CATHERINE BLAKE (NPI# 1629466024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629466024 |
Entity Type | Individual |
Full Name | CATHERINE BLAKE |
Practice Address |
6180 Brockton Ave Ste 102 Riverside CA 92506-2259 |
Mailing Address |
19104 Mariposa Ave Riverside CA 92508-9626 |
Practice Telephone | 9516846500 |
Mailing Telephone | 9515294276 |
Enumeration Date | 2015-01-07 |
Last Update Date | 2015-01-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
10362 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659739274 | Catherine Macdonald Blake | Counselor | 10960 W 65th Way, Arvada, CO 80004-2717 | 2016-02-10 |
1366560773 | Catherine L Blake | Nurse Practitioner | 1848 Daimler Rd, Rockford, IL 61112-1019 | 2007-03-26 |
Street Address |
6180 BROCKTON AVE STE 102 |
City | RIVERSIDE |
State | CA |
Zip Code | 92506-2259 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033418744 | Nicole Ann Sanguino | Physical Therapist | 6180 Brockton Ave Ste 102, Riverside, CA 92506-2259 | 2011-03-21 |
1386261733 | Kelsey Gouveia | Speech-Language Pathologist | 6180 Brockton Ave Ste 102, Riverside, CA 92506-2259 | 2020-07-01 |
1912469016 | Stacy Parslow | Speech-Language Pathologist | 6180 Brockton Ave Ste 102, Riverside, CA 92506-2259 | 2019-04-05 |
1669950713 | Alexis Roxanne Aguirre | Occupational Therapist | 6180 Brockton Ave Ste 102, Riverside, CA 92506-2259 | 2018-07-31 |
1629487756 | Andrew Nguyen | Occupational Therapist | 6180 Brockton Ave Ste 102, Riverside, CA 92506-2259 | 2014-08-02 |
1417394685 | Mayra Celis | Specialist/Technologist | 6180 Brockton Ave Ste 102, Riverside, CA 92506-2259 | 2013-05-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
Find all providers in zip 92506 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033418744 | Nicole Ann Sanguino | Physical Therapist | 6180 Brockton Ave Ste 102, Riverside, CA 92506-2259 | 2011-03-21 |
1831614031 | Catherine Luong | Physical Therapist | 6180 Brockton Ave, Riverside, CA 92506-2228 | 2017-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235745233 | Tejal Shah Chokshi | Physical Therapist | 7425 La Mantanza, San Diego, CA 92127-3636 | 2020-09-16 |
1487277992 | Katherine Anne Zweier | Physical Therapist | 4646 Van Dyke Ave, San Diego, CA 92116-4842 | 2020-05-19 |
1184246621 | Achieving Milestones Pediatric Therapy, Inc | Physical Therapist | 221 E Glenoaks Blvd # 225a, Glendale, CA 91207-2085 | 2020-05-07 |
1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
1215585690 | Maggie Christine Ridenhour | Physical Therapist | 1541 Old Bayshore Hwy, Burlingame, CA 94010-1602 | 2019-08-29 |
1477100162 | Fasia Ramirez | Physical Therapist | 35510 Schuber Ln, Temecula, CA 92592-8125 | 2019-08-19 |
1689229841 | Jaclyn Rymer | Physical Therapist | 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 | 2019-08-05 |
1649836669 | Karin Stohn | Physical Therapist | 100 Mcgivern Way, Santa Cruz, CA 95060-9300 | 2019-05-15 |
1376108597 | Karen Dzierski Cruise | Physical Therapist | 10860 Topanga Canyon Blvd, Chatsworth, CA 91311-1350 | 2019-05-02 |
1326511064 | Lissett Rojas | Physical Therapist | 855 N Lark Ellen Ave Ste L, West Covina, CA 91791-1099 | 2019-01-04 |
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.