RENE S GERONIMO (NPI# 1184286361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184286361 |
| Entity Type | Individual |
| Full Name | RENE S GERONIMO |
| Practice Address |
2530 Bear Valley Pkwy Unit 102 Escondido CA 92027-3596 |
| Mailing Address |
2049 Skyline Dr Lemon Grove CA 91945-4221 |
| Practice Telephone | 8582131083 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2530 BEAR VALLEY PKWY UNIT 102 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92027-3596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404179 | Shaunntanel Lund | Midwife | 16625 New Moon Lane, Escondido, CA 92027 | 2018-04-12 |
| 1457871766 | Stephen Martinez | Physical Therapy Assistant | 466 Devonshire Glen, Escondido, CA 92027 | 2017-06-27 |
| 1407227184 | Fletcher Carson | Military Health Care Provider | 719 Erica Street, Escondido, CA 92027 | 2015-10-07 |
| 1336413426 | Nadir T. Khuri | General Practice | 3284 White Hawk Rd., Escondido, CA 92027 | 2012-03-07 |
| 1598914624 | Maria Graciela Herrera | Case Manager/Care Coordinator | 463 N Midway, Ste 200, Escondido, CA 92027 | 2008-09-12 |
| 1891850913 | Anna Kansky | Dentist | 1711 E Valley Pkwy, Millennium Dental, Escondido, CA 92027 | 2006-12-27 |
| 1629164322 | County of San Diego | Exclusive Provider Organization | 420 North Falconer Road, Escondido, CA 92027 | 2006-10-04 |
| 1619968005 | Kaufman Physical Therapy Inc | Physical Therapist | 1318 Mountain Park Place, Escondido, CA 92027 | 2005-11-03 |
| 1336670645 | Ashley Ingram | Dentist | 430 N Rose St, Escondido, CA 92027 | 2017-03-27 |
| 1487899233 | Lindsley Marie Shaw | Case Manager/Care Coordinator | 463 N Midway, Escondido, CA 92027 | 2008-12-09 |
| Find all providers in zip 92027 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942711908 | Ana Ysabel Davies | Counselor | 200 E Washington Ave Ste 101, Escondido, CA 92025-1806 | 2017-10-18 |
| 1730554940 | April Ortiz | Counselor | 529 S Citrus Ave, Escondido, CA 92027-4201 | 2015-12-14 |
| 1265817613 | Colleen Siegel | Counselor | 200 East Washington St Mhs, Suite # 100, Escondido, CA 92025 | 2015-07-28 |
| 1982085999 | Robert James Williams | Counselor | 910 E. Ohio Ave. #104, Escondido, CA 92025 | 2015-06-16 |
| 1912240318 | Margaret Anello | Counselor | 625 Citracado Pkwy Ste 102, Escondido, CA 92025-6428 | 2013-04-03 |
| 1306118534 | Laura Makey | Counselor | 340 Cypress Crest Ter, Escondido, CA 92025-6646 | 2012-02-03 |
| 1841585635 | Danielle Marie Rubino | Counselor | 200 East Washington Ave, Suite 100, Escondido, CA 92025 | 2011-06-09 |
| 1346545100 | Robert Lee Church | Counselor | 200 E Wshgton Ave Ste 100, Escondido, CA 92025-1806 | 2011-01-25 |
| 1063725976 | Loren Goldstein | Counselor | 117 N Elm St, Escondido, CA 92025-3410 | 2010-07-20 |
| 1023244902 | Cynthia Tucker | Counselor | 2447 La Ramada Ln, Escondido, CA 92027-4503 | 2009-06-04 |
| Find all providers in ESCONDIDO | ||||
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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.