MR. OMAR TEJADA (NPI# 1003452905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003452905 |
Entity Type | Individual |
Full Name | MR. OMAR TEJADA |
Practice Address |
2640 Breslauer Way Redding CA 96001-4246 |
Practice Telephone | 5302255252 |
Mailing Telephone | 5307105838 |
Enumeration Date | 2019-11-26 |
Last Update Date | 2019-11-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
2640 BRESLAUER WAY |
City | REDDING |
State | CA |
Zip Code | 96001-4246 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881692390 | County of Shasta | Community/Behavioral Health | 2640 Breslauer Way, Redding, CA 96001-4246 | 2005-07-08 |
1962018416 | Jacob Nathaniel Mccoard | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-09-21 |
1871109322 | Lovely Lobo | Registered Nurse | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-09-21 |
1477167138 | Shelly Bennett | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-09-01 |
1033727896 | Rachel Puleo-chankin | Assistant Behavior Analyst | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-07-17 |
1518593078 | Teaanna Wood | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-03-17 |
1992331789 | Juanita L Garcia | Counselor | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-03-12 |
1306486469 | Charles Markham | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2020-01-07 |
1215574165 | Karah Annmarie Harbuck | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2019-12-10 |
1437796372 | Chante Charae Hopper | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2019-12-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
Find all providers in zip 96001 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
1831699396 | Guidepost Marriage Therapy Inc | Clinic/Center | 1650 Oregon St Ste 216, Redding, CA 96001-1757 | 2018-02-20 |
1134589260 | Shasta County | Clinic/Center | 1100 Butte St, Redding, CA 96001-0852 | 2016-03-02 |
1306206438 | Shasta County | Clinic/Center | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2016-03-02 |
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1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
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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.