MR. ASA INGRAM (NPI# 1164613733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164613733 |
| Entity Type | Individual |
| Full Name | MR. ASA INGRAM |
| Credential | CAS |
| Practice Address |
2055 N Perris Blvd Perris CA 92571-2509 |
| Mailing Address |
565 Chaney St Lake Elsinore CA 92530-2722 |
| Practice Telephone | 9516745354 |
| Practice Fax Number | 9516745227 |
| Mailing Telephone | 9516745354 |
| Mailing Fax Number | 9516745227 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 5542 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2055 N PERRIS BLVD |
| City | PERRIS |
| State | CA |
| Zip Code | 92571-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972692051 | Andres E Dominguez | Pharmacist | 2055 N Perris Blvd, Suite A1, Perris, CA 92571 | 2006-10-12 |
| 1437533411 | Tiffany T Hoang | Pharmacist | 2055 N Perris Blvd, Perris, CA 92571-2509 | 2015-07-20 |
| 1861834988 | Perris Dental | Dentist | 2055 N Perris Blvd, Ste E-12, Perris, CA 92571-2509 | 2013-07-18 |
| 1811236359 | Zachary Martinez | Counselor | 2055 N Perris Blvd, G6, Perris, CA 92571-2509 | 2013-02-04 |
| 1063757771 | Dulce Huertero Landazuri | Pharmacist | 2055 N Perris Blvd, Perris, CA 92571-2509 | 2012-12-06 |
| 1639451206 | John William Fletcher | Counselor | 2055 N Perris Blvd, Perris, CA 92571-2509 | 2011-09-09 |
| 1952547341 | Robyn Curl | Counselor | 2055 N Perris Blvd, Perris, CA 92571-2509 | 2009-01-06 |
| 1770758302 | Randee Barraza | Counselor | 2055 N Perris Blvd, Perris, CA 92571-2509 | 2008-04-24 |
| 1881738094 | Washington Cullampe | Dentist | 2055 N Perris Blvd, Ste E-12, Perris, CA 92571-2509 | 2007-02-19 |
| 1861563413 | Lida Bee Poommipanit-bajon | Family Medicine | 2055 N Perris Blvd, E6, Perris, CA 92571 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376199422 | Pico De Loro, Incorporated | Assisted Living Facility | 620 North Perris Boulevard, Perris, CA 92571 | 2019-08-14 |
| 1053802579 | Kadiatou Dafney | Nurse Practitioner | 126 Avocado Ave Ste 106, Perris, CA 92571 | 2018-05-21 |
| 1730677014 | Ruth Gasselle Rodriguez | Nutritionist | 1020 Huntington Way, Perris, CA 92571 | 2018-04-23 |
| 1649788167 | Leslie Bautista | Counselor | 1276 Autumnwood Ln, Perris, CA 92571 | 2018-01-18 |
| 1588180459 | Eduardo Orozco-zavala | Licensed Vocational Nurse | 85 Ramona Expressway, Suite 1, Perris, CA 92571 | 2017-08-22 |
| 1396267365 | National Vision, Inc. | Technician/Technologist | 1850 N Perris Boulevard, Suite 40, Perris, CA 92571 | 2017-07-12 |
| 1336669506 | Gary Huang | Optometrist | 1850 N Perris Boulevard Ste 40, Perris, CA 92571 | 2017-06-20 |
| 1750814745 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 106 Worth St, Perris, CA 92571 | 2017-04-06 |
| 1013456235 | Sohal and Pham Dental Corporation | Dentist | 1820 Perris Blvd, Suite 70, Perris, CA 92571 | 2017-02-21 |
| 1093267569 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 2464 Slew of Gold Ct, Perris, CA 92571 | 2016-10-31 |
| Find all providers in zip 92571 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336704097 | Camille T Brown | Counselor | 170 Wilkerson Ave, Perris, CA 92570-2200 | 2019-05-07 |
| 1770034217 | Lisa Mcmoran | Counselor | 23115 Rider St Bldg A, Perris, CA 92570-9723 | 2016-10-19 |
| 1962815993 | Krystle Yvonne Cathey | Counselor | 23115 Rider St, Perris, CA 92570-9723 | 2014-06-06 |
| 1053746966 | Susana Franco Tinoco | Counselor | 103 Barbara St, Perris, CA 92570-1651 | 2013-09-10 |
| 1447378005 | Curtis Lynn Coury | Counselor | 1688 N Perris Blvd Ste L-7-l11, Perris, CA 92571-4709 | 2007-03-26 |
| 1033739347 | Karlieta Griffin | Counselor | 2579 Spectacular Bid St, Perris, CA 92571-4637 | 2020-04-16 |
| 1215577424 | Vanessa Sandy Cadena | Counselor | 450 E San Jacinto Ave, Perris, CA 92571-2833 | 2020-01-15 |
| 1386109965 | Cristal Cortes Vazquez | Counselor | 555 N Perris Blvd, Perris, CA 92571-2811 | 2019-02-07 |
| 1558873836 | Patricia Ferradas | Counselor | 555 N Perris Blvd, Perris, CA 92571-2811 | 2017-10-26 |
| 1972014991 | Chloe Ramirez | Counselor | 555 N Perris Blvd, Perris, CA 92571-2811 | 2017-10-17 |
| Find all providers in PERRIS | ||||
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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.