CLINT LEWIS (NPI# 1871141283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871141283 |
Entity Type | Individual |
Full Name | CLINT LEWIS |
Practice Address |
850 E Foothill Blvd Rialto CA 92376-5230 |
Practice Telephone | 9513168760 |
Enumeration Date | 2019-08-28 |
Last Update Date | 2019-08-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
850 E FOOTHILL BLVD |
City | RIALTO |
State | CA |
Zip Code | 92376-5230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366420317 | Calvin Flowers, Md, Inc. | Psychiatry & Neurology | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2006-01-09 |
1306461314 | Danny Contreras | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-06-15 |
1568087674 | David Lindstrom | Registered Nurse | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-06-15 |
1932724721 | Sintia Michelle Diaz | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-06-08 |
1184245557 | Alma Delia Gonzalez | Marriage & Family Therapist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-04-27 |
1649801044 | Vera Prado Perry | Counselor | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-02-04 |
1083245567 | Michelle Ellis | Case Manager/Care Coordinator | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-02-03 |
1396375143 | Lisa Nicole Ramos | Case Manager/Care Coordinator | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-01-21 |
1215574538 | Diane Valdivia | Case Manager/Care Coordinator | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2019-12-05 |
1508402371 | Tisha Jenyo | Licensed Psychiatric Technician | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2019-11-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780141812 | Sochun Operation, Inc. | Assisted Living Facility | 1441 S. Riverside Ave., Rialto, CA 92376 | 2019-02-25 |
1487138244 | National Vision Inc | Technician/Technologist | 1175 Renaissance Parkway, Suite 1050, Rialto, CA 92376 | 2018-09-18 |
1942780853 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 1205 W Renaissance Pkwy, Suite 240, Rialto, CA 92376 | 2018-08-20 |
1114430238 | Li Watkins | Nurse Practitioner | 280 N Riverside Avenue, Rialto, CA 92376 | 2017-11-10 |
1346767837 | Imelda Jazmin Ceja Nunez | Behavioral Analyst | 462 E Wilson St, Rialto, CA 92376 | 2017-08-24 |
1720505662 | Taylor Sandoval | Behavioral Analyst | 2935 Cardamon St, Rialto, CA 92376 | 2017-08-22 |
1427572510 | Danielle Mccree | Physical Therapy Assistant | 1470 N Filmore Ave, Rialto, CA 92376 | 2017-07-31 |
1639699952 | Albert Anthony Torres | Specialist/Technologist | 1008 N. Pampas Ave., Rialto, CA 92376 | 2017-06-27 |
1124407358 | Miesha Warren | Peer Specialist | 850 East Foothill Bld, Rialto, CA 92376 | 2015-05-20 |
1205233483 | Albert Archuleta | Counselor | 1501 Riverside Ave, Rialto, CA 92376 | 2014-12-03 |
Find all providers in zip 92376 |
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 |
---|---|---|---|---|
1124407358 | Miesha Warren | Peer Specialist | 850 East Foothill Bld, Rialto, CA 92376 | 2015-05-20 |
1306461314 | Danny Contreras | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-06-15 |
1932724721 | Sintia Michelle Diaz | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-06-08 |
1164068482 | Cynthia Contreras | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2019-11-21 |
1912484643 | Alyssia Corinne Sims | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2018-07-25 |
1528573367 | Aaron Maurice Clayton | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2017-12-01 |
1982127254 | Jennifer Mari Martinez | Peer Specialist | 850 E. Foothill Blvd, Rialto, CA 92376 | 2017-07-19 |
1447708417 | Ronald Beardshear | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2016-09-19 |
1023479185 | Melissa Guerrero | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2016-03-16 |
1992177364 | Clifford Craig | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2015-10-26 |
Find all providers in RIALTO |
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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.