DR. AURELIO ENRIQUEZ JR. (NPI# 1891810438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891810438 |
| Entity Type | Individual |
| Full Name | DR. AURELIO ENRIQUEZ JR. |
| Credential | LCSW, PSYD |
| Practice Address |
9330 Baseline Rd Ste 108 Rancho Cucamonga CA 91701-5827 |
| Practice Telephone | 9099801000 |
| Practice Fax Number | 8668801254 |
| Mailing Telephone | 9099801000 |
| Mailing Fax Number | 8668801254 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-29785 | CA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 24862 | CA | Behavioral Health & Social Service Providers |
| Street Address |
9330 BASELINE RD STE 108 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91701-5827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558884882 | Alinda Joan Kniss | Speech-Language Pathologist | 8990 19 Th Street #304, Alta Loma, CA 91701 | 2017-07-19 |
| 1164739595 | Andrea G Moore-emmett | Counselor | 9330 Baseline Rd Ste 102, Rancho Cucamonga, CA 91701 | 2010-09-07 |
| 1053548644 | Suniel S. Khemlani | Family Medicine | 11398 Kenyon Way Ste J, Rancho Cucamonga, CA 91701 | 2009-06-22 |
| 1215130448 | C Mark Keen | Dentist | 9606 Baseline Rd, Alta Loma, CA 91701 | 2007-06-06 |
| 1184845711 | Andrew Liu | Specialist/Technologist | 11801 Lark Dr., Rancho Cucamonga, CA 91701 | 2007-05-01 |
| 1083741359 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 10227 Monte Vista Street, Rancho Cucamonga, CA 91701 | 2007-02-27 |
| 1194867788 | George Ji Jun Tao | Dentist | 6626 Carnelian St, Alta Loma, CA 91701 | 2007-02-12 |
| 1265590624 | Terry F Brock | Dentist | 7283 Carnelian St, Alta Loma, CA 91701 | 2006-12-05 |
| 1851461354 | Dr Tom Dental Office | Dentist | 6795 Carnelian St, Alta Loma, CA 91701 | 2006-11-09 |
| 1124127956 | Johnny S Liu | Dentist | 7168 Archibald Ave, Suite 200, Alta Loma, CA 91701 | 2006-09-21 |
| Find all providers in zip 91701 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| 1336659002 | Abs Psychology Services California | Psychologist | 9600 Center Ave Ste 160, Rancho Cucamonga, CA 91730-5838 | 2017-10-06 |
| 1699187906 | Laura Thoreson | Psychologist | 11100 4th St Apt G301, Rancho Cucamonga, CA 91730-0908 | 2014-05-21 |
| 1518398296 | David Nelson | Psychologist | 10950 Church St Apt 312, Rancho Cucamonga, CA 91730-8063 | 2013-12-06 |
| 1801196027 | Lisa Louise Hazelwood | Psychologist | 9500 Etiwanda Ave., West Valley Detention Center, Attn: Medical Srvcs/liberty Roc, Rancho Cucamonga, CA 91739 | 2010-10-22 |
| 1396801304 | James A Grace | Psychologist | 10630 Town Center Drive, Suite #124, Rancho Cucamonga, CA 91730 | 2006-12-28 |
| 1952417289 | Martha Cecilia Masson | Psychologist | 9330 Base Line Road, Suite 103, Rancho Cucamonga, CA 91701-5827 | 2006-08-21 |
| 1174569453 | Richard Ettelson | Psychologist | 10630 Town Center Dr Ste 120, Rancho Cucamonga, CA 91730-6889 | 2006-06-22 |
| 1265405195 | Geralyn Marie Phillips | Psychologist | 8439 White Oak Ave, #104, Rancho Cucamonga, CA 91730-3860 | 2006-02-10 |
| 1487633616 | Georgina Ines Lamphere Sullivan | Psychologist | 8253 White Oak Ave, Rancho Cucamonga, CA 91730-7671 | 2006-01-16 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91701 |
Please comment or provide details below to improve the information on DR. AURELIO ENRIQUEZ JR..
| 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.