GERRI WALLACE (NPI# 1801339130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801339130 |
| Entity Type | Individual |
| Full Name | GERRI WALLACE |
| Practice Address |
1448 E Deerfield St Ontario CA 91761-7134 |
| Practice Telephone | 3109480013 |
| Mailing Telephone | 3109480013 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2017-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1448 E DEERFIELD ST |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761-7134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
| 1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
| 1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
| 1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
| 1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
| 1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
| 1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
| 1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
| Find all providers in zip 91761 | ||||
| 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 |
|---|---|---|---|---|
| 1154707347 | Melanie Ann Lovett | Rehabilitation Practitioner | 532 N Sultana Ave Apt 3, Ontario, CA 91764-3751 | 2015-08-11 |
| 1982920005 | Maria Mendoza | Rehabilitation Practitioner | 2990 E Inland Empire Blvd., Ontario, CA 91764 | 2010-04-14 |
| 1700061728 | Jonathan Earl Johnson | Rehabilitation Practitioner | 2990 Inland Empire Blvd Ste 101, Ontario, CA 91764-4899 | 2008-01-09 |
| 1134633969 | Shanika Packard | Rehabilitation Practitioner | 1500 S Haven Ave Ste 250, Ontario, CA 91761-2973 | 2017-12-01 |
| 1477884948 | Rebecca Ruth Evert | Rehabilitation Practitioner | 2990 Inland Empire Blvd, Suite 101, Ontario, CA 91764-4899 | 2010-01-23 |
| 1881823656 | Dena Lara | Rehabilitation Practitioner | 2990 Inland Empire Blvd Ste 101, Ontario, CA 91764-4899 | 2009-07-14 |
| 1841443215 | Noretta Bithell | Rehabilitation Practitioner | 2990 Inland Empire Blvd, Suite 101, Ontario, CA 91764-4899 | 2008-10-29 |
| 1447439096 | Ryan Sonny Jimenez | Rehabilitation Practitioner | 2930 Inland Empire Blvd Ste 120, Ontario, CA 91764-4802 | 2007-10-31 |
| 1568505550 | Araceli Gutierrez Castillo | Rehabilitation Practitioner | 2990 Inland Empire Blvd, Ontario, CA 91764-4899 | 2007-02-15 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.