MRS. HEATHER ANNN PEDEVILLANO (NPI# 1093937310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093937310 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER ANNN PEDEVILLANO |
| Credential | ATC |
| Practice Address |
1805 E. Lomira Dr Covina CA 91724 |
| Practice Telephone | 6268593003 |
| Mailing Telephone | 6268593003 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1805 E. LOMIRA DR |
| City | COVINA |
| State | CA |
| Zip Code | 91724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902320922 | Kimberly Suzanne Manzanares-mora | Rehabilitation Practitioner | 1359 North Grand Avenue, Covina, CA 91724 | 2017-08-01 |
| 1689194680 | Cynthia Garcia | Counselor | 1359 N. Grand Ave., Covina, CA 91724 | 2017-06-21 |
| 1386191963 | West Covina Group Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1274 Center Court Dr, #208, Covina, CA 91724 | 2016-09-01 |
| 1184094781 | Veronica May Roberts | Licensed Vocational Nurse | 222 S. Wilson Ave, Covina, CA 91724 | 2015-09-25 |
| 1912216292 | Joan Mendoza | Social Worker | 1338 Center Court Dr Ste 107, Covina, CA 91724 | 2010-10-04 |
| 1548583602 | Lille-anne Nzeribe | Rehabilitation Practitioner | 1126 N. Grand Ave. Suite D, Covina, CA 91724 | 2010-03-03 |
| 1154534212 | Verna L Lewis | Marriage & Family Therapist | 420 South Grand Ave., Covina, CA 91724 | 2007-05-07 |
| 1669503579 | Maritza Mercedes Reyes | Rehabilitation Practitioner | 1411 N. Grand Ave., Covina, CA 91724 | 2007-03-09 |
| 1417014085 | Bernadette Luyun Guaring Bagay | Dentist | 984 E Badillo St, Suite E, Covina, CA 91724 | 2007-01-03 |
| 1952479461 | Shuster Family Counseling Service, A Professional Corporation | Marriage & Family Therapist | 1274 East Center Court, Suite 112, Covina, CA 91724 | 2006-12-01 |
| Find all providers in zip 91724 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265067623 | Anthony Jerry Hernandez | Specialist/Technologist | 16126 E Queenside Dr, Covina, CA 91722-2216 | 2020-03-05 |
| 1124659370 | Celiana Vargas Guerra | Specialist/Technologist | 463 S Hollenbeck Ave, Covina, CA 91723-2999 | 2020-01-27 |
| 1770058836 | Matthew Simok | Specialist/Technologist | 1430 E Covina Blvd, Covina, CA 91724-1651 | 2018-10-04 |
| 1790201796 | Jessica M Calles | Specialist/Technologist | 19312 E Hurst St, Covina, CA 91722-2934 | 2017-08-21 |
| 1174989107 | Erica Gonzalez | Specialist/Technologist | 21235 E Cloverland Dr, Covina, CA 91724-3307 | 2016-01-06 |
| 1972917631 | Virginia Ann Garner | Specialist/Technologist | 1016 W Cypress St, Covina, CA 91722-3145 | 2014-06-20 |
| 1699197392 | Daniel Josue Bonilla | Specialist/Technologist | 16754 E Bellbrook St, Covina, CA 91722-2404 | 2014-01-14 |
| 1740494889 | Bill Suranaronk Ito | Specialist/Technologist | 531 S Aldenville Ave, Covina, CA 91723-2909 | 2007-05-09 |
| 1770085169 | Kendra Mae Lewin | Specialist/Technologist | 1016 W Cypress St, Covina, CA 91722-3145 | 2018-03-01 |
| 1851899256 | Aubrie Ann Jaime | Specialist/Technologist | 1340 N Enid Ave, Covina, CA 91722-1214 | 2018-01-31 |
| Find all providers in COVINA | ||||
Please comment or provide details below to improve the information on MRS. HEATHER ANNN PEDEVILLANO.
| 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.