JONATHAN A CENTENO (NPI# 1952868267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952868267 |
| Entity Type | Individual |
| Full Name | JONATHAN A CENTENO |
| Credential | MA |
| Practice Address |
790 E Bonita Ave Pomona CA 91767-1906 |
| Mailing Address |
1800 W Orange Grove Ave Apt 1 Pomona CA 91768-2032 |
| Practice Telephone | 9096257207 |
| Mailing Telephone | 9092362006 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
112628 | CA | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
790 E BONITA AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91767-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558335752 | Sarvotham K Reddy Md Inc | Colon & Rectal Surgery | 790 E Bonita Ave, # 230, Pomona, CA 91767 | 2006-02-14 |
| 1366060626 | Andrea Carbajal Flores | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-07-13 |
| 1033737184 | Pedro Garcia Bengochea | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-07-06 |
| 1255956314 | Gracie Ellen Jackson | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-06-14 |
| 1417582115 | Jazminne Robles | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-03-03 |
| 1306480173 | Claire Skomsvold | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-11-04 |
| 1841849148 | Elena Noemi Becerra | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-09-09 |
| 1265099428 | Ruby Martinez | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-05-23 |
| 1992368476 | Jessica Amber Alle-corliss | Social Worker | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-04-19 |
| 1558826321 | Claudia Lisbet Garcia | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800958 | Debra Lynn Villar | Counselor | 85 Crystal Hill Dr, Pomona, NY 10970-2602 | 2020-10-28 |
| 1992328728 | Debra Defour-pierce | Counselor | 77 Overlook Rd, Pomona, NY 10970-2107 | 2020-05-27 |
| 1649744780 | Shalimar Pv Hoeg | Counselor | 39 Dunnigan Dr, Pomona, NY 10970-2657 | 2019-01-11 |
| 1669925384 | Brianda Villa | Counselor | 801 Corporate Center Dr Ste 202, Pomona, CA 91768-2627 | 2016-07-28 |
| 1477906436 | Jessenia Aguirre | Counselor | 978 Route 45 Ste 100, Pomona, NY 10970-3512 | 2016-07-14 |
| 1669862991 | Jenna Mckean | Counselor | 6104 Lund Ln, Pomona, NY 10970-3814 | 2015-01-26 |
| 1578901419 | Sonia G Hernandez | Counselor | 1850 Club Dr, Pomona, CA 91768-1286 | 2013-06-13 |
| 1710222898 | Brittny D Richard | Counselor | 8 Peppermill Ln, Pomona, CA 91766-4717 | 2012-11-30 |
| 1811254378 | Michel Jover | Counselor | 1479 Hillside Dr, Pomona, CA 91768-1328 | 2012-04-20 |
| 1427329374 | Melissa L. Espinoza | Counselor | 831 E. Arrow Hwy, Pomona, CA 91767 | 2012-01-24 |
| Find all providers in POMONA | ||||
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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.