HEATHER J DALLAS (NPI# 1689706558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689706558 |
| Entity Type | Individual |
| Full Name | HEATHER J DALLAS |
| Practice Address |
12510 Van Nuys Blvd Pacoima CA 91331 |
| Mailing Address |
2601 Pine Ave Manhattan Beach CA 90266-2719 |
| Practice Telephone | 3104188857 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2013-05-31 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225380207 | Heather Leigh Dallas | Speech-Language Pathologist | 659 Tower Mews, Oakdale, NY 11769-2439 | 2012-10-15 |
| 1033456744 | Heather M Dallas | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2013-01-15 |
| Street Address |
12510 VAN NUYS BLVD, |
| City | PACOIMA |
| State | CA |
| Zip Code | 91331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315956 | Kimberly Marie Tallas | Dental Assistant | 9745 Laurel Canyon, Pacoima, CA 91331 | 2020-08-05 |
| 1841822574 | Hathaway-sycamores Child and Family Services | Psychologist | 11505 Herrick Ave, Pacoima, CA 91331 | 2020-02-11 |
| 1649810995 | Amaris Care Inc | Home Health | 8953 Woodman Ave Ste 201, Arleta, CA 91331 | 2020-01-14 |
| 1801453758 | Hathaway Sycamores Child and Family Services | Psychologist | 13233 Eustace St., Pacoima, CA 91331 | 2019-05-28 |
| 1083189807 | Angelina Rosina Guzman | Student in an Organized Health Care Education/Training Program | 13459 Filmore St, 1/4, Pacoima, CA 91331 | 2018-10-08 |
| 1467972364 | Msa Pharmaceutical Services Corporation | Pharmacy | 9720 Woodman Ave, Arleta, CA 91331 | 2017-06-21 |
| 1508213588 | Yari Meita Fanusie | Counselor | 11643 Glenoaks Blvd., Pacoima, CA 91331 | 2016-05-19 |
| 1972992915 | Ray Ayala | Counselor | 16643 Glenoaks Bl., Pacoima, CA 91331 | 2015-01-14 |
| 1538569249 | Ludivina Gutierrez | Occupational Therapist | 14061 Terra Bella Street, Arleta, CA 91331 | 2014-08-29 |
| 1043646557 | Umoh-chidi Daniel | Physical Therapist | 12418 Gain St., Pacoima, CA 91331 | 2013-09-17 |
| Find all providers in zip 91331 | ||||
| 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 |
|---|---|---|---|---|
| 1093247108 | Sofia Cardenas | Rehabilitation Practitioner | 11960 Bromont Ave, Pacoima, CA 91331-1007 | 2017-03-28 |
| 1225407190 | Diana Valladares | Rehabilitation Practitioner | 12332 Osborne Pl Apt 17, Pacoima, CA 91331-2084 | 2015-09-21 |
| 1013288265 | Janet Rico | Rehabilitation Practitioner | 12510 Van Nuys Blvd Ste 100, Pacoima, CA 91331-1338 | 2012-01-19 |
| 1164755641 | Maritza Flores | Rehabilitation Practitioner | 12450 Van Nuys Blvd Ste 101, Pacoima, CA 91331-1391 | 2009-09-15 |
| 1902139686 | Benjamin Sahagun | Rehabilitation Practitioner | 12510 Van Nuys Blvd Ste 209, Pacoima, CA 91331-1350 | 2009-09-11 |
| 1144409897 | Hilary Aberle | Rehabilitation Practitioner | 12450 Van Nuys Blvd Ste 201, Pacoima, CA 91331-1391 | 2007-10-30 |
| 1730202748 | Justin Hilliard Parkinson | Rehabilitation Practitioner | 12510 Van Nuys Blvd Ste. 207, Pacoima, CA 91331 | 2007-04-06 |
| 1083745236 | Kenia Sanchez De La Vega | Rehabilitation Practitioner | 12510 Van Nuys, 201, Pacoima, CA 91331 | 2007-03-08 |
| 1003947169 | Carol Anne Gore | Rehabilitation Practitioner | 12510 Van Nuys Blvd. #200, Pacoima, CA 91331 | 2007-03-08 |
| 1427186626 | Donald Raymond Alonzo | Rehabilitation Practitioner | 12510 Van Nuys Blvd., Suite 201, Pacoima, CA 91331 | 2007-03-01 |
| Find all providers in PACOIMA | ||||
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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.