DR. CAROL MARIE ELIAS (NPI# 1730249384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730249384 |
| Entity Type | Individual |
| Full Name | DR. CAROL MARIE ELIAS |
| Credential | PH.D. |
| Practice Address |
2001 N Garey Ave Ste. 107 Pomona CA 91767-2773 |
| Practice Telephone | 9096220148 |
| Practice Fax Number | 9096227101 |
| Mailing Telephone | 9096220148 |
| Mailing Fax Number | 9096227101 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 16418 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | US BEHAVIORAL HEALTH PLAN | 61-95987 | 01 |
| CA | VALUE OPTIONS | 407529 | 01 |
| CA | PSY164180 | 05 | |
| CA | FIRST HEALTH | 1730035 | 01 |
| CA | MANAGED HEALTH NETWORK | 208817 | 01 |
| CA | BLUE SHIELD | OPL 164180 | 01 |
| Street Address |
2001 N GAREY AVE STE. 107 |
| City | POMONA |
| State | CA |
| Zip Code | 91767-2773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831255215 | Interlink Health Care, Inc. | Hospice Care, Community Based | 2001 N Garey Ave, Suite 102, Pomona, CA 91767-2773 | 2006-12-29 |
| 1245395698 | Interlink Health Care, Inc. | Home Health | 2001 N Garey Ave, Suite 102, Pomona, CA 91767-2773 | 2006-12-26 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831728112 | Jason Heath Hinze | Psychologist | 724 Corporate Center Dr Fl 2, Pomona, CA 91768-2655 | 2020-04-07 |
| 1710259874 | Christine Joan Ditrano | Psychologist | 16 Beaver Dam Rd, Pomona, NY 10970-3204 | 2012-02-06 |
| 1104140367 | Christine V. Ferri | Psychologist | 61 W. Jimmie Leeds Rd, Bacharach Institute for Rehabilitation, Pomona, NJ 08240-0723 | 2010-03-17 |
| 1194844399 | Ana I Pleitez | Psychologist | 1642 Club Dr, Pomona, CA 91768-1267 | 2007-03-28 |
| 1679605117 | Robert Allen Clark | Psychologist | 1 Cooper Morris Dr, Pomona, NY 10970-3309 | 2007-03-11 |
| 1801842810 | Rachel Elizabeth Firemark | Psychologist | 3530 W Pomona Blvd, Pomona, CA 91769-0100 | 2006-05-25 |
| 1891966198 | Yadi F Sweeny | Psychologist | 795 E 2nd St, Suite 4, Pomona, CA 91766-2007 | 2008-03-14 |
| 1104846427 | David A Smith | Psychologist | 3530 West Pomona Blvd, Pomona, CA 91769-0100 | 2006-07-20 |
| 1386691624 | Robert Starace | Psychologist | 50 Sanatorium Rd, Pomona, NY 10970-3555 | 2006-05-30 |
| 1437105129 | Terry L Eakin | Psychologist | 3530 Pomona Blvd, Pomona, CA 91768-3238 | 2006-05-25 |
| Find all providers in POMONA | ||||
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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.