SHIELD CALIFORNIA HEALTH CARE CENTER INC (NPI# 1881708899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881708899 |
| Entity Type | Organization |
| Organization Name | SHIELD CALIFORNIA HEALTH CARE CENTER INC |
| Practice Address |
27911 Franklin Pkwy Valencia CA 91355-4110 |
| Practice Telephone | 6612944200 |
| Mailing Telephone | 6612944200 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-01-07 |
| Authorized Official Name | DAREN DICKERSON (CFO) |
| Authorized Official Telephone | 6612944200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | PHY 36848 | CA | Suppliers |
| N | 333600000X | Pharmacy | PHY 36848 | CA | Suppliers |
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
PHY 36848 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9049263 | 05 | |
| OR | 231764 | 05 | |
| CA | ZZZ82578Z | 05 | |
| CA | PHA368480 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578677597 | Shield California Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 2950 Buskirk Ave, Suite 180, Walnut Creek, CA 94597-7779 | 2006-08-18 |
| 1275647299 | Shield California Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 3290 E Guasti Rd, Suite 130, Ontario, CA 91761-8647 | 2006-08-18 |
| 1316051337 | Shield California Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 9520 Norwalk Blvd, Santa Fe Springs, CA 90670-2930 | 2006-08-18 |
| 1730293754 | Shield California Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 423 W Fallbrook Ave, Suite 101, Fresno, CA 93711-6138 | 2006-08-18 |
| Street Address |
27911 FRANKLIN PKWY |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
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| 1245773043 | Hygeia II Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1121 W Valley Blvd, Suite I, Tehachapi, CA 93561-2171 | 2016-11-28 |
| 1336531276 | You Chu Xia | Durable Medical Equipment & Medical Supplies | 1972 W Holt Ave, Pomona, CA 91768-3305 | 2015-03-02 |
| 1477807006 | Ashli Healthcare Inc | Durable Medical Equipment & Medical Supplies | 323 W Cromwell Ave, Suite 117, Fresno, CA 93711-5844 | 2012-11-05 |
| 1417209438 | Optum Infusion Services 401, LLC | Durable Medical Equipment & Medical Supplies | 4610 Northgate Blvd, Ste. 130, Sacramento, CA 95834-1122 | 2012-10-15 |
| 1821353335 | Go2medical, LLC | Durable Medical Equipment & Medical Supplies | 2003 S El Camino Real, Suite 204, Oceanside, CA 92054-6214 | 2012-07-10 |
| 1740589241 | H & H Drug Sores, Inc. | Durable Medical Equipment & Medical Supplies | 4674 E Waterloo Rd, Stockton, CA 95215-2309 | 2011-03-23 |
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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.