ALLISSEN C JONES (NPI# 1730471152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730471152 |
Entity Type | Individual |
Full Name | ALLISSEN C JONES |
Other Name | ALLISSEN C JONES |
Practice Address |
13800 Heacock St Suite C236 Moreno Valley CA 92553-3339 |
Mailing Address |
25544 Red Hawk Rd Corona CA 92883-3159 |
Practice Telephone | 9516530819 |
Practice Fax Number | 9516562614 |
Mailing Telephone | 9519564094 |
Enumeration Date | 2011-05-03 |
Last Update Date | 2014-02-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | 36047 | CA | Nursing Service Providers |
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
13800 HEACOCK ST SUITE C236 |
City | MORENO VALLEY |
State | CA |
Zip Code | 92553-3339 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760536874 | Brenda M. Rees | Counselor | 13800 Heacock St, D117, Moreno Valley, CA 92553-3339 | 2007-01-23 |
1780071282 | Jeree Lotts | Case Manager/Care Coordinator | 13800 Heacock St, Suite C236, Moreno Valley, CA 92553-3339 | 2015-04-22 |
1184027112 | A.m.palanca-capistrano,m.d.inc. | Clinic/Center | 13800 Heacock St, Suite C-110, Moreno Valley, CA 92553-3339 | 2014-10-05 |
1558786277 | Ester Raha Ngeembi Nyaggah | Case Manager/Care Coordinator | 13800 Heacock St, Suite C236, Moreno Valley, CA 92553-3339 | 2014-03-04 |
1801211032 | Aumond L Archibald | Case Manager/Care Coordinator | 13800 Heacock St, C236, Moreno Valley, CA 92553-3339 | 2014-02-25 |
1225478266 | Jonathan Brian Fox | Case Manager/Care Coordinator | 13800 Heacock St, Suite C236, Moreno Valley, CA 92553-3339 | 2013-07-03 |
1396180212 | Sulmy Mayly Salazar Cifuentes | Rehabilitation Practitioner | 13800 Heacock St, Moreno Valley, CA 92553-3339 | 2013-05-06 |
1346582962 | C.l.s.non-emergency Medical Transportation Services | Non-emergency Medical Transport (VAN) | 13800 Heacock St, Bldg C, Suite 230-c, Moreno Valley, CA 92553-3339 | 2013-03-21 |
1194078238 | Jazmin Quintero | Case Manager/Care Coordinator | 13800 Heacock St, 236, Moreno Valley, CA 92553-3339 | 2012-10-25 |
1104184860 | Central Occupational Medicine Providers - Ontario, A Medical Corporati | Family Medicine | 13800 Heacock St, Suite C136, Moreno Valley, CA 92553-3339 | 2012-05-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
Find all providers in zip 92553 |
Taxonomy Code | 167G00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Psychiatric Technician |
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073036703 | Karen Parker | Licensed Psychiatric Technician | 12944 Dolomite Lane, Moreno Valley, CA 92555 | 2017-07-25 |
1033652136 | Charles Franklin Jones Jr. | Licensed Psychiatric Technician | 25865 Karisa Cir, Moreno Valley, CA 92551-1968 | 2016-11-22 |
1477005585 | Rochelle Nicole Holmes | Licensed Psychiatric Technician | 26188 Percheron Cir, Moreno Valley, CA 92555-3360 | 2016-10-25 |
1003223967 | Linda Jones | Licensed Psychiatric Technician | 22866 Maybrook Way, Moreno Valley, CA 92557-1819 | 2014-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
Find all providers with the same taxonomy |
City | MORENO VALLEY |
Zip Code | 92553 |
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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.