MISS SALLY MIRELES (NPI# 1518511500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518511500 |
| Entity Type | Individual |
| Full Name | MISS SALLY MIRELES |
| Credential | RADT |
| Practice Address |
84109 La Jolla Coachella CA 92236 |
| Mailing Address |
1612 First St Coachella CA 92236 |
| Practice Telephone | 7603339999 |
| Mailing Telephone | 7606989000 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1332981218 | CA | Behavioral Health & Social Service Providers |
| Street Address |
84109 LA JOLLA |
| City | COACHELLA |
| State | CA |
| Zip Code | 92236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518915 | Phong Phan | Pharmacist | 84 010 Avenue 50, Coachella, CA 92236 | 2020-01-28 |
| 1174185318 | Laura Castillo-dominguez | Licensed Vocational Nurse | 83113 Los Cabos Ave, Coachella, CA 92236 | 2019-07-08 |
| 1003390519 | Jennifer Le | Registered Nurse | 49-111 Ca-111 #6a, Coachella, CA 92236 | 2018-09-20 |
| 1700302502 | Latino Commission On Alcohol and Drug Abuse Services | Marriage & Family Therapist | 1612 First St., Coachella, CA 92236 | 2017-08-14 |
| 1467993279 | Jose Ramon Ledezma | Prosthetic/Orthotic Supplier | 84475 Goya Dr, Coachella, CA 92236 | 2017-03-13 |
| 1144622432 | Telecare Corporation | Psychiatric Unit | 49-708 Redondo Poniente, Coachella, CA 92236 | 2014-09-18 |
| 1851708762 | Juanita Ferro | Psychiatric Unit | 52371 Dos Palmas, Coachella, CA 92236 | 2014-07-14 |
| 1932519964 | Gloria Graham | Family Medicine | 50249 Harrison St, Coachella, CA 92236 | 2014-04-29 |
| 1326489121 | Alma Elizabeth Guadarrama Hernandez | Social Worker | 49211 Grapefruit Blvd Ste 5&6, Coachella, CA 92236 | 2013-07-10 |
| 1467621185 | Mark A Gillispie O D Inc | Eyewear Supplier (Equipment, not the service) | 52565 Harrison St., Suite 105, Coachella, CA 92236 | 2008-02-27 |
| Find all providers in zip 92236 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992997001 | Jossye Karin Trivino-cook | Counselor | 1612 1st St, Coachella, CA 92236 | 2007-08-13 |
| 1710546486 | Estela Ramirez | Counselor | 84109 La Jolla Ave, Coachella, CA 92236-9575 | 2019-06-06 |
| 1326525387 | Carmen Alicia Rios | Counselor | 84109 La Jolla Ave, Coachella, CA 92236-9575 | 2018-07-23 |
| 1982181921 | Carla Catherine Flores | Counselor | 1612 1st St, Coachella, CA 92236-1407 | 2018-07-23 |
| 1831638022 | Michelle Brady | Counselor | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2017-02-21 |
| 1184961849 | Ruby E Barajas | Counselor | 1612 1st St, Coachella, CA 92236-1407 | 2013-01-14 |
| 1407123714 | Maribel Ayon Tapia | Counselor | 1612 1st St, Coachella, CA 92236-1407 | 2011-11-30 |
| 1255523353 | Veronica Brambila | Counselor | 1612 1st St, Coachella, CA 92236-1407 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1538760871 | Ky Washington | Counselor | 1625 Sweetwater Rd # C1, National City, CA 91950-7647 | 2020-11-03 |
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1285233155 | Alaric Fairchild | Counselor | 1400 N Johnson Ave Ste 1011400n, El Cajon, CA 92020-1650 | 2020-10-21 |
| 1487253571 | Roxanne Rene Coito | Counselor | 1919 Apple St # D, Oceanside, CA 92054-4425 | 2020-10-20 |
| 1255939732 | Diana Palencia | Counselor | 44459 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| 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.