JENNIFER REYES LIN (NPI# 1609495621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609495621 |
Entity Type | Individual |
Full Name | JENNIFER REYES LIN |
Credential | MD, MPH |
Practice Address |
400 N. Pepper Ave Mob Ste 107 Colton CA 92324 |
Practice Telephone | 9095801862 |
Mailing Telephone | 9095801862 |
Enumeration Date | 2020-04-09 |
Last Update Date | 2020-04-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
400 N. PEPPER AVE MOB STE 107 |
City | COLTON |
State | CA |
Zip Code | 92324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952504508 | Armc Csu | Clinic/Center | 400 N. Pepper Ave, Colton, CA 92324 | 2007-06-08 |
1154649010 | Geesnell Lim | Family Medicine | 400 N. Pepper Ave, Armc Dept. of Family Medicine, Colton, CA 92324 | 2010-05-17 |
1295917342 | Jane P Wong | Physician Assistant | 400 N. Pepper Ave, Surgery Dept 6th Floor, Colton, CA 92324 | 2007-11-30 |
1306031448 | Jeanette Wong Shibata | Physician Assistant | 400 N. Pepper Ave, Colton, CA 92324 | 2007-09-12 |
1255531687 | Mailan Dinh Pham | Psychiatry & Neurology | 400 N. Pepper Ave, Armc Behavioral Health, Colton, CA 92324 | 2007-07-24 |
1265637524 | County of San Bernardino | Clinic/Center | 400 N. Pepper Ave, Colton, CA 92324 | 2007-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
Find all providers in zip 92324 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043831985 | Jonathan R Chan | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave Ste 301, Colton, CA 92324-1819 | 2020-05-01 |
1194353698 | Shawhin Daniel Beroukhim | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave Ste 309, Colton, CA 92324-1801 | 2020-03-30 |
1538715446 | Alyssa Kristianna Perez | Student in an Organized Health Care Education/Training Program | 3022 Canyon Vista Dr, Colton, CA 92324-9770 | 2019-08-15 |
1467959965 | Hideyuki Murakami | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave Dept Of, Colton, CA 92324-1819 | 2018-04-11 |
1801037668 | Blanca Isela Morales | Student in an Organized Health Care Education/Training Program | 1320 Latham St, Colton, CA 92324-1516 | 2009-03-09 |
1689282618 | Johnny Greene | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-07-15 |
1255953311 | Sheryl Lynn Clare Diaz | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-05-12 |
1992327084 | Raja Alberto Appannagari Gnanadev | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave Dept Of, Colton, CA 92324-1819 | 2020-05-11 |
1295357416 | John Brewington IIi | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave, Colton, CA 92324-1819 | 2020-05-11 |
1073135570 | Christina Sugirtharaj | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave, Colton, CA 92324-1819 | 2020-05-07 |
Find all providers in COLTON |
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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.