EDWIN CHARLES BROADNAX (NPI# 1518248640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518248640 |
Entity Type | Individual |
Full Name | EDWIN CHARLES BROADNAX |
Practice Address |
3801 University Avenue, Suite 400 Riverside CA 92501 |
Practice Telephone | 9519557108 |
Mailing Telephone | 9519557108 |
Enumeration Date | 2011-09-02 |
Last Update Date | 2011-09-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041S0200X |
Social Worker Specialization: School |
104100000X | CA | Behavioral Health & Social Service Providers |
Street Address |
3801 UNIVERSITY AVENUE, SUITE 400 |
City | RIVERSIDE |
State | CA |
Zip Code | 92501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
Find all providers in zip 92501 |
Taxonomy Code | 1041S0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336563220 | Anita Lucas | Social Worker | 5555 Enright Ave, Riverside, OH 45431-2270 | 2014-02-12 |
1750705083 | Paul Rekers | Social Worker | 5800 Burkhardt Rd, Riverside, OH 45431-2932 | 2014-02-06 |
1306405949 | Theodore R Robinson IIi | Social Worker | 1405 Spruce St Ste A, Riverside, CA 92507-2410 | 2019-06-07 |
1144675810 | Tiffany Lamar | Social Worker | 3125 Myers St, Riverside, CA 92503-5527 | 2016-04-29 |
1356765671 | Mark A Ward | Social Worker | 805 Old Harshman Rd, Riverside, OH 45431-1238 | 2014-02-06 |
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1669086245 | Mozell Brown | Social Worker | 1150 S Olive St Ste 1150s, Los Angeles, CA 90015-2211 | 2020-09-01 |
1780297846 | Karla Stehl | Social Worker | 6996 Mission St, Daly City, CA 94014-2035 | 2020-08-28 |
1841803012 | Caterina Poehner | Social Worker | 617 Bayonet Cirle, Marina, CA 93933 | 2020-08-28 |
1043823370 | Melissa Sue Ambrose | Social Worker | 699 Serramonte Blvd Ste 100, Daly City, CA 94015-4132 | 2020-08-26 |
1982215067 | Monique Gomes | Social Worker | 412 Azores Cir, Bay Point, CA 94565-3031 | 2020-08-12 |
1790308906 | Sara Brenner | Social Worker | 29835 Mira Loma Dr, Temecula, CA 92592-2206 | 2020-05-21 |
1891318465 | Christian O'brian Munoz | Social Worker | 341 Haven Dr, Arvin, CA 93203-1918 | 2020-05-18 |
1356963078 | Roman Richard Tabayoyon | Social Worker | 9781 Mckenna Dr, Elk Grove, CA 95757-4027 | 2020-05-15 |
Find all providers with the same taxonomy |
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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.