MIRIAM PENA (NPI# 1619442332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619442332 |
| Entity Type | Individual |
| Full Name | MIRIAM PENA |
| Practice Address |
1105 E Florida Ave Hemet CA 92543-4512 |
| Practice Telephone | 9514392968 |
| Mailing Telephone | 9514392968 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30892 Suncatcher St, Murrieta, CA 925637958 | 6464069904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003238981 | Miriam Pena | Dietitian, Registered | 252 E Saint John Dr, Pharr, TX 78577-9472 | 2014-01-13 |
| Street Address |
1105 E FLORIDA AVE |
| City | HEMET |
| State | CA |
| Zip Code | 92543-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619124484 | Sheania N Coleman-dorsey | Marriage & Family Therapist | 1105 E Florida Ave, Hemet, CA 92543 | 2008-08-25 |
| 1669089918 | Ernesto Armando Hernandez | Community/Behavioral Health | 1105 E Florida Ave, Hemet, CA 92543-4512 | 2020-09-29 |
| 1922614163 | Ana Alatorre | Counselor | 1105 E Florida Ave, Hemet, CA 92543-4512 | 2020-09-22 |
| 1780290908 | Phillip Yao | Marriage & Family Therapist | 1105 E Florida Ave, Hemet, CA 92543-4512 | 2020-09-22 |
| 1083228191 | Robert J Pope | Counselor | 1105 E Florida Ave, Hemet, CA 92543-4512 | 2020-09-04 |
| 1205446929 | Ma Selene Salazar | Counselor | 1105 E Florida Ave, Hemet, CA 92543-4512 | 2020-08-06 |
| 1386254449 | Meelynda Rayford | Social Worker | 1105 E Florida Ave, Hemet, CA 92543-4512 | 2020-08-04 |
| 1780202242 | Ian Michael Wanamaker | Marriage & Family Therapist | 1105 E Florida Ave, Hemet, CA 92543-4512 | 2020-07-10 |
| 1104453976 | Mayra Griffith | Marriage & Family Therapist | 1105 E Florida Ave, Hemet, CA 92543-4512 | 2020-03-23 |
| 1972143667 | Bianca Maria Macias Encinas | Psychologist | 1105 E Florida Ave, Hemet, CA 92543-4512 | 2020-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565801 | Ada Maria P Benson | In Home Supportive Care | 235 S. Lyon, Hemet, CA 92543 | 2019-12-13 |
| 1336790963 | Lorilea Paige Williams | Family Medicine | Apex Medical Group, 890 West Stetson Ave # B, Hemet, CA 92543 | 2019-09-25 |
| 1760954291 | Pacifica Sl Hemet LLC | Alzheimer Center (Dementia Center) | 1177 South Palm Avenue, Hemet, CA 92543 | 2018-12-21 |
| 1902381080 | Quan Uyen Truong | Counselor | 1105 E. Florida Ave, Hemet, CA 92543 | 2018-09-25 |
| 1013404318 | Kyle Ransom | Student in an Organized Health Care Education/Training Program | Hemet Valley Medical Center, 1117 East Devonshire Ave, Hemet, CA 92543 | 2018-04-23 |
| 1851838817 | New Hope Christian Counseling Foundation, Inc | Community/Behavioral Health | 464 S Palm Ave Ste C-d, Hemet, CA 92543 | 2017-01-27 |
| 1154873909 | Aliuddin Khaja, Md., Inc | Psychiatry & Neurology | 1300 W. Florida Ave, Suite - C, Hemet, CA 92543 | 2016-10-27 |
| 1891140265 | Roshan Razavi | Family Medicine | 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 | 2016-05-04 |
| 1699177048 | Douglas Trent Jepson | Dentist | 810 Saint John Place, Suite C, Hemet, CA 92543 | 2014-09-17 |
| 1205244837 | Hemet Dental Clinic | Clinic/Center | 940 E Morton Pl, Hemet, CA 92543 | 2014-07-28 |
| Find all providers in zip 92543 | ||||
| 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 |
|---|---|---|---|---|
| 1790237923 | County of Riverside | Clinic/Center | 650 N State St, Hemet, CA 92543-2960 | 2016-11-04 |
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|---|---|---|---|---|
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| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| 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.