EDWIN CHARLES BROADNAX


Address: 3801 University Avenue, Suite 400, Riverside, CA 92501
Phone: 9519557108

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
104100000X CA Behavioral Health & Social Service Providers

Office Location

Street Address 3801 UNIVERSITY AVENUE, SUITE 400
City RIVERSIDE
State CA
Zip Code 92501

Providers in the same zip code

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 Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598363467 Danielle Bower Social Worker 746 Grand Ave, Oakland, CA 94610-2714 2020-10-13
1013521566 Simon Desmarais-zalob Social Worker 2460 Clay Bank Rd Bldg 8, Fairfield, CA 94533-1655 2020-09-02
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

Competitor

Search similar providers

City RIVERSIDE
Zip Code 92501

Improve Information

Please comment or provide details below to improve the information on EDWIN CHARLES BROADNAX.

Dataset Information

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.

Trending Searches