MISS SUSAN EVETTE OTERO (NPI# 1831222652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831222652 |
| Entity Type | Individual |
| Full Name | MISS SUSAN EVETTE OTERO |
| Practice Address |
916 N Mountain Ave Suite A Upland CA 91786-3697 |
| Practice Telephone | 9099321069 |
| Practice Fax Number | 9099321087 |
| Mailing Telephone | 9099321069 |
| Mailing Fax Number | 9099321087 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2014-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288025 | Susan Marie Otero | Nurse Practitioner | 1719 Avant St, Valrico, FL 33594-4779 | 2019-11-06 |
| 1205997244 | Susan E. Otero | Plastic Surgery | 106 Irving St Nw, Pob 420 South, Washington, DC 20010-2927 | 2006-12-13 |
| Street Address |
916 N MOUNTAIN AVE SUITE A |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-3697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235512393 | Pamela Slocum | Counselor | 916 N Mountain Ave, Suite A, Upland, CA 91786-3697 | 2015-07-07 |
| 1861808628 | Jennifer Dethlefsen | Counselor | 916 N Mountain Ave, Suite A, Upland, CA 91786-3697 | 2014-07-01 |
| 1609288042 | Jonathan Otero | Counselor | 916 N Mountain Ave, Suite A, Upland, CA 91786-3697 | 2014-05-20 |
| 1952713307 | Robert Martinez | Counselor | 916 N Mountain Ave, Suite A, Upland, CA 91786-3697 | 2014-05-20 |
| 1932530888 | Rene Hernandez | Community Health Worker | 916 N Mountain Ave, Suite A, Upland, CA 91786 | 2013-12-03 |
| 1467883421 | Joseph Graham | Counselor | 916 N Mountain Ave, Suite A, Upland, CA 91786-3697 | 2013-12-02 |
| 1780015867 | Howard White | Community Health Worker | 916 N Mountain Ave, Suite A, Upland, CA 91786-3697 | 2013-11-27 |
| 1770913824 | Martha Russo | Counselor | 916 N Mountain Ave, Suite A, Upland, CA 91786-3697 | 2013-11-26 |
| 1174953228 | Janelle Gonzalez | Community Health Worker | 916 N Mountain Ave, Site A, Upland, CA 91786-3697 | 2013-11-26 |
| 1942630009 | Bobbi Brasfield | Community Health Worker | 916 N Mountain Ave, Upland, CA 91786-3697 | 2013-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059725 | Nicholas Howard Munoz | Counselor | 934 N Mountain Ave Ste C-d, Upland, CA 91786-3659 | 2020-10-08 |
| 1437625969 | Melissa Jean Hacker | Counselor | 934 N Mountain Ave Ste A, Upland, CA 91786-3659 | 2018-10-23 |
| 1356887152 | Erica Roxanne Caudillo | Counselor | 167 N 3rd Ave Ste N, Upland, CA 91786-6052 | 2017-01-17 |
| 1255729422 | Alexander Murray | Counselor | 1260 E. Arrow Hwy Bldg. E, Upland, CA 91786 | 2014-12-22 |
| 1477875433 | Sandra I. Romero | Counselor | 916 N. Mountain Ave., Suite A, Upland, CA 91786 | 2010-02-18 |
| 1467788315 | Becky Baker | Counselor | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2009-10-28 |
| 1669697322 | Robert Andrew Gallegos | Counselor | 1260 E Arrow Hwy Bldg B, Upland, CA 91786-4996 | 2007-04-16 |
| 1245387687 | Janice Kay Degrande | Counselor | 1260 E Arrow Hwy Bldg C, Upland, CA 91786-4987 | 2007-01-05 |
| 1598366304 | Theresa Smith | Counselor | 239 W 9th St, Upland, CA 91786-5979 | 2020-11-06 |
| 1194349498 | Quintin Blaylock | Counselor | 239 W 9th St, Upland, CA 91786-5979 | 2020-06-02 |
| Find all providers in UPLAND | ||||
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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.