BALDIVENIA PEREZ (NPI# 1003396201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003396201 |
| Entity Type | Individual |
| Full Name | BALDIVENIA PEREZ |
| Practice Address |
1000 Broadway Ste 100 El Cajon CA 92021-4899 |
| Mailing Address |
3756 40th St San Diego CA 92105-2422 |
| Practice Telephone | 6194015424 |
| Mailing Telephone | 6197249444 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1000 BROADWAY STE 100 |
| City | EL CAJON |
| State | CA |
| Zip Code | 92021-4899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043398530 | Marvin Roberson | Student in an Organized Health Care Education/Training Program | 1000 Broadway Ste 100, El Cajon, CA 92021-4899 | 2006-11-01 |
| 1003420761 | Yasmin A Farah | Counselor | 1000 Broadway Ste 100, El Cajon, CA 92021-4899 | 2020-09-01 |
| 1255989661 | Vivian K Korkis | Counselor | 1000 Broadway Ste 100, El Cajon, CA 92021-4899 | 2019-08-28 |
| 1982128815 | Michael Andrew Evans | Social Worker | 1000 Broadway Ste 100, El Cajon, CA 92021-4899 | 2017-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1891331021 | Medevac Inc | Ambulance | 8025 Tone Lane, El Cajon, CA 92021 | 2019-11-22 |
| 1760024095 | San Diego Health Alliance, Inc. | Clinic/Center | 1625 East Main Street, El Cajon, CA 92021 | 2019-10-08 |
| 1295388932 | Coleen Stacie Cobbs | Social Worker | 1013 Greta Street, El Cajon, CA 92021 | 2019-07-22 |
| 1144744475 | Sarah Kala | Pharmacist | 505 N Mollison Ave #102, El Cajon, CA 92021 | 2017-07-28 |
| 1699139816 | Mayra Aranda | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2016-04-13 |
| 1942603436 | Scott Crusey | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2014-09-29 |
| 1104254317 | Naimh Martin | Counselor | 1630 E Main Street, El Cajon, CA 92021 | 2013-10-25 |
| 1386875540 | Jacqueline Vu Luong | Marriage & Family Therapist | 1000 Broadway #100, El Cajon, CA 92021 | 2009-08-05 |
| 1740444264 | Peter Morhan Sun | General Practice | 7957 Bevin Lane, El Cajon, CA 92021 | 2008-07-14 |
| Find all providers in zip 92021 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922658764 | Roxanne Ninteman | Counselor | 638 Silverbrook Dr, El Cajon, CA 92019-1552 | 2019-09-13 |
| 1629635958 | Janese S Schaffner-hubbard | Counselor | 1121 Nidrah St, El Cajon, CA 92020-7242 | 2019-05-22 |
| 1255811345 | Bassila Rafou | Counselor | 436 S Magnolia Ave # 101&201, El Cajon, CA 92020-5237 | 2018-08-17 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
| 1740702794 | Erik Rinear | Counselor | 1375 E Washington Ave, El Cajon, CA 92019-3135 | 2017-07-12 |
| 1811440233 | Michael David Ceccon | Counselor | 1242a Lyons Ln, El Cajon, CA 92021-4703 | 2016-08-02 |
| 1003211343 | Olivia Kozarev | Counselor | 1252 Broadway Ste I, El Cajon, CA 92021-4904 | 2014-10-29 |
| 1548525488 | Teresa Suzanne Lowe | Counselor | 988 Grouse St, El Cajon, CA 92020-1438 | 2012-07-06 |
| 1558664045 | Kara Winship | Counselor | 1600 N Cuyamaca St, El Cajon, CA 92020-1109 | 2010-12-06 |
| Find all providers in EL CAJON | ||||
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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.