COUNTY OF SAN BERNARDINO (NPI# 1154539765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154539765 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SAN BERNARDINO |
| Other Organization Name | MAIN STREET HESPERIA CENTER |
| Practice Address |
14628 Main Street Hesperia CA 92345 |
| Mailing Address |
268 W Hospitality Lane Suite 400 San Bernardino CA 92415-0026 |
| Practice Telephone | 9093823080 |
| Practice Fax Number | 9093823105 |
| Mailing Telephone | 9093823080 |
| Mailing Fax Number | 9093823105 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2009-09-24 |
| Authorized Official Name | MR. MICHAEL J DAY (INFORMATION TECHNOLOGY MANAGER) |
| Authorized Official Telephone | 9093880570 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEPARTMENT OF BEHAVIORAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
ZZZ74743Z | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Main Street Hesperia Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931572 | County of San Bernardino | Community/Behavioral Health | 351 N Mt View Ave San Bernardino Ca 92415, San Bernardino, CA 92415-0001 | 2019-09-13 |
| 1063061117 | County of San Bernardino | Community/Behavioral Health | 9445 Fairway View Pl Ste 110, Rancho Cucamonga, CA 91730-0930 | 2019-09-10 |
| 1306495627 | County of San Bernardino | Community/Behavioral Health | 63665 29 Palms Hwy, Joshua Tree, CA 92252-6613 | 2019-09-09 |
| 1891344115 | County of San Bernardino | Community/Behavioral Health | 14931 Dale Evans Pkwy, Apple Valley, CA 92307-3061 | 2019-09-09 |
| 1568947323 | County of San Bernardino | Community/Behavioral Health | 15345 Bonanza Rd, Victorville, CA 92392-2499 | 2018-09-27 |
| 1619452547 | County of San Bernardino | Community/Behavioral Health | 900 E Gilbert St Bldg 31, San Bernardino, CA 92415-0911 | 2018-09-26 |
| 1669802708 | County of San Bernardino | In Home Supportive Care | 784 E Hospitality Ln, San Bernardino, CA 92415 | 2013-11-26 |
| 1912258633 | County of San Bernardino | Clinic/Center | 17830 Arrow Blvd., Fontana, CA 92335 | 2012-09-20 |
| 1285870469 | County of San Bernardino | Public Health or Welfare | 11336 Bartlett Ave #11, Adelanto, CA 92301 | 2008-12-18 |
| 1871764175 | County of San Bernardino | Early Intervention Provider Agency | North & South Bound I-15, @ Zzz, Baker, CA 92309 | 2008-03-14 |
| Street Address |
14628 MAIN STREET |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326257627 | County of San Bernardino | Clinic/Center | 11951 Hesperia Road, Hesperia, CA 92345 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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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.