GABRIELA BRIZUELA (NPI# 1831737857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831737857 |
Entity Type | Individual |
Full Name | GABRIELA BRIZUELA |
Practice Address |
405 E Pine St Stockton CA 95204-5522 |
Practice Telephone | 2094645519 |
Mailing Telephone | 2094645519 |
Enumeration Date | 2019-12-20 |
Last Update Date | 2019-12-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
405 E PINE ST |
City | STOCKTON |
State | CA |
Zip Code | 95204-5522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851414189 | University of The Pacific | Community/Behavioral Health | 405 E Pine St, Stockton, CA 95204-5522 | 2007-04-10 |
1982217196 | Carmen Huang | Student in an Organized Health Care Education/Training Program | 405 E Pine St, Stockton, CA 95204-5522 | 2020-08-27 |
1922610377 | Michelle Dean Beaulieu | Student in an Organized Health Care Education/Training Program | 405 E Pine St, Stockton, CA 95204-5522 | 2020-08-18 |
1639789126 | Emily Worman | Student in an Organized Health Care Education/Training Program | 405 E Pine St, Stockton, CA 95204-5522 | 2020-08-09 |
1457901985 | Erin Leigh Crinklaw | Counselor | 405 E Pine St, Stockton, CA 95204-5522 | 2019-09-17 |
1144877465 | Samantha Carolton Crooks | Student in an Organized Health Care Education/Training Program | 405 E Pine St, Stockton, CA 95204-5522 | 2019-08-21 |
1154983104 | Joshua Logan Gibson | Student in an Organized Health Care Education/Training Program | 405 E Pine St, Stockton, CA 95204-5522 | 2019-06-30 |
1912567348 | Alissa Montanez | Student in an Organized Health Care Education/Training Program | 405 E Pine St, Stockton, CA 95204-5522 | 2019-06-18 |
1376019984 | Wibecke Ferreira | Behavior Technician | 405 E Pine St, Stockton, CA 95204-5522 | 2018-10-22 |
1417437328 | Sarah Tami Kong | Student in an Organized Health Care Education/Training Program | 405 E Pine St, Stockton, CA 95204-5522 | 2018-08-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
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Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
1376086389 | Sabrina Wettstein | Peer Specialist | 1305 E Stadium Dr, Stockton, CA 95204-2426 | 2016-11-22 |
1013462670 | Johnny Chin | Peer Specialist | 2414 Brandywine Ct, Stockton, CA 95210-6752 | 2016-08-23 |
1801292263 | Robert Terrance Williams | Peer Specialist | 1149 North El Dorado, Stockton, CA 95202 | 2014-11-13 |
1356821706 | Frances Olivia Quintero | Peer Specialist | 1149 N El Dorado St, Stockton, CA 95202-1305 | 2018-08-15 |
1245733203 | Latisha Rose Mucker | Peer Specialist | 1149 N El Dorado St, Stockton, CA 95202-1305 | 2018-03-15 |
1275089070 | Chia Vang | Peer Specialist | 8338 West Ln Ste 105, Stockton, CA 95210-3145 | 2016-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
1316585227 | Katelynn Patterson | Peer Specialist | 407 Tate St, Bakersfield, CA 93306-5446 | 2019-12-11 |
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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.