MR. GERARDO L COSSIO (NPI# 1669014155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669014155 |
| Entity Type | Individual |
| Full Name | MR. GERARDO L COSSIO |
| Practice Address |
47825 Oasis St Indio CA 92201-6950 |
| Practice Telephone | 7608638455 |
| Mailing Telephone | 7608638455 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 49211 Grapefruit Blvd Ste 6, Coachella, CA 922361480 | 7605418520 |
| Street Address |
47825 OASIS ST |
| City | INDIO |
| State | CA |
| Zip Code | 92201-6950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346262672 | Alisa Huntington | Public Health or Welfare | 47825 Oasis St, Indio, CA 92201-6950 | 2006-07-24 |
| 1497360192 | Mara Moreno | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2020-09-10 |
| 1235750498 | Thu My Phan | Social Worker | 47825 Oasis St, Indio, CA 92201-6950 | 2020-04-29 |
| 1710512793 | Anel N Diaz | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2020-03-10 |
| 1689210650 | Brianna Lynn Parrish-perez | Licensed Vocational Nurse | 47825 Oasis St, Indio, CA 92201-6950 | 2019-11-25 |
| 1174169148 | Rob James Lara | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-11-25 |
| 1215573449 | Aneeka Marie Zerkle | Marriage & Family Therapist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-11-22 |
| 1033769963 | Lorena Simo Molina | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-09-12 |
| 1992352603 | Jaleesa Sims | Licensed Vocational Nurse | 47825 Oasis St, Indio, CA 92201-6950 | 2019-08-19 |
| 1134782444 | Erika Munoz | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| 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 |
|---|---|---|---|---|
| 1245831460 | Natalie N Vale I | Peer Specialist | 82485 Miles Ave, Indio, CA 92201-4249 | 2020-11-04 |
| 1497360192 | Mara Moreno | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2020-09-10 |
| 1710512793 | Anel N Diaz | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2020-03-10 |
| 1013555218 | Cariza Amellia Rivera | Peer Specialist | 47915 Oasis St, Indio, CA 92201-6950 | 2019-12-18 |
| 1114565819 | Julieta Verdugo | Peer Specialist | 82380 Miles Ave, Indio, CA 92201-2608 | 2019-12-13 |
| 1598303190 | Nancy Azua Montal I | Peer Specialist | 82380 Miles Ave, Indio, CA 92201-2608 | 2019-12-13 |
| 1598301392 | Christina Saldivar | Peer Specialist | 47915 Oasis St Ste C, Indio, CA 92201-6950 | 2019-11-27 |
| 1174169148 | Rob James Lara | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-11-25 |
| 1083259667 | Veronica Alvarez | Peer Specialist | 82485 Miles Ave, Indio, CA 92201-4249 | 2019-11-07 |
| 1598309148 | Regina Wright | Peer Specialist | 82485 Miles Ave, Indio, CA 92201-4249 | 2019-11-06 |
| Find all providers in INDIO | ||||
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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.