AMANDA DASALLA (NPI# 1659751071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659751071 |
| Entity Type | Individual |
| Full Name | AMANDA DASALLA |
| Practice Address |
801 E Chapman Ave Ste 203 Fullerton CA 92831-3846 |
| Mailing Address |
Po Box 919 Fullerton CA 92836-0919 |
| Practice Telephone | 7146809000 |
| Mailing Telephone | 7146809000 |
| Mailing Fax Number | 7146808233 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
801 E CHAPMAN AVE STE 203 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-3846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376630665 | Jesus Sanchez Ocana | Counselor | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2006-10-06 |
| 1366058489 | Juan Islas | Rehabilitation Practitioner | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-09-23 |
| 1285247965 | Jennifer Solorzano | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-08-24 |
| 1427660646 | Jennifer Soto | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-08-19 |
| 1982216289 | Michelle Garcia | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-08-18 |
| 1013528736 | Rafaela Vargas | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-08-14 |
| 1841801057 | Coral Bedolla | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-08-11 |
| 1902417330 | Yessenia Gonzalez | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-08-10 |
| 1750991816 | Yvette Bautista Suarez | Rehabilitation Practitioner | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-08-04 |
| 1396354783 | Christopher Fry | Community Health Worker | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976864 | Millea Jewel Betts | Rehabilitation Practitioner | 801 E Chapman Ave # Sut203, Fullerton, CA 92831-3839 | 2020-03-04 |
| 1477085140 | Kayla Jackson | Rehabilitation Practitioner | 801 E Chapman Ave #203, Fullerton, CA 92831-3839 | 2017-03-31 |
| 1003279787 | Marvin Mendiola | Rehabilitation Practitioner | Crittenton Services 801 E. Chapman Avenue, Fullerton, CA 92831-3839 | 2016-03-31 |
| 1568884880 | Cynthia Marie Alvarado | Rehabilitation Practitioner | 801 E Chapman Ave., #203, Fullerton, CA 92831-3839 | 2014-01-07 |
| 1558707836 | Jorge Chavez Jr. | Rehabilitation Practitioner | 801 E. Chapman Ave., #203, Fullerton, CA 92831-3839 | 2013-05-14 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1265733992 | Faith Ellen Fortuno | Rehabilitation Practitioner | 801 East Chapman # 203, Fullerton, CA 92831-3839 | 2010-11-11 |
| 1891952214 | Deborah Gaffney | Rehabilitation Practitioner | 100 E Valley View, Fullerton, CA 92832 | 2008-05-22 |
| 1760684468 | Marcelene Mcclendon | Rehabilitation Practitioner | 801 East Chapman Ave, Florence Crittenton Services of Orange County, Inc., Fullerton, CA 92831-3839 | 2007-06-04 |
| 1366058489 | Juan Islas | Rehabilitation Practitioner | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-09-23 |
| Find all providers in FULLERTON | ||||
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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.