SUSANA BALTAZAR (NPI# 1851714521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851714521 |
| Entity Type | Individual |
| Full Name | SUSANA BALTAZAR |
| Practice Address |
6519 Cal Bears Ct Winton CA 95388-9667 |
| Practice Telephone | 2096313042 |
| Mailing Telephone | 2096313042 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | VN275554 | CA | Residential Treatment Facilities |
| Street Address |
6519 CAL BEARS CT |
| City | WINTON |
| State | CA |
| Zip Code | 95388-9667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972004273 | Jazmine Lagunas | Behavior Technician | 7066 Crawford St, Winton, CA 95388 | 2018-02-22 |
| 1700073343 | Merced County Office of Education | Local Education Agency (LEA) | 7000 North Center Street, Winton, CA 95388 | 2007-09-27 |
| 1528193117 | Gustavo Avila Sanchez | Marriage & Family Therapist | 5192 Hospital Road, Mariposa, CA 95388 | 2007-02-22 |
| 1841622750 | Karleen Y Kentile | Case Manager/Care Coordinator | 5362 Lemee Lane, Mariposa, CA 95388-0099 | 2013-08-01 |
| 1780690727 | Rosemary Elizabeth Haskett | Speech-Language Pathologist | 4395 Fisher Rd, Winton, CA 95388-8706 | 2006-07-31 |
| 1386267763 | Oscar Salcedo | Case Manager/Care Coordinator | 7339 Meghan Dr, Winton, CA 95388-8714 | 2020-05-20 |
| 1457963985 | Esteban Salcedo | Case Manager/Care Coordinator | 7339 Meghan Dr, Winton, CA 95388-8714 | 2020-08-17 |
| 1184109738 | Ogdulia Armenta | Case Manager/Care Coordinator | 6558 Alyssa Dr, Winton, CA 95388-9273 | 2018-09-29 |
| 1902369879 | Solace Care LLC | Pharmacy | 6029 N Winton Way Ste A, Winton, CA 95388-9515 | 2019-04-09 |
| 1447281746 | Castle Family Health Centers Inc. | Clinic/Center | 6029 N Winton Way, Winton, CA 95388-9515 | 2006-07-05 |
| Find all providers in zip 95388 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776323 | Calston Manor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 44661 Calston Ave, Lancaster, CA 93535-3430 | 2020-09-25 |
| 1457966822 | Invincible Villas, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27539 Glasser Ave, Canyon Country, CA 91351-2039 | 2020-09-12 |
| 1528671633 | Eliaa, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1229 Kelley Avenue, Corona, CA 92882-4207 | 2020-08-28 |
| 1902417090 | Kavere Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 531 N Mills Ave, Lodi, CA 95242-2220 | 2020-08-12 |
| 1568071488 | Jnp Residential | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1518 S Wadsworth Ave, Compton, CA 90220-3951 | 2020-07-27 |
| 1043833734 | E&s Jensen Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9629 Ridgerock Dr, Elk Grove, CA 95624-4461 | 2020-05-28 |
| 1124663588 | The Caring Bunch | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4355 Sepulveda Blvd Apt 125, Sherman Oaks, CA 91403-3911 | 2019-11-08 |
| 1821655507 | Creative Lifestyles Home Care Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1022 W Florence Ave, Los Angeles, CA 90044-2442 | 2019-05-28 |
| 1386160562 | Blueprint Development Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2501 Sycamore Ln, Palmdale, CA 93551-1518 | 2017-08-18 |
| 1427592963 | Carissa Group Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1048 Stowell Ranch Cir, Corona, CA 92881-4739 | 2016-12-16 |
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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.