ELENA VIDANA (NPI# 1053958595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053958595 |
| Entity Type | Individual |
| Full Name | ELENA VIDANA |
| Credential | R1359560819 |
| Practice Address |
710 N Anaheim Blvd Anaheim CA 92805-2651 |
| Practice Telephone | 7147767490 |
| Practice Fax Number | 6572769041 |
| Mailing Telephone | 7147767490 |
| Mailing Fax Number | 6572769041 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1359560819 | CA | Behavioral Health & Social Service Providers |
| Street Address |
710 N ANAHEIM BLVD |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-2651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629151592 | Cathy Lynn Stills | Marriage & Family Therapist | 710 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2006-10-23 |
| 1093324238 | Thane Morris | Counselor | 710 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2020-07-23 |
| 1033727367 | Janet Karina Gaytan | Counselor | 710 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2020-07-22 |
| 1255962338 | Phoebe Irabagon Pantaleon | Counselor | 710 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2020-01-28 |
| 1275174914 | Jasmine Gabrielle Pecina | Counselor | 710 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2019-10-03 |
| 1447891106 | Joseph Kadalim | Counselor | 710 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2019-10-03 |
| 1073173365 | Jessica Avilez | Counselor | 710 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2019-06-18 |
| 1144886334 | David Frazer | Counselor | 710 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2019-05-14 |
| 1073077095 | Deborah Neal | Counselor | 710 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2019-01-23 |
| 1144719105 | Alexandra Leigh Norton-flora | Marriage & Family Therapist | 710 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2018-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041895 | Jose Luis Marron I | Counselor | 617 S Harbor Blvd Unit B, Anaheim, CA 92805-4527 | 2020-04-03 |
| 1811524838 | Travis Clay Reysen | Counselor | 2966 E Frontera St Apt 89, Anaheim, CA 92806-3430 | 2020-03-27 |
| 1356981393 | Options | Counselor | 617 S Harbor Blvd Ste B, Anaheim, CA 92805-4527 | 2020-01-07 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1619477262 | Robert Daniel Colbert | Counselor | 532 N Magnolia Ave # 278, Anaheim, CA 92801-4937 | 2018-02-20 |
| 1336668607 | Lorretta Cruz Hernandez | Counselor | 2071 S Jetty Dr Apt 3, Anaheim, CA 92802-4465 | 2017-09-18 |
| 1437679784 | Margaret Elena Popp | Counselor | Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 | 2017-06-27 |
| 1700336732 | Jerry Ibarra | Counselor | 9331 Pacific Ave, Anaheim, CA 92804-6374 | 2016-10-13 |
| 1912450925 | Lori Botham | Counselor | 1700 W Cerritos Ave Unit 102, Anaheim, CA 92804-6176 | 2016-07-26 |
| Find all providers in ANAHEIM | ||||
Please comment or provide details below to improve the information on ELENA VIDANA.
| 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.