DR. QUTAYBA ABDULLATIF (NPI# 1134667751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134667751 |
Entity Type | Individual |
Full Name | DR. QUTAYBA ABDULLATIF |
Credential | PH.D. |
Practice Address |
415 W Route 66 Ste 202 Glendora CA 91740-4335 |
Practice Telephone | 6269634467 |
Practice Fax Number | 6269639543 |
Mailing Telephone | 6269634467 |
Mailing Fax Number | 6269639543 |
Enumeration Date | 2017-02-02 |
Last Update Date | 2018-11-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | 28804 | CA | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY28804 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 5672641 | 05 | |
MEDICARE | CB281537 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
201 W 4th St Ste 200, Claremont, CA 917114707 | 6264601260 | |
2705 S Diamond Bar Blvd Ste 238, Diamond Bar, CA 917653554 | 6269634467 | 6269639543 |
16 S Oakland Ave Ste 212, Pasadena, CA 911012041 | 6264601260 |
Street Address |
415 W ROUTE 66 STE 202 |
City | GLENDORA |
State | CA |
Zip Code | 91740-4335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225040363 | Bruce A Lyons | Psychologist | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2006-08-13 |
1386250785 | Ahinasi Nurse Practitioner Corporation | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2020-09-21 |
1053935361 | Brighter Mind Psychiatric Group Inc | Psychiatry & Neurology | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2020-06-02 |
1689297798 | Karun Gogna Md Inc | Psychiatry & Neurology | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2020-05-22 |
1629616255 | Lorena Fuentes Np, Psychiatric Nursing Corp | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-12-13 |
1558905158 | Sasinee J Bhosai Np Psychiatric Nursing Corp | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-11-06 |
1316580665 | Dominique Sanders Nursing Corporation | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-10-18 |
1407402779 | Carmen N Garabet Psyd A Psychological Corporation | Psychologist | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-08-13 |
1316590391 | Carmen Noemi Garabet | Psychologist | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-07-19 |
1952964744 | Jeromy Asido Np Psychiatric Nursing Services Inc | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-04-17 |
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 | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609497130 | Haya Alsarhn | Psychologist | 210 S Grand Ave Ste 320, Glendora, CA 91741-4286 | 2020-05-06 |
1023673126 | Christopher Morrison | Psychologist | 1340 E Route 66 Ste 107, Glendora, CA 91740-3783 | 2019-05-03 |
1285898973 | Caroline Marie Sauer | Psychologist | 510 S Grand Ave, Suite 200, Glendora, CA 91741-4207 | 2008-07-11 |
1306040167 | Janine Drulay | Psychologist | 316 E Colorado Ave, Glendora, CA 91740-4414 | 2007-06-13 |
1295951044 | Nazare Magaz | Psychologist | 804 Bradish Ave, Glendora, CA 91740-4666 | 2007-04-18 |
1134249915 | James F. Skalicky | Psychologist | 2030 E Route 66, # 200, Glendora, CA 91740-4602 | 2007-03-29 |
1770669335 | Julie Anne Verner | Psychologist | 150 E Meda Ave Ste 280, Glendora, CA 91741-2691 | 2006-10-27 |
1437170560 | Angela Donahue | Psychologist | 150 E Meda Ave Ste 110, Glendora, CA 91741-2607 | 2006-07-22 |
1235162652 | Vrabel Psychological Services Inc. | Psychologist | 112 W Bennett Ave, Suite -4, Glendora, CA 91741-2568 | 2006-07-09 |
1770541773 | Frank L Tornatore | Psychologist | 510 S Grand Ave Ste 200, Glendora, CA 91741-4291 | 2006-05-02 |
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.