CORE SAN BERNARDINO (NPI# 1609101344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609101344 |
Entity Type | Organization |
Organization Name | CORE SAN BERNARDINO |
Practice Address |
423 Mackay Dr San Bernardino CA 92408-3230 |
Mailing Address |
1080 Marina Village Pkwy Suite 100 Alameda CA 94501-6427 |
Practice Telephone | 9093831073 |
Practice Fax Number | 9093831451 |
Mailing Telephone | 5103377950 |
Mailing Fax Number | 5103377969 |
Enumeration Date | 2009-10-14 |
Last Update Date | 2009-10-14 |
Authorized Official Name | MARSHALL LANGFELD (VP,CFO) |
Authorized Official Telephone | 5103377950 |
Is Organization Subpart | Y |
Parent Organization Name | TELECARE CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
423 MACKAY DR |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92408-3230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306062807 | Daniel Timmons | Counselor | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2007-04-17 |
1386243566 | Randall William Fowler Jr. | Case Manager/Care Coordinator | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2020-10-20 |
1912558958 | Socorro Denise Castellanos | Student in an Organized Health Care Education/Training Program | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2019-09-20 |
1477839256 | William Lorenzo Lamas | Counselor | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2011-10-25 |
1093047128 | John Robert Burns | Counselor | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2010-01-29 |
1700097516 | Devon M Hicks | Counselor | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2007-05-24 |
1457578585 | Charles Pearson | Marriage & Family Therapist | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2007-04-19 |
1871719302 | Amy Arias | Licensed Vocational Nurse | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2007-04-17 |
1285850750 | Editha Padua | Registered Nurse | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2007-04-17 |
1174749675 | Beatrice Serafin | Counselor | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2007-04-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
Find all providers in zip 92408 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912418930 | Telecare Corporation | Clinic/Center | 1481 North Windsor Drive, San Bernardino, CA 92404-5416 | 2017-10-17 |
1801270137 | Sac Health System | Clinic/Center | 250 South G Street, San Bernardino, CA 92410 | 2015-07-16 |
1124100383 | Telecare Corporation | Clinic/Center | 2080 S E St Ste 100, San Bernardino, CA 92408-2706 | 2006-10-19 |
1346850211 | County of San Bernardino | Clinic/Center | 658 E Brier Dr, San Bernardino, CA 92408-2880 | 2020-08-05 |
1497310593 | Telecare Corporation | Clinic/Center | 2080 S E St Ste 200, San Bernardino, CA 92408-2746 | 2019-05-03 |
1952865511 | Telecare Corporation | Clinic/Center | 2080 S E St Ste 200, San Bernardino, CA 92408-2746 | 2019-01-29 |
1326444662 | Telecare Corporation | Clinic/Center | 2080 S E St, Suite 200, San Bernardino, CA 92408-2773 | 2014-11-14 |
1427385558 | County of San Bernardino | Clinic/Center | 2372 Sterling Ave, San Bernardino, CA 92404-4624 | 2009-11-10 |
1609046002 | Telecare Corporation | Clinic/Center | 2080 S E St Ste 250, San Bernardino, CA 92408-2706 | 2008-03-03 |
1760651178 | Telecare Corporation | Clinic/Center | 2080 S E St Ste 200, San Bernardino, CA 92408-2746 | 2008-02-29 |
Find all providers in SAN BERNARDINO |
City | SAN BERNARDINO |
Zip Code | 92408 |
Please comment or provide details below to improve the information on CORE SAN BERNARDINO.
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.