
| Practice Telephone | 9098720223 |
| Practice Fax Number | 9098721686 |
| Mailing Telephone | 9516007859 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY4330 | FL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY18285 | CA | Behavioral Health & Social Service Providers |
| Street Address |
790 VIA LATA SUITE 250 |
| City | COLTON |
| State | CA |
| Zip Code | 92324-3978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770032062 | Ana Robles | Case Manager/Care Coordinator | 790 Via Lata, Colton, CA 92324-3978 | 2016-09-27 |
| 1730636697 | Ernestine Passas | Counselor | 790 Via Lata, Colton, CA 92324-3978 | 2016-09-07 |
| 1528465341 | Ora Barnett | Counselor | 790 Via Lata, Suite 300, Colton, CA 92324-3978 | 2014-11-21 |
| 1710380209 | Crystal Alcala | Case Manager/Care Coordinator | 790 Via Lata, Colton, CA 92324-3978 | 2014-09-29 |
| 1821402116 | Ashley Amanda Tiedemann | Case Manager/Care Coordinator | 790 Via Lata, #300, Colton, CA 92324-3978 | 2014-06-16 |
| 1063838340 | Iliana K. Perea | Case Manager/Care Coordinator | 790 Via Lata, Colton, CA 92324-3978 | 2014-03-11 |
| 1003230939 | Daniel Jenkins | Counselor | 790 Via Lata, Suite 300, Colton, CA 92324-3978 | 2014-02-12 |
| 1952737975 | Sharon Ventura | Counselor | 790 Via Lata, Suite 300, Colton, CA 92324-3978 | 2013-09-23 |
| 1710226212 | Andrea Randall | Case Manager/Care Coordinator | 790 Via Lata, Suite 300, Colton, CA 92324-3978 | 2013-02-05 |
| 1629313556 | Diana Marie Bargas | Counselor | 790 Via Lata, Suite 250, Colton, CA 92324-3978 | 2012-12-04 |
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|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
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| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700048220 | Anntonette Gonzales Capre | Psychologist | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2008-06-26 |
| 1053580035 | Bethanne M. Fishell | Psychologist | 400 N Pepper Ave, Colton, CA 92324-1801 | 2008-02-25 |
| 1801011580 | Douglas Wayne Larson | Psychologist | 1430 E Cooley Dr, Suite 209, Colton, CA 92324-3934 | 2007-04-16 |
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| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
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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.