MY90HEALTH (NPI# 1619347770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619347770 |
| Entity Type | Organization |
| Organization Name | MY90HEALTH |
| Practice Address |
32460 Crown Valley Pkwy # 107 Dana Point CA 92629-3302 |
| Practice Telephone | 9494815925 |
| Mailing Telephone | 9494815925 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |
| Authorized Official Name | JOHN GINOS III (OWNER) |
| Authorized Official Telephone | 4802342333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 175F00000X | Naturopath | Other Service Providers | ||
| N | 175L00000X | Homeopath | Other Service Providers | ||
| Y | 132700000X | Dietary Manager | Dietary & Nutritional Service Providers |
| Street Address |
32460 CROWN VALLEY PKWY # 107 |
| City | DANA POINT |
| State | CA |
| Zip Code | 92629-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003443144 | Torrey Dawn Commisso | Counselor | 34092 Violet Lantern, Suite 100, Dana Point, CA 92629 | 2020-03-26 |
| 1104466473 | Kirsten Noelle Yackley | Marriage & Family Therapist | 34202 Del Obispo, Dana Point, CA 92629 | 2020-01-14 |
| 1154971653 | Alicia Jolieta Ciriani | Technician | 25082 Perch Dr., Dans Point, CA 92629 | 2019-09-17 |
| 1821640137 | L Snyder Incorporated | Family Medicine | 34052 La Plaza #101, Dana Point, CA 92629 | 2019-07-16 |
| 1023572609 | Michelle Shickler | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| 1649734427 | Gustavo Asencia | Behavioral Analyst | 32565 Golden Lantern Ste B180, Dana Point, CA 92629 | 2019-01-25 |
| 1275069684 | Mission Rehab, LLC. | Substance Abuse Rehabilitation Facility | 32656 Golden Lantern, Suite B #473, Dana Point, CA 92629 | 2017-05-04 |
| 1922548452 | Dana Point Rehab Campus | Substance Abuse Rehabilitation Facility | 33842 Orilla Rd, Dana Point, CA 92629 | 2017-03-02 |
| 1316340060 | Steven Edward Dunbar | Chiropractor | 32585 Golden Lantern St. Suite H, Dana Point, CA 92629 | 2014-10-08 |
| 1427476183 | Lorraine Ann Sherrie | Occupational Therapy Assistant | 24242 La Cresta, Ot Department, Dana Point, CA 92629 | 2014-03-31 |
| Find all providers in zip 92629 | ||||
| Taxonomy Code | 132700000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietary Manager |
| A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289825 | Steven Richard Lindsay | Dietary Manager | 1706 Glen Kippen Ln, Clovis, CA 93619-2870 | 2019-11-07 |
| 1902259781 | Ayde Colin | Dietary Manager | 102 Ladera Dr, Santa Cruz, CA 95060-5254 | 2016-07-18 |
| 1982080578 | Parvaneh Lalezari | Dietary Manager | 18410 Wells Dr, Tarzana, CA 91356-4221 | 2015-08-05 |
| 1043628910 | Carol Habercoss | Dietary Manager | 6955 Foothill Blvd Ste 188, Oakland, CA 94605-2455 | 2014-07-23 |
| 1609282573 | Jessica Woodruff | Dietary Manager | 4929 Oakwood Ave, La Canada, CA 91011-2543 | 2014-07-10 |
| 1891119616 | Soheyla Safe Hashemi | Dietary Manager | 24585 Town Center Dr, 4403, Valencia, CA 91355-1366 | 2014-02-13 |
| 1902231749 | Nana Rushka Stark | Dietary Manager | 538 N. Mansfield Avenue, Los Angeles, CA 90036-2612 | 2013-09-11 |
| 1295092229 | Shane Fit | Dietary Manager | 134 Teatown Road, Croton On Hudson, CA 90265 | 2012-04-16 |
| 1730453069 | Gala Gabriela Byroff | Dietary Manager | 7810 Via Genova, Burbank, CA 91504-1118 | 2012-03-05 |
| 1982988317 | Charmene Marjorie Vega | Dietary Manager | 10015 Cinderella Ave, Bakersfield, CA 93311-2994 | 2011-10-04 |
| Find all providers with the same taxonomy | ||||
| City | DANA POINT |
| Zip Code | 92629 |
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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.