ANADIOLA CERVANTES (NPI# 1689143539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689143539 |
Entity Type | Individual |
Full Name | ANADIOLA CERVANTES |
Practice Address |
25115 Avenue Stanford Ste 100 Valencia CA 91355-4791 |
Mailing Address |
206 N Jackson St Glendale CA 91206-4330 |
Practice Telephone | 8182416780 |
Practice Fax Number | 8182416853 |
Mailing Telephone | 8182416780 |
Mailing Fax Number | 8182416853 |
Enumeration Date | 2018-11-21 |
Last Update Date | 2020-04-24 |
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 | ||
N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
Street Address |
25115 AVENUE STANFORD STE 100 |
City | VALENCIA |
State | CA |
Zip Code | 91355-4791 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912020926 | Julian V Ufano-leon | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2007-04-06 |
1659981991 | Samira Madoo | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2020-08-02 |
1548808967 | Cassandra Gallegos | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-12-16 |
1013552033 | Rhonda Francine Johnson | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-11-13 |
1497306922 | Justine Alexandra Wilm | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-09-25 |
1831747740 | Poornashri Manoharan | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-09-04 |
1487201216 | Jenefer Anumba | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-08-26 |
1972150753 | Aileen Duran | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-08-26 |
1629625421 | Anai Pineda | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-08-26 |
1386290047 | Tiffanie Renee Runnels | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2019-08-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
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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 |
---|---|---|---|---|
1750400222 | Eric R Koch | Rehabilitation Practitioner | 24024 Bridgeport Ln Unit 27, Valencia, CA 91355-1649 | 2007-03-28 |
1619435138 | Monica Leigh Matthews | Rehabilitation Practitioner | 23501 Cinema Dr Ste 200, Valencia, CA 91355-5430 | 2019-03-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861092447 | Isaiah Daniel Clark | Rehabilitation Practitioner | 33600 Mapleton Ave # D2018, Murrieta, CA 92563-4434 | 2020-10-31 |
1760089122 | Leslie Ann Showalter | Rehabilitation Practitioner | 6720 Tampa Ave, Reseda, CA 91335-5014 | 2020-10-07 |
1508477019 | Brenda Cabrera | Rehabilitation Practitioner | 127 W Hillcrest Blvd, Inglewood, CA 90301-2623 | 2020-08-10 |
1669082202 | Brenda Vargas | Rehabilitation Practitioner | 16650 Sherman Way # 201, Van Nuys, CA 91406-3782 | 2020-08-07 |
1629696042 | Ashlie Renee Javier | Rehabilitation Practitioner | 1266 Calle Estrella, San Dimas, CA 91773-4080 | 2020-07-13 |
1861013757 | Terrisa Noel-rivera Luna | Rehabilitation Practitioner | 11303 Wilshire Blvd Bld 116, Los Angeles, CA 90025-5069 | 2020-05-01 |
1780212852 | Isaiah Sanchez | Rehabilitation Practitioner | 10535 Zelzah Ave, Granada Hills, CA 91344-5902 | 2020-04-01 |
1235766015 | Theresa Matheson | Rehabilitation Practitioner | 15533 Ryon Ave, Bellflower, CA 90706-3624 | 2020-03-24 |
1669008991 | Delman Lee Williams | Rehabilitation Practitioner | 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 | 2020-03-18 |
1356976864 | Millea Jewel Betts | Rehabilitation Practitioner | 801 E Chapman Ave # Sut203, Fullerton, CA 92831-3839 | 2020-03-04 |
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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.