MARCUS KUJAWA (NPI# 1033710231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033710231 |
| Entity Type | Individual |
| Full Name | MARCUS KUJAWA |
| Credential | PRC |
| Practice Address |
85 Ramona Expy Ste 13 Perris CA 92571-7014 |
| Practice Telephone | 9513494195 |
| Mailing Telephone | 9513494195 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
85 RAMONA EXPY STE 13 |
| City | PERRIS |
| State | CA |
| Zip Code | 92571-7014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376199422 | Pico De Loro, Incorporated | Assisted Living Facility | 620 North Perris Boulevard, Perris, CA 92571 | 2019-08-14 |
| 1053802579 | Kadiatou Dafney | Nurse Practitioner | 126 Avocado Ave Ste 106, Perris, CA 92571 | 2018-05-21 |
| 1730677014 | Ruth Gasselle Rodriguez | Nutritionist | 1020 Huntington Way, Perris, CA 92571 | 2018-04-23 |
| 1649788167 | Leslie Bautista | Counselor | 1276 Autumnwood Ln, Perris, CA 92571 | 2018-01-18 |
| 1588180459 | Eduardo Orozco-zavala | Licensed Vocational Nurse | 85 Ramona Expressway, Suite 1, Perris, CA 92571 | 2017-08-22 |
| 1396267365 | National Vision, Inc. | Technician/Technologist | 1850 N Perris Boulevard, Suite 40, Perris, CA 92571 | 2017-07-12 |
| 1336669506 | Gary Huang | Optometrist | 1850 N Perris Boulevard Ste 40, Perris, CA 92571 | 2017-06-20 |
| 1750814745 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 106 Worth St, Perris, CA 92571 | 2017-04-06 |
| 1013456235 | Sohal and Pham Dental Corporation | Dentist | 1820 Perris Blvd, Suite 70, Perris, CA 92571 | 2017-02-21 |
| 1093267569 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 2464 Slew of Gold Ct, Perris, CA 92571 | 2016-10-31 |
| Find all providers in zip 92571 | ||||
| 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 |
|---|---|---|---|---|
| 1366926420 | Anthony Cedric Shields Sr. | Peer Specialist | 170 Wilkerson Ave Ste A&b, Perris, CA 92570-2200 | 2018-09-24 |
| 1417458787 | Veronica Cardona | Peer Specialist | 1688 N. Perris Blvd. Suite L6-11, Perris, CA 92571-4709 | 2018-02-22 |
| 1972118735 | Alan Lee Dull | Peer Specialist | 170 Wilkerson Ave Ste C-d, Perris, CA 92570-2200 | 2020-09-09 |
| 1154960615 | Laurie A Hatton | Peer Specialist | 170 Wilkerson Ave Ste C&d, Perris, CA 92570-2200 | 2020-01-02 |
| 1841839222 | Miriam J Dalton | Peer Specialist | 2560 N Perris Blvd Ste N1, Perris, CA 92571-3251 | 2020-01-02 |
| 1043854060 | Bill Thomas Dailey | Peer Specialist | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2019-11-01 |
| 1326606518 | Jesse Lee Murray | Peer Specialist | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2019-06-03 |
| 1548727670 | Marie Lampi | Peer Specialist | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2019-02-25 |
| 1053800698 | Valeria Cervantes | Peer Specialist | 2560 N Perris Blvd Ste N1, Perris, CA 92571-3251 | 2018-05-09 |
| 1457851545 | Elizabeth Serna Villegas | Peer Specialist | 2560 N Perris Blvd Ste N1, Perris, CA 92571-3251 | 2018-02-15 |
| Find all providers in PERRIS | ||||
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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.