EUGENIA ORTEGA (NPI# 1649803693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649803693 |
| Entity Type | Individual |
| Full Name | EUGENIA ORTEGA |
| Other Name | EUGENIA LARROQUE |
| Practice Address |
15708 Pomerado Rd Ste 102n Poway CA 92064-2035 |
| Mailing Address |
Po Box 1547 Rancho Santa Fe CA 92067-1547 |
| Practice Telephone | 8587465566 |
| Mailing Telephone | 8583426848 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
15708 POMERADO RD STE 102N |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639612955 | Madeline Horner | Behavioral Analyst | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2016-11-18 |
| 1437762416 | Hye Sim Chung | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2020-08-28 |
| 1821622622 | Satinder Kaur | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2020-03-02 |
| 1093349904 | Maya Marie Bonelli | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2020-02-29 |
| 1316580426 | Chun Hin Trevor Wong | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2019-10-21 |
| 1356983993 | Riley M Eckburg | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2019-10-15 |
| 1396386066 | Gabriel Alexander Burrill | Behavioral Analyst | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2019-10-03 |
| 1689222572 | Alyssa Lynn Allen | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2019-09-03 |
| 1376191429 | Xavier Daoedsjah Thompson | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2019-09-02 |
| 1215583414 | Jeslynn Detwiler | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2019-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971745 | Natalie M Maddison | Developmental Therapist | 4397 Tujunga Ave, Studio City, CA 91604 | 2019-09-16 |
| 1962055426 | Bryan C Dunn | Developmental Therapist | 12180 Ridgecrest Rd Ste 508, Victorville, CA 92395-5903 | 2019-07-23 |
| 1124532676 | Martha Maxim | Developmental Therapist | 3424 Rodney St, Rosamond, CA 93560-7607 | 2017-11-20 |
| 1013463363 | Waheeda Waheed | Developmental Therapist | 501 W Broadway, Suit 800, San Diego, CA 92101 | 2016-08-28 |
| 1629427935 | Keelan Tobia | Developmental Therapist | 501 W Broadway, Suite 800, San Diego, CA 92101 | 2016-06-07 |
| 1942655386 | Lisa Annette Friddle | Developmental Therapist | 45198 Wiki Cir, Temecula, CA 92592-1348 | 2016-05-03 |
| 1790145316 | Jessica Vigil | Developmental Therapist | 414 Oxford St, Hayward, CA 94541-2225 | 2016-02-24 |
| 1497110142 | Vedrana Dujic-carew | Developmental Therapist | 560 Haight St., #104, San Francisco, CA 94117-3459 | 2015-12-23 |
| 1275907750 | Raveen Kallash | Developmental Therapist | 560 Haight St Apt 104, San Francisco, CA 94117-3444 | 2015-11-19 |
| 1104203520 | Megan Alders | Developmental Therapist | 21 Salinger Ct, Coto De Caza, CA 92679-5153 | 2015-05-06 |
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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.