JUANITA OLMOS (NPI# 1982056024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982056024 |
| Entity Type | Individual |
| Full Name | JUANITA OLMOS |
| Practice Address |
1055 W Henderson Ave Suite 2 Porterville CA 93257-1490 |
| Practice Telephone | 5597881200 |
| Mailing Telephone | 5597881200 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1055 W HENDERSON AVE SUITE 2 |
| City | PORTERVILLE |
| State | CA |
| Zip Code | 93257-1490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396779013 | County of Tulare Health and Human Services Agency | Clinic/Center | 1055 W Henderson Ave, Porterville, CA 93257-1490 | 2006-07-10 |
| 1508486457 | Rosa Maria Zavala Hernandez | Case Manager/Care Coordinator | 1055 W Henderson Ave, Porterville, CA 93257-1490 | 2020-04-21 |
| 1265075659 | County of Tulare Health and Human Services Agency | Clinic/Center | 1055 W Henderson Ave, Porterville, CA 93257-1490 | 2019-10-18 |
| 1487110698 | Jennifer Alcantar | Peer Specialist | 1055 W Henderson Ave, Porterville, CA 93257-1490 | 2019-02-12 |
| 1306315239 | Martha Beatrice Alonso | Nurse's Aide | 1055 W Henderson Ave, Porterville, CA 93257-1490 | 2018-11-20 |
| 1831643022 | Alvaro Lopez | Counselor | 1055 W Henderson Ave, Suite A, Porterville, CA 93257-1490 | 2016-08-05 |
| 1710384656 | Febian Mendez | Licensed Psychiatric Technician | 1055 W Henderson Ave, #2, Porterville, CA 93257-1490 | 2014-11-20 |
| 1538589668 | Maria Trujillo | Marriage & Family Therapist | 1055 W Henderson Ave, Suite # 2, Porterville, CA 93257-1490 | 2014-04-16 |
| 1356764153 | Belinda Navarro | Social Worker | 1055 W Henderson Ave, Suite #2, Porterville, CA 93257-1490 | 2014-01-29 |
| 1952667842 | Samuel Yui-chim Ho | Social Worker | 1055 W Henderson Ave, Porterville, CA 93257-1490 | 2012-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140727 | Marilu Lemos | Student in an Organized Health Care Education/Training Program | 1055 W. Henderson Ave, Suite 2, Porterville, CA 93257 | 2020-06-30 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1639704182 | Ria Mehta | Occupational Therapist | Sierra Valley Rehab Center, 301 W Putnam Avenue, Porterville, CA 93257 | 2020-03-05 |
| 1659928653 | Jennifer Ramirez | Technician | 1166 San Carlos St, Porterville, CA 93257 | 2019-08-23 |
| 1053875484 | Family Healthcare Network | Clinic/Center | 65 N. Hockett St., Porterville, CA 93257 | 2019-01-30 |
| 1679065189 | William Vanlandingham | Health Educator | 333 W Henderson Ave, Porterville, CA 93257 | 2018-05-31 |
| 1982111209 | Samantha Kaitlyn Crowley | Counselor | 117 W Henderson Ave Ste 1, Porterville, CA 93257 | 2018-01-08 |
| 1538688023 | Jason Reyes | Physician Assistant | 305 E Poplar Ave, Porterville, CA 93257 | 2017-09-15 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1467998849 | Justine Hallas | Nurse Practitioner | 590 Putnam Ave, Porterville, CA 93257 | 2017-01-10 |
| Find all providers in zip 93257 | ||||
| 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 |
|---|---|---|---|---|
| 1487110698 | Jennifer Alcantar | Peer Specialist | 1055 W Henderson Ave, Porterville, CA 93257-1490 | 2019-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | PORTERVILLE |
| Zip Code | 93257 |
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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.