JASON ELLIS (NPI# 1578924858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578924858 |
| Entity Type | Individual |
| Full Name | JASON ELLIS |
| Practice Address |
68615 Perez Rd Suite 6a Cathedral City CA 92234-7200 |
| Practice Telephone | 7607702442 |
| Mailing Telephone | 7607702442 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831602093 | Jason Lee Ellis | Occupational Therapist | 719 Elysian Fields Ave Fl 2, New Orleans, LA 70117-8511 | 2017-11-09 |
| 1629330949 | Jason S Ellis | Dentist | 440 Coburg Rd, Suite 104, Eugene, OR 97401-5541 | 2012-06-12 |
| 1194840470 | Jason Daniel Ellis | Registered Nurse | 4510 Nocohoma Bnd, Douglasville, GA 30135-8447 | 2007-03-19 |
| 1700914140 | Jason Lee Ellis | Chiropractor | 7250 France Ave S., 300 A, Edina, MN 55435-4346 | 2007-02-28 |
| 1366583163 | Jason Max Ellis | Chiropractor | 4010 Page Ave, Ste 104, Michigan Center, MI 49254-1026 | 2007-02-12 |
| 1861455495 | Jason Ellis | Chiropractor | 3965 Normal St, Suit #4, San Diego, CA 92103-3422 | 2006-04-06 |
| 1285197673 | Jason Ted Ellis | Pharmacist | 500 11th St Sw, Spencer, IA 51301-5826 | 2019-04-11 |
| 1437618055 | Jason Ellis | Chiropractor | 7034 Liberty Rd, Baltimore, MD 21207-5801 | 2019-03-13 |
| 1023466760 | Jason G. Ellis | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2016-06-02 |
| 1679828578 | Jason M Ellis | Family Medicine | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2012-07-17 |
| Street Address |
68615 PEREZ RD SUITE 6A |
| City | CATHEDRAL CITY |
| State | CA |
| Zip Code | 92234-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023122454 | County of Riverside | Community/Behavioral Health | 68615 Perez Rd, Suite 6a, Cathedral City, CA 92234-7200 | 2006-08-19 |
| 1992211031 | Eduardo Cabrera Gil | Peer Specialist | 68615 Perez Rd, Cathedral City, CA 92234-7200 | 2017-12-27 |
| 1144666546 | Brief Psychotherapy and Family Counseling, A Professional Corporation | Marriage & Family Therapist | 68615 Perez Rd, Suite A, Cathedral City, CA 92234-7200 | 2013-05-13 |
| 1578712014 | Tania Jane Mccormick | Marriage & Family Therapist | 68615 Perez Rd, 6a, Cathedral City, CA 92234-7200 | 2008-09-09 |
| 1477712164 | Patricia Thomas | Community/Behavioral Health | 68615 Perez Rd, 6a, Cathedral City, CA 92234 | 2008-06-06 |
| 1861669863 | Kent L Rommereim | Counselor | 68615 Perez Rd, 6a, Cathedral City, CA 92234-7200 | 2008-05-09 |
| 1407028434 | Mariann Sandor | Counselor | 68615 Perez Rd, Suite 6a, Cathedral City, CA 92234-7200 | 2008-03-31 |
| 1235359365 | Brian Wirt Woolley | Counselor | 68615 Perez Rd, Cathedral City, CA 92234-7200 | 2007-04-30 |
| 1396968558 | Vicki Diane Johnson | Counselor | 68615 Perez Rd, Suite 2a, Cathedral City, CA 92234-7200 | 2007-04-10 |
| 1487877668 | Diane E. Ducatte | Counselor | 68615 Perez Rd, Suite 2a, Cathedral City, CA 92234-7200 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559661 | Susan Lim | Pharmacist | 68018 Vista Chino, Cathedral City, CA 92234 | 2020-05-08 |
| 1306479936 | Aragon Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 33775 Wishing Well Trl # 92234, Cathedral City, CA 92234 | 2020-02-21 |
| 1770973984 | K C Loo Dds A Dental Corp | Dentist | 68487 E. Palm Canyon Dr Bldg #1, Cathedral City, CA 92234 | 2015-01-26 |
| 1124426614 | Catherine Rodriguez | Counselor | 68100 Ramon Road, Cathedral City, CA 92234 | 2014-12-15 |
| 1760889323 | Serenity Congregate Care | Skilled Nursing Facility | 31730 Avenida Del Padre, Cathedral City, CA 92234 | 2014-11-25 |
| 1043622202 | Ruben Mendez Dds A Professional Corporation | Dentist | 68100 Ramon Rd., A 4, Cathedral City, CA 92234 | 2014-05-22 |
| 1801224670 | Stepping Stones Community Church of The Desert | Voluntary or Charitable | 216 Via Genova, Cathedral City, CA 92234 | 2013-10-14 |
| 1841576337 | Cristina Rene Jester | Case Manager/Care Coordinator | 68425 Perez Road, Suite 11, Cathedral City, CA 92234 | 2011-10-27 |
| 1356649438 | Kimberly Coppage | Case Manager/Care Coordinator | 68-625 Perez Rd, 11-a, Cathedral City, CA 92234 | 2011-03-14 |
| 1376703355 | Michael Day | Chiropractor | 465 Coyote, Cathedral City, CA 92234 | 2008-06-12 |
| Find all providers in zip 92234 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584737 | Samuel Murillo | Peer Specialist | 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 | 2018-10-19 |
| 1992211031 | Eduardo Cabrera Gil | Peer Specialist | 68615 Perez Rd, Cathedral City, CA 92234-7200 | 2017-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | CATHEDRAL CITY |
| Zip Code | 92234 |
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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.