ALAN LEE DULL (NPI# 1972118735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972118735 |
Entity Type | Individual |
Full Name | ALAN LEE DULL |
Practice Address |
170 Wilkerson Ave Ste C-d Perris CA 92570-2200 |
Practice Telephone | 9513456378 |
Mailing Telephone | 9513456378 |
Enumeration Date | 2020-09-09 |
Last Update Date | 2020-09-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
170 WILKERSON AVE STE C-D |
City | PERRIS |
State | CA |
Zip Code | 92570-2200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255877262 | Jaylee Trumbo | Social Worker | 170 Wilkerson Ave Ste C-d, Perris, CA 92570-2200 | 2017-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659861185 | Derriea Mcglothern | Specialist/Technologist | 23126 Rider St, Perris, CA 92570 | 2018-05-10 |
1790235109 | Jeromy Ford | Counselor | 226 W. 4th St, Perris, CA 92570 | 2016-10-10 |
1699196485 | Taniya Sweeney | Community/Behavioral Health | 413 South B Strret, Perris, CA 92570 | 2013-12-20 |
1790091718 | Josh B Neal | Counselor | 827 Georgiana Ct, Perris, CA 92570 | 2010-08-27 |
1427370915 | Riverside Recovery Resources | Clinic/Center | 13911 Perris Blvd, Perris, CA 92570 | 2010-02-24 |
1144471939 | Three Angels Medical Professional Corporation | Internal Medicine | 180 East 4th St, Suite B and C, Perris, CA 92570 | 2008-10-10 |
1205091790 | Jill None Demos | Counselor | 24050 Christmas Tree Lane, Perris, CA 92570 | 2008-07-23 |
1598929341 | Jacqueline Anne Rockwell | Counselor | 555 Perris Blvd, Peris, CA 92570 | 2008-07-10 |
1053584128 | Perris Union High School District | Local Education Agency (LEA) | 755-b North A Street, Perris, CA 92570 | 2008-04-09 |
1477735215 | Christianne Nelson | Case Management | 308 E San Jacinto Avenue, Perris, CA 92570 | 2007-12-04 |
Find all providers in zip 92570 |
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 |
---|---|---|---|---|
1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
1366926420 | Anthony Cedric Shields Sr. | Peer Specialist | 170 Wilkerson Ave Ste A&b, Perris, CA 92570-2200 | 2018-09-24 |
1417458787 | Veronica Cardona | Peer Specialist | 1688 N. Perris Blvd. Suite L6-11, Perris, CA 92571-4709 | 2018-02-22 |
1154960615 | Laurie A Hatton | Peer Specialist | 170 Wilkerson Ave Ste C&d, Perris, CA 92570-2200 | 2020-01-02 |
1841839222 | Miriam J Dalton | Peer Specialist | 2560 N Perris Blvd Ste N1, Perris, CA 92571-3251 | 2020-01-02 |
1043854060 | Bill Thomas Dailey | Peer Specialist | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2019-11-01 |
1326606518 | Jesse Lee Murray | Peer Specialist | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2019-06-03 |
1548727670 | Marie Lampi | Peer Specialist | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2019-02-25 |
1053800698 | Valeria Cervantes | Peer Specialist | 2560 N Perris Blvd Ste N1, Perris, CA 92571-3251 | 2018-05-09 |
1457851545 | Elizabeth Serna Villegas | Peer Specialist | 2560 N Perris Blvd Ste N1, Perris, CA 92571-3251 | 2018-02-15 |
Find all providers in PERRIS |
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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.