REND INTEGRATIVE INC (NPI# 1942674924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942674924 |
| Entity Type | Organization |
| Organization Name | REND INTEGRATIVE INC |
| Practice Address |
9089 Baseline Rd Suite 200 Rancho Cucamonga CA 91730-1295 |
| Mailing Address |
Po Box 7901 Redlands CA 92375-1101 |
| Practice Telephone | 9099803567 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2016-03-21 |
| Authorized Official Name | JONSON JOB LIN (OWNER) |
| Authorized Official Telephone | 9095287876 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A90042 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
9089 BASELINE RD SUITE 200 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-1295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609878115 | Thomas Allen Woodbury | Family Medicine | 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 91730-1295 | 2005-08-15 |
| 1427485762 | Daniel Hestehauge | Physician Assistant | 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 91730-1295 | 2013-10-01 |
| 1891081485 | Liza M Gonzalez | Family Medicine | 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 91730-1295 | 2011-06-22 |
| 1356670657 | Pooya Mobasseri | Family Medicine | 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 91730-1295 | 2009-12-15 |
| 1356674493 | Brian Terry Shaw | Family Medicine | 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 91730-1295 | 2009-09-08 |
| 1700053519 | Holly Miller | Psychologist | 9089 Baseline Rd, Ste #200, Rancho Cucamonga, CA 91730 | 2008-05-12 |
| 1316155310 | Angela Jo Cochran | Physician Assistant | 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 91730-1295 | 2007-05-21 |
| 1790908382 | Lisa Maria Shaheen | Marriage & Family Therapist | 9089 Baseline Rd, Rancho Cucamonga, CA 91730-1295 | 2007-04-11 |
| 1780708602 | John Charles Oliveri | Psychologist | 9089 Baseline Rd, Suite 200, Rancho Cucamonga, CA 91730-1295 | 2007-03-17 |
| 1417094277 | Genevieve B Buenaflor | Family Medicine | 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 91730-1295 | 2007-01-31 |
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| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
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| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
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| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
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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.