KENNETH WILLIAM PRADO


Address: 960 N State St Ste B, Hemet, CA 92543-1400
Phone: 9516523560

KENNETH WILLIAM PRADO (NPI# 1821369661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821369661
Entity Type Individual
Full Name KENNETH WILLIAM PRADO
Credential RRW
Practice Address 960 N State St Ste B
Hemet
CA 92543-1400
Mailing Address 960 N. State St. Suite B
Hemet
CA 92543
Practice Telephone 9516523560
Practice Fax Number 9519292780
Mailing Telephone 9516523560
Mailing Fax Number 9519292780
Enumeration Date 2012-01-25
Last Update Date 2012-01-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 333903 05
CA 333901 05

Office Location

Street Address 960 N STATE ST STE B
City HEMET
State CA
Zip Code 92543-1400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710014626 Teresa Marie Bullock Counselor 960 N State St Ste B, Hemet, CA 92543-1473 2007-02-27
1720353121 Riverside Recovery Resources Clinic/Center 960 N State St Ste B, Sun Ray Addictions / Rco San Jacinto, Hemet, CA 92543-1400 2012-03-19
1306119631 Elizabeth Gonzalez Counselor 960 N State St Ste B, Hemet, CA 92543-1400 2012-02-16
1174810402 Steven E Sheley Counselor 960 N State St Ste B, Hemet, CA 92543-1400 2011-07-07
1902100381 Sean Ralph Robinson Counselor 960 N State St Ste B, Hemet, CA 92543-1400 2010-12-29
1942520994 David Alvaro Garcia Counselor 960 N State St Ste B, Hemet, CA 92543-1400 2010-06-01
1649593542 Edward Lloyd Saunders Counselor 960 N State St Ste B, Hemet, CA 92543-1400 2010-03-05
1033448568 Christopher Lee Gay Counselor 960 N State St Ste B, Hemet, CA 92543-1400 2009-12-11
1982937355 Diana Beatrice Martinez Counselor 960 N State St Ste B, Hemet, CA 92543-1400 2009-09-16
1891924700 Anthony Paul Melanson Counselor 960 N State St Ste B, Hemet, CA 92543-1400 2009-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114565801 Ada Maria P Benson In Home Supportive Care 235 S. Lyon, Hemet, CA 92543 2019-12-13
1336790963 Lorilea Paige Williams Family Medicine Apex Medical Group, 890 West Stetson Ave # B, Hemet, CA 92543 2019-09-25
1760954291 Pacifica Sl Hemet LLC Alzheimer Center (Dementia Center) 1177 South Palm Avenue, Hemet, CA 92543 2018-12-21
1902381080 Quan Uyen Truong Counselor 1105 E. Florida Ave, Hemet, CA 92543 2018-09-25
1013404318 Kyle Ransom Student in an Organized Health Care Education/Training Program Hemet Valley Medical Center, 1117 East Devonshire Ave, Hemet, CA 92543 2018-04-23
1851838817 New Hope Christian Counseling Foundation, Inc Community/Behavioral Health 464 S Palm Ave Ste C-d, Hemet, CA 92543 2017-01-27
1154873909 Aliuddin Khaja, Md., Inc Psychiatry & Neurology 1300 W. Florida Ave, Suite - C, Hemet, CA 92543 2016-10-27
1891140265 Roshan Razavi Family Medicine 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 2016-05-04
1699177048 Douglas Trent Jepson Dentist 810 Saint John Place, Suite C, Hemet, CA 92543 2014-09-17
1205244837 Hemet Dental Clinic Clinic/Center 940 E Morton Pl, Hemet, CA 92543 2014-07-28
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881117547 Saira Gonzalez Counselor 950 N State St Ste E, Hemet, CA 92543-1485 2017-07-24
1922533561 Krysta Jean Young Counselor 1400 E Menlo Ave Spc 37, Hemet, CA 92544-3138 2017-04-20
1386069276 Preston Bryant Counselor 640 N San Jacinto St Ste A, Hemet, CA 92543-3188 2014-02-28
1952651457 Suzette Ree Reynolds Counselor 950 N. State St. Suite D, Hemet, CA 92543-1402 2012-09-12
1114293396 Spirit and Truth Counseling Center Counselor 640 N San Jacinto St, Suite A, Hemet, CA 92543-3188 2012-04-01
1770864936 Lisa Marie Godoy Counselor 650 N State St Ste D, Hemet, CA 92543-1485 2011-09-01
1932331576 Sun Ray Addictions Counseling & Education, Inc. Counselor 950 N State St Ste D, Hemet, CA 92543-1485 2009-08-16
1861634404 Lynne M Filippini Counselor 960 N State St, Suite #b, Hemet, CA 92543-1400 2009-03-27
1205011251 David Mayo Counselor 40329 Stetson Ave, Hemet, CA 92544-7358 2008-01-08
1417140237 Paula Bester Counselor 601 E Florida Ave, Hemet, CA 92543-4335 2007-08-24
Find all providers in HEMET

Competitor

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City HEMET
Zip Code 92543

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Dataset Information

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.

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