HERITAGE CLINIC AND THE COMMUNITY ASSISTANCE PROGRAM FOR SENIORS (NPI# 1023234747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023234747 |
| Entity Type | Organization |
| Organization Name | HERITAGE CLINIC AND THE COMMUNITY ASSISTANCE PROGRAM FOR SENIORS |
| Other Organization Name | HERITAGE CLINIC LANCASTER |
| Practice Address |
43807 10th St W Ste D Lancaster CA 93534-4805 |
| Mailing Address |
447 N El Molino Ave Pasadena CA 91101-1403 |
| Practice Telephone | 6615759365 |
| Practice Fax Number | 6615759502 |
| Mailing Telephone | 6265778480 |
| Mailing Fax Number | 6265778978 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | MR. VATCHE KELARTINIAN (CFO) |
| Authorized Official Telephone | 6265778480 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY19717 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Heritage Clinic Lancaster | Doing Business As Name - Organization |
| Heritage Clinic Palmdale | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306899091 | Heritage Clinic and The Community Assistance Program for Seniors | Psychologist | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2006-05-17 |
| 1093049546 | Heritage Clinic and The Community Assistance Program for Seniors | Psychologist | 3600 Wilshire Blvd Ste 2200, Los Angeles, CA 90010-2632 | 2009-09-30 |
| 1376681163 | Heritage Clinic and The Community Assistance Program for Seniors | Psychologist | 3939 Atlantic Ave, Suite 103, Long Beach, CA 90807-3536 | 2007-02-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HERITAGE CLINIC AND THE COMMUNITY ASSISTANCE PROGRAM FOR SENIORS | 447 N El Molino Ave, Pasadena, CA 91101-1403 |
| Street Address |
43807 10TH ST W STE D |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-4805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548720006 | Diana C Bindel | Case Manager/Care Coordinator | 43807 10th St W Ste D, Lancaster, CA 93534-4805 | 2019-03-21 |
| 1124599238 | Martha Fernandez | Rehabilitation Practitioner | 43807 10th St W Ste D, Lancaster, CA 93534-4805 | 2018-12-16 |
| 1548781792 | Esmeralda D Nava | Case Manager/Care Coordinator | 43807 10th St W Ste D, Lancaster, CA 93534-4805 | 2017-06-28 |
| 1235666330 | Blanca Hernandez | Rehabilitation Practitioner | 43807 10th St W Ste D, Lancaster, CA 93534-4805 | 2017-05-19 |
| 1184165300 | Maria Coleman Perdue | Nurse's Aide | 43807 10th St W Ste D, Lancaster, CA 93534-4805 | 2017-03-20 |
| 1396121711 | Victoria Torres | Social Worker | 43807 10th St W Ste D, Lancaster, CA 93534 | 2015-08-07 |
| 1386996213 | Lytara Antoinette Garcia | Counselor | 43807 10th St W Ste D, Lancaster, CA 93534-4805 | 2012-10-02 |
| 1790924017 | Sandra Blackwood Ponce | Case Manager/Care Coordinator | 43807 10th St W Ste D, Lancaster, CA 93534-4805 | 2009-02-10 |
| 1073766739 | Farah Dorothy Green | Rehabilitation Practitioner | 43807 10th St W Ste D, Lancaster, CA 93534-4805 | 2008-10-28 |
| 1467619296 | Leslie Diane Mormile | Registered Nurse | 43807 10th St W Ste D, Lancaster, CA 93534-4805 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891353736 | Thalia Patricia Moshos | Psychologist | 222 E Orange St Ste 201, Lancaster, PA 17602-2915 | 2019-06-05 |
| 1275090003 | Christina Barrera | Psychologist | 1755 Oregon Pike Ste 200, Lancaster, PA 17601-4272 | 2019-02-28 |
| 1962900258 | Brian Esposito | Psychologist | 1834 Oregon Pike Ste 4, Lancaster, PA 17601-6463 | 2018-02-01 |
| 1760990766 | Sarah Haas | Psychologist | 2121 Oregon Pike Ste 201, Lancaster, PA 17601-4604 | 2018-01-12 |
| 1366804833 | Yesenia Colon Rivera | Psychologist | 812 North Prince St., Lancaster, PA 17603 | 2016-03-24 |
| 1164839312 | The Opening Path | Psychologist | 313 West Liberty Street, Suite 230, Lancaster, PA 17603 | 2014-07-21 |
| 1235543083 | David Sheets | Psychologist | 5900 Bis Rd Sw, Lancaster, OH 43130-9606 | 2014-06-19 |
| 1669788410 | Beatrix Souza | Psychologist | 525 Pavement Rd, Lancaster, NY 14086-9018 | 2010-08-30 |
| 1811225618 | Dale A. Alexander, Ph.d., Inc. | Psychologist | 566 W Lancaster Blvd, Suite Ten, Lancaster, CA 93534-2563 | 2009-12-07 |
| 1710111984 | Mark Sterlyn Coe | Psychologist | 329 W Meeting St, Lancaster, SC 29720-2319 | 2009-05-04 |
| Find all providers in LANCASTER | ||||
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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.