PAMMELI CARLOS (NPI# 1649777624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649777624 |
| Entity Type | Individual |
| Full Name | PAMMELI CARLOS |
| Practice Address |
11951 Hesperia Rd Hesperia CA 92345-1855 |
| Mailing Address |
1950 S Sunwest Ln San Bernardino CA 92408-3258 |
| Practice Telephone | 7609562345 |
| Mailing Telephone | 9092524010 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1950 S Sunwest Ln, San Bernardino, CA 924083258 | 9092524010 |
| Street Address |
11951 HESPERIA RD |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265579023 | Cynthia Anne Harvey | Marriage & Family Therapist | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2007-01-31 |
| 1114532827 | Jakob Mccarthy | Student in an Organized Health Care Education/Training Program | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2020-09-09 |
| 1730701905 | Re'vin Slack | Marriage & Family Therapist | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2020-05-11 |
| 1346878931 | Vanessa Evette Stone | Social Worker | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2020-03-30 |
| 1962972331 | Miya Edwards | Counselor | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2018-11-28 |
| 1568938694 | Kelly Hake | Marriage & Family Therapist | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2018-10-16 |
| 1750865002 | Triniece Nicole Simpson | Marriage & Family Therapist | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2018-09-23 |
| 1104311497 | Estela Silva | Case Manager/Care Coordinator | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2018-06-28 |
| 1407343452 | Shanice K Lockhart | Case Manager/Care Coordinator | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2018-04-16 |
| 1548763956 | Linda Alcala | Marriage & Family Therapist | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2018-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1093900151 | Angla A Smith | Counselor | 14628 Main St, Hesperia, CA 92345-3323 | 2007-09-12 |
| 1962622274 | Valerie Lynn Barrows | Counselor | 10918 Hesperia Rd Ste B, Hesperia, CA 92345-2151 | 2007-04-27 |
| 1962972331 | Miya Edwards | Counselor | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2018-11-28 |
| 1679995963 | Takisha Williams | Counselor | 11776 Mariposa Rd, Hesperia, CA 92345-1622 | 2014-01-06 |
| 1922236967 | Lisa Marie Plumb | Counselor | 11776 Mariposa Rd, Hesperia, CA 92345-1622 | 2009-06-29 |
| 1053565820 | Amy Lindsay Sando | Counselor | 11951 Hesperia Rd, Hesperia, CA 92345-1855 | 2008-11-06 |
| 1649429655 | Cheryl L Thomas | Counselor | 14628 Main St, Hesperia, CA 92345-3323 | 2008-09-15 |
| 1710140306 | Shenell Adams | Counselor | 11951 Hesperia Rd, Hesperia, CA 92345 | 2008-07-03 |
| Find all providers in HESPERIA | ||||
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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.