CAROLINA PEREZ (NPI# 1073043626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073043626 |
| Entity Type | Individual |
| Full Name | CAROLINA PEREZ |
| Credential | MSW |
| Practice Address |
1160 S Grand Ave Glendora CA 91740 |
| Mailing Address |
1160 S Grand Ave Glendora CA 91740-5000 |
| Practice Telephone | 6263355980 |
| Mailing Telephone | 6263355980 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17911 Sky Park Cir Ste E, Irvine, CA 926144303 | 9493021931 | 9492713741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| 1558835850 | Carolina Perez | Specialist/Technologist | 1309 S Mary Ave Ste 105, Sunnyvale, CA 94087-3053 | 2019-01-20 |
| 1942670047 | Carolina Franco Perez | Massage Therapist | 10422 Huebner Rd Apt 2501, San Antonio, TX 78240-1392 | 2015-10-01 |
| 1154625101 | Carolina Anna Perez | Counselor | 655 Seventh Street, Robins Afb, Warner Robines, GA 31098 | 2011-01-05 |
| 1639494123 | Carolina Perez | Specialist/Technologist | 2133 N Nagle Ave, Chicago, IL 60707-3415 | 2010-03-29 |
| 1255897864 | Carolina Perez | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-02-19 |
| 1003355975 | Carolina Perez | Behavior Technician | 14411 Commerce Way Ste 310, Miami Lakes, FL 33016-1532 | 2017-02-13 |
| 1982052411 | Carolina Maria Perez | Podiatrist | 2818 Grant Line Rd, New Albany, IN 47150-2492 | 2016-05-25 |
| 1295919165 | Carolina Perez | Social Worker | 1 Gustave L Levy Place, Box 1005 Mount Sinai Hospital, New York, NY 10029-6574 | 2007-12-27 |
| 1912098237 | Carolina Perez | Physician Assistant | 9033 Elmhurst Ave, Jackson Heights, NY 11372-7935 | 2006-09-28 |
| Street Address |
1160 S GRAND AVE |
| City | GLENDORA |
| State | CA |
| Zip Code | 91740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790895092 | Pacific Clinics | Community/Behavioral Health | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2006-08-30 |
| 1780292722 | Victoria Ashley Jakaub | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-07-15 |
| 1801414313 | Dania Salgado | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-07-10 |
| 1457979387 | Amanda Bianca Corral | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-07-07 |
| 1326670019 | Michelle Belling | Licensed Psychiatric Technician | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-02-10 |
| 1215581657 | Chelcei Villarreal Muro | Case Manager/Care Coordinator | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2019-07-24 |
| 1679139471 | Ahrum Kwon | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2019-05-16 |
| 1629539424 | Jessica Aileen Nuno | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2019-03-26 |
| 1366938243 | Amy Elizabeth Maljian | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2018-07-03 |
| 1316431083 | Angela Pei Wu | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559638 | Kenny Tokuji Michioka | Nurse Practitioner | 1208 S Barranca Ave Unit C, Glendora, CA 91740 | 2020-05-07 |
| 1629535380 | Sudario Home Health Care, Inc. | Home Health | 620 W Riute 66 Suite 220a, Glendora, CA 91740 | 2019-02-28 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1972029981 | Keyauna C Thomas | Case Manager/Care Coordinator | 987 Shady Lane, Glendora, CA 91740 | 2017-08-21 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1912454547 | Natalie Sayegh | Dentist | 102 W. Route 66, Suite G, Glendora, CA 91740 | 2016-09-01 |
| 1255715744 | Daily Care,llc | Non-emergency Medical Transport (VAN) | 623 Lemar Park Drive, B, Glendora, CA 91740 | 2015-07-14 |
| 1245661776 | Rjdj Hospice Care, Inc. | Hospice Care, Community Based | 631 E. Arrow Hwy Ste E, Glendora, CA 91740 | 2013-12-10 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1508292384 | Keaunna Sonae Knox | Speech-Language Pathologist | 420 E. Baseline St Suite D & E, Glendora, CA 91740 | 2013-09-24 |
| Find all providers in zip 91740 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094068 | Jennifer Lynn Vermillion | Counselor | 1822 E Route 66 # 316, Glendora, CA 91740-3801 | 2020-02-12 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1942552781 | Howard Chudler | Counselor | 626 W Route 66 Ste E, Glendora, CA 91740-4167 | 2012-10-03 |
| 1154602688 | Edna Fabiola Parada | Counselor | 1160 Grand Ave, Glendora, CA 91740 | 2011-08-29 |
| 1740448851 | Maria Lam Nissly | Counselor | 409 S Glendora Ave, Glendora, CA 91741-6216 | 2008-05-26 |
| 1225229867 | Noel Marie Guevara | Counselor | 556 E. Mountain View Ave., Glendora, CA 91741 | 2007-08-08 |
| 1871635193 | Tammy Mcguigan Chang | Counselor | 1160 S Grand Ave., Glendora, CA 91740-5000 | 2007-02-13 |
| 1932175296 | Deborah L. Huffey | Counselor | 211 S Glendora Ave, #b, Glendora, CA 91741-3455 | 2006-02-27 |
| 1942844154 | Jessica Garcia | Counselor | 1174 S Grand Ave, Glendora, CA 91740-5000 | 2019-10-30 |
| Find all providers in GLENDORA | ||||
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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.