AMANDA DOLORES LUCERO (NPI# 1114367687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114367687 |
| Entity Type | Individual |
| Full Name | AMANDA DOLORES LUCERO |
| Practice Address |
3125 Myers St Riverside CA 92503-5527 |
| Practice Telephone | 9513584840 |
| Mailing Telephone | 9513584840 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
ASW68317 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3801 University Ave, 400, Riverside, CA 925013247 | 9519557118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013439959 | Amanda Rae Lucero | Day Training/Habilitation Specialist | 6 Rodgers Ct., Los Lunas, NM 87031 | 2017-07-12 |
| 1316913239 | Amanda Carlene Lucero | Nurse Practitioner | 2914 Kenilworth Blvd, Sebring, FL 33870-4307 | 2006-02-28 |
| 1548800758 | Amanda Lucero | Behavior Technician | 12015 E 46th Ave Ste 680, Denver, CO 80239-3158 | 2020-01-15 |
| 1982007134 | Amanda C Lucero | Naturopath | 440 W 200 S Ste 250, Salt Lake City, UT 84101-1462 | 2014-10-02 |
| Street Address |
3125 MYERS ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407968068 | Richard Joonkoo Lee | Psychiatry & Neurology | 3125 Myers St, Rcdmh Children's Treatment Services, Riverside, CA 92503-5527 | 2006-08-31 |
| 1821616616 | Mayra Mariscal | Case Manager/Care Coordinator | 3125 Myers St, Riverside, CA 92503-5527 | 2020-07-08 |
| 1003434986 | Marco Antonio Elias-juarez | Marriage & Family Therapist | 3125 Myers St, Riverside, CA 92503-5527 | 2020-07-08 |
| 1831723980 | Kimberly N/a Franco | Marriage & Family Therapist | 3125 Myers St, Riverside, CA 92503-5527 | 2020-02-27 |
| 1609419860 | Melissa Aimee Benson | Marriage & Family Therapist | 3125 Myers St, Riverside, CA 92503-5527 | 2019-10-21 |
| 1023678810 | Aaron A Alonso | Case Manager/Care Coordinator | 3125 Myers St, Riverside, CA 92503-5527 | 2019-06-14 |
| 1730746371 | Cassandra Rodriquez | Counselor | 3125 Myers St, Riverside, CA 92503 | 2019-05-20 |
| 1548745763 | Eddy Anne Garcia | Peer Specialist | 3125 Myers St, Riverside, CA 92503-5527 | 2018-10-03 |
| 1417439910 | Brodi Thomas Petitt | Peer Specialist | 3125 Myers St, Riverside, CA 92503-5527 | 2018-08-30 |
| 1053891101 | Adriyel Angel Carrillo | Counselor | 3125 Myers St, Riverside, CA 92503-5527 | 2018-08-17 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1023638541 | Sarah Davidson-amici | Counselor | 2167 Buckskin Pl, Riverside, CA 92506-4608 | 2020-04-24 |
| 1790311470 | Melanie S David | Counselor | 11498 Pierce St Ste A&b, Riverside, CA 92505-3357 | 2020-03-13 |
| 1548890155 | Taylor Jean Robitzer I | Counselor | 16435 Trisha Way, Riverside, CA 92504-5731 | 2020-01-23 |
| 1043854714 | Marie Apke | Counselor | 493 Uvedale Rd, Riverside, IL 60546-1608 | 2019-11-05 |
| 1851934954 | Community Access Network | Counselor | 16542 Tava Ln, Riverside, CA 92504-5833 | 2019-10-21 |
| 1124661236 | Community Access Network | Counselor | 10631 Orchard View Ln, Riverside, CA 92503-6605 | 2019-10-21 |
| 1518519503 | Erica Elissa Sierra | Counselor | 2085 Rustin Ave Ofc 2157, Riverside, CA 92507-2498 | 2019-07-10 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1518445725 | Ryan Gregory Galippo | Counselor | 1625 14th Street, Riverside, CA 92513-7549 | 2018-07-31 |
| Find all providers in RIVERSIDE | ||||
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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.