PROFESSIONAL HEALTHCARE ASSOCIATES, INC. (NPI# 1609912419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609912419 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL HEALTHCARE ASSOCIATES, INC. |
| Other Organization Name | CAVALRY AMBULANCE |
| Practice Address |
19470 Envoy Ave Corona CA 92881-3804 |
| Mailing Address |
420 N Mckinley St Suite 111-130 Corona CA 92879-8099 |
| Practice Telephone | 9512783700 |
| Practice Fax Number | 9517361933 |
| Mailing Telephone | 9512783700 |
| Mailing Fax Number | 9517361933 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-04-26 |
| Authorized Official Name | MR. KENT RONALD KNOPF (CEO) |
| Authorized Official Telephone | 9512783700 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD PROVIDER NUMBER | ZZZ13518Z | 01 |
| Other Name | Type Code |
|---|---|
| Cavalry Ambulance | Doing Business As Name - Organization |
| Street Address |
19470 ENVOY AVE |
| City | CORONA |
| State | CA |
| Zip Code | 92881-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679813653 | Manuel Buenrostro | Ambulance | 1450 W 6th St Ste 201, Corona, CA 92882-6516 | 2013-02-27 |
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| 1609410125 | Luxcare Ambulance LLC | Ambulance | 1267 Willis St Ste 200, Redding, CA 96001-0400 | 2019-10-29 |
| 1114560984 | City of Ukiah | Ambulance | 1500 S State St, Ukiah, CA 95482-6709 | 2019-10-23 |
| 1487207452 | Xentro LLC | Ambulance | 2157 Hyacinth Dr, Oxnard, CA 93036-2338 | 2019-07-18 |
| 1548727886 | The Medics Plus Inc. | Ambulance | 2122 College Ave, Modesto, CA 95350-3044 | 2019-02-22 |
| 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.