DEBRA L ANDERSEN (NPI# 1861903924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861903924 |
| Entity Type | Individual |
| Full Name | DEBRA L ANDERSEN |
| Credential | RYT-200 |
| Practice Address |
12830 Hesperia Road Suite C, D, E Victorville CALIFORNIA 92395 AA |
| Mailing Address |
4037 Phelan Rd # A222 Phelan CA 92371-8915 |
| Practice Telephone | 7606848999 |
| Practice Fax Number | 7606848111 |
| Mailing Telephone | 7605533558 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720587355 | Debra Andersen | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-02-09 |
| Street Address |
12830 HESPERIA ROAD SUITE C, D, E |
| City | VICTORVILLE |
| State | CALIFORNIA |
| Zip Code | 92395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| 1295083871 | Stephanie Denise Williams | Counselor | 15095 Amargosa Rd. Suite 201, Victorville, CA 92395 | 2012-08-29 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861742991 | Ahura Healthcare Corporation | Clinic/Center | 14390 Civic Dr, Victorville, CA 92392-9709 | 2012-09-17 |
| 1003208471 | Padula Medical Corporation, P.C. | Clinic/Center | 14021 Amargosa Rd, Victorville, CA 92392-6404 | 2015-02-23 |
| City | VICTORVILLE |
| Zip Code | 92395 |
Please comment or provide details below to improve the information on DEBRA L ANDERSEN.
| 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.