MR. SIDNEY UNTAL SUAREZ JR. (NPI# 1649818055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649818055 |
| Entity Type | Individual |
| Full Name | MR. SIDNEY UNTAL SUAREZ JR. |
| Practice Address |
820 E Gilbert St San Bernardino CA 92415-0928 |
| Practice Telephone | 9093877200 |
| Mailing Telephone | 9093877200 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
820 E GILBERT ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92415-0928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831236934 | Mercedes S Patterson | Case Manager/Care Coordinator | 820 E Gilbert St, San Bernardino, CA 92415-0928 | 2007-01-30 |
| 1265077341 | Demario O'ryan Dunn | Peer Specialist | 820 E Gilbert St, San Bernardino, CA 92415-1403 | 2019-11-12 |
| 1740825827 | Cristina Guerra | Peer Specialist | 820 E Gilbert St, San Bernardino, CA 92415-1403 | 2019-11-12 |
| 1063057149 | Derrick Cannon I | Peer Specialist | 820 E Gilbert St, San Bernardino, CA 92415-1403 | 2019-11-12 |
| 1720620172 | Maurilia Araceli Alvarado- Montiel | Case Manager/Care Coordinator | 820 E Gilbert St, San Bernardino, CA 92415-0928 | 2019-10-16 |
| 1942853296 | Alicia Carmona | Marriage & Family Therapist | 820 E Gilbert St, San Bernardino, CA 92415-0928 | 2019-07-16 |
| 1407415326 | Stephanie Barker | Case Manager/Care Coordinator | 820 E Gilbert St, San Bernardino, CA 92415-0928 | 2019-06-13 |
| 1326510090 | Tricina L Edwards | Registered Nurse | 820 E Gilbert St, San Bernardino, CA 92415-0928 | 2018-12-19 |
| 1437634664 | Camyra Rebecca Coleman | Licensed Vocational Nurse | 820 E Gilbert St, San Bernardino, CA 92415-0928 | 2018-10-03 |
| 1679060008 | Hye Seung Kim | Registered Nurse | 820 E Gilbert St, San Bernardino, CA 92415-0928 | 2018-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578041042 | Karina Judith Barragan | Student in an Organized Health Care Education/Training Program | 19500 South Sunwest Lane, San Bernardino, CA 92415 | 2018-08-06 |
| 1841714839 | Layla Subhani | Marriage & Family Therapist | 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 | 2017-08-01 |
| 1023546637 | Angelica Ruiz | Marriage & Family Therapist | 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2017-05-25 |
| 1750825030 | Jordyn Ackerman | Marriage & Family Therapist | 900 E Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2016-12-06 |
| 1083063663 | San Bernardino County Department of Public Health | Public Health or Welfare | 1505 South D Street, San Bernardino, CA 92415 | 2016-06-06 |
| 1366821233 | Jodi Cerney | Counselor | 1950 S. Sunwest Lane, Suite #200, San Bernardino, CA 92415 | 2015-05-26 |
| 1427442268 | Yessenia Cruz | Case Manager/Care Coordinator | 780 E Gilbert St Bldg H, San Bernardino, CA 92415 | 2015-03-18 |
| 1861808859 | Hector Armando Ortega | Student in an Organized Health Care Education/Training Program | 1950 S. Sunwest Ln., Rialto, CA 92415 | 2014-07-10 |
| 1437564762 | Ashlee Barker | Marriage & Family Therapist | 900 E Gilbert St. Cottage 4, San Bernardino, CA 92415 | 2014-06-25 |
| 1669802708 | County of San Bernardino | In Home Supportive Care | 784 E Hospitality Ln, San Bernardino, CA 92415 | 2013-11-26 |
| Find all providers in zip 92415 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1518502301 | Georgina Centeno | Peer Specialist | 780 Esat Gilbert St, San Bernardino, CA 92415-0001 | 2019-11-15 |
| 1063920973 | Arneta Brown | Peer Specialist | 658 E Brier Dr, San Bernardino, CA 92415-0928 | 2018-01-12 |
| 1619589140 | Michelle Eileen Koperski | Peer Specialist | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-08-17 |
| 1518598879 | Denise Ybarra | Peer Specialist | 104 W 4th St, San Bernardino, CA 92415-0035 | 2020-01-27 |
| 1912543760 | Elsie Renee Rollins | Peer Specialist | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2019-11-26 |
| 1841836145 | Noe Zepeda | Peer Specialist | 351 N Mt View Ave, San Bernardino, CA 92415-0001 | 2019-11-21 |
| 1265077341 | Demario O'ryan Dunn | Peer Specialist | 820 E Gilbert St, San Bernardino, CA 92415-1403 | 2019-11-12 |
| 1740825827 | Cristina Guerra | Peer Specialist | 820 E Gilbert St, San Bernardino, CA 92415-1403 | 2019-11-12 |
| 1063057149 | Derrick Cannon I | Peer Specialist | 820 E Gilbert St, San Bernardino, CA 92415-1403 | 2019-11-12 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92415 |
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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.