DOMINICK CARDILLO (NPI# 1023622198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023622198 |
| Entity Type | Individual |
| Full Name | DOMINICK CARDILLO |
| Practice Address |
83844 Hopi Ave Indio CA 92203-2638 |
| Mailing Address |
9682 Spyglass Ave Dsrt Hot Spgs CA 92240-1204 |
| Practice Telephone | 7603479442 |
| Mailing Telephone | 7072964218 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
83844 HOPI AVE |
| City | INDIO |
| State | CA |
| Zip Code | 92203-2638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477665651 | Riverside County Latino Commission On Alcohol and Drug Abuse Services | Substance Abuse Rehabilitation Facility | 83844 Hopi Ave, Indio, CA 92203-2638 | 2006-08-31 |
| 1023667359 | Michael Lopez | Counselor | 83844 Hopi Ave, Indio, CA 92203-2638 | 2019-09-09 |
| 1144887431 | Uriah Mattia | Counselor | 83844 Hopi Ave, Indio, CA 92203-2638 | 2019-05-22 |
| 1164873543 | Miguel Horta | Counselor | 83844 Hopi Ave, Indio, CA 92203-2638 | 2016-06-27 |
| 1306132980 | Daniel Ray Lopez | Substance Abuse Rehabilitation Facility | 83844 Hopi Ave, Indio, CA 92203-2638 | 2011-06-22 |
| 1467741389 | Arnold Flores Lopez | Counselor | 83844 Hopi Ave, Indio, CA 92203-2638 | 2011-03-31 |
| 1831493626 | Riverside County Latino Commission On Alcohol and Drug Abuse Services | Clinic/Center | 83844 Hopi Ave, Indio, CA 92203-2638 | 2011-01-07 |
| 1073799649 | Libia Margarita Ruano | Counselor | 83844 Hopi Ave, Indio, CA 92203-2638 | 2008-01-14 |
| 1053597765 | Eddie Pesqueda | Counselor | 83844 Hopi Ave, Indio, CA 92203 | 2008-01-11 |
| 1720283419 | Maria M. Larosa II | Marriage & Family Therapist | 83844 Hopi Ave, Indio, CA 92203-2638 | 2007-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902372469 | Juan Edwin Brionesgarcia | Respiratory Therapist, Registered | 82820 Mount Riley Drive, Indio, CA 92203 | 2018-10-22 |
| 1760882666 | Wal-mart Stores, Inc. | Technician/Technologist | 82-491 Avenue 42, Indio, CA 92203 | 2014-08-27 |
| 1568718849 | John R Bellinger | Psychologist | 81135 Avenida Pamplona, Indio, CA 92203 | 2012-07-24 |
| 1952666497 | Lindsay Castle | Physical Therapy Assistant | 83894 Avenida Serena, Indio, CA 92203 | 2012-07-11 |
| 1477819829 | Salvador Cuellar Hernandez | Family Medicine | 82900 Avenue 42nd Suite G-101, Indio, CA 92203 | 2012-04-10 |
| 1720299118 | Deborah Ann Urquhart | Speech-Language Pathologist | 81578 Camino El Triunfo, Indio, CA 92203 | 2007-05-25 |
| 1467672345 | Herr-kostic Medical Group Inc. | Internal Medicine | 41-120 Washington St, Suite 101, Bermuda Dunes, CA 92203 | 2007-04-26 |
| 1891828141 | Paula M Defrees | Physical Medicine & Rehabilitation | 70-078 Country Club Dr., Suite 205, Bermuda Dunes, CA 92203 | 2007-03-14 |
| 1851467344 | William Young Carlson | Physical Therapist | 79380 Bowden Drive, Bermuda Dunes, CA 92203 | 2006-11-27 |
| 1831593581 | Armando Robles | Behavioral Analyst | 47915 Oasis St, Indio, CA 92203 | 2014-10-09 |
| Find all providers in zip 92203 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811417025 | Johnny Joseph Courreges | Counselor | 44-359 Palm St, Indio, CA 92201-9220 | 2017-06-20 |
| 1164829586 | Fernando Quiroz | Counselor | 23912 Avenue 45, Suite 9, Indio, CA 92201-3338 | 2014-12-01 |
| 1811173792 | The Awareness Program | Counselor | 45550 Grace St, Indio, CA 92201-4610 | 2008-01-10 |
| 1679759567 | Guillermo Simo | Counselor | 45926 Oasis Street, Indio, CA 92201-4610 | 2008-01-10 |
| 1194916221 | Rachelle Lynn Wiedeman | Counselor | 83912 Avenue 45 Ste B, Indio, CA 92201-3338 | 2007-08-05 |
| 1134343742 | Fritz M Solis | Counselor | 44199 Monroe St, Indio, CA 92201-3094 | 2007-04-13 |
| 1265572630 | Pio B Dingle Jr. | Counselor | 83921 Avenue 45, Suite 9, Indio, CA 92201 | 2007-02-07 |
| 1356480040 | Socorro Sanchez | Counselor | 83912 Avenue 45 Ste 9, Indio, CA 92201-3338 | 2007-02-06 |
| 1376158238 | Teresa Torres Bastidas | Counselor | 43485 Hollyhock St, Indio, CA 92201-1976 | 2020-09-08 |
| 1982249322 | Joseph Leray Lashley | Counselor | 44359 Palm St, Indio, CA 92201-3116 | 2019-11-08 |
| Find all providers in INDIO | ||||
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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.