MARCELLA C. MADRID (NPI# 1659671543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659671543 |
| Entity Type | Individual |
| Full Name | MARCELLA C. MADRID |
| Credential | CFM |
| Practice Address |
320 E Bonita Ave Pomona CA 91767-1926 |
| Practice Telephone | 9096211180 |
| Practice Fax Number | 9096241650 |
| Mailing Telephone | 9096211180 |
| Mailing Fax Number | 9096241650 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2011-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224900000X | Mastectomy Fitter | CFM02274 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
320 E BONITA AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91767-1926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154589471 | George P Boyer | Orthotist | 320 E Bonita Ave, Pomona, CA 91767-1926 | 2008-05-23 |
| 1073944633 | Lindsay Aguilar I | Orthotist | 320 E Bonita Ave, Pomona, CA 91767-1926 | 2013-12-09 |
| 1083980601 | Benjamin Tran | Orthotist | 320 E Bonita Ave, Pomona, CA 91767-1926 | 2012-03-28 |
| 1316226681 | Brian Taylor Campbell | Orthotic Fitter | 320 E Bonita Ave, Pomona, CA 91767-1926 | 2011-08-04 |
| 1376702142 | Melanie Blair-dye | Orthotist | 320 E Bonita Ave, Pomona, CA 91767-1926 | 2008-06-05 |
| 1497913719 | Lance R. Clawson | Orthotist | 320 E Bonita Ave, Pomona, CA 91767-1926 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 224900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Mastectomy Fitter |
| An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944827 | Abigail's Medical Supply Inc | Mastectomy Fitter | 2020 Camino Del Rio N Ste 105, San Diego, CA 92108-1542 | 2020-02-19 |
| 1679106926 | Dana Walker | Mastectomy Fitter | 9033 Baseline Rd Ste C, Rancho Cucamonga, CA 91730-1214 | 2020-02-14 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1053832923 | Bras and Honey Lingerie Limited | Mastectomy Fitter | 4242 Camino Del Rio N Ste 9, San Diego, CA 92108-2612 | 2017-06-30 |
| 1477810646 | Sasha Merritt | Mastectomy Fitter | 760 Market St Ste 854, San Francisco, CA 94102-2309 | 2012-04-12 |
| 1477834315 | Nancy A. Pavsek | Mastectomy Fitter | 1338 W Winton Ave, Hayward, CA 94545-1408 | 2011-09-06 |
| 1851461123 | Enhance By Linda Reib Inc. | Mastectomy Fitter | 4811 Chippendale Dr, Suite 208, Sacramento, CA 95841-2555 | 2006-11-08 |
| 1386277002 | Cinderella's Closet Your Specialty Lingerie Boutique | Mastectomy Fitter | 9033 Baseline Rd Ste C, Rancho Cucamonga, CA 91730-1214 | 2020-02-20 |
| 1891257499 | Haley Trivoli | Mastectomy Fitter | 232 N Brand Blvd, Glendale, CA 91203-2610 | 2019-04-02 |
| 1629547963 | Elizabeth L. Garcia-flynn | Mastectomy Fitter | 660 E Regent St, Inglewood, CA 90301-1415 | 2018-11-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARCELLA C. MADRID.
| 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.