ETIWANDA ESD (NPI# 1225187099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225187099 |
| Entity Type | Organization |
| Organization Name | ETIWANDA ESD |
| Practice Address |
6061 East Ave Etiwanda CA 91739-2218 |
| Mailing Address |
3333 Concours Ste 4102 Ontario CA 91764-6564 |
| Practice Telephone | 9098992451 |
| Practice Fax Number | 9098991235 |
| Mailing Telephone | 9099447798 |
| Mailing Fax Number | 9094817410 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHAWN JUDSON (SUPERINTENDENT) |
| Authorized Official Telephone | 9098992451 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | SS3667702 | 01 |
| Street Address |
6061 EAST AVE |
| City | ETIWANDA |
| State | CA |
| Zip Code | 91739-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699230300 | Gogo Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 13269 Firestone Dr, Rancho Cucamonga, CA 91739 | 2019-02-06 |
| 1306348768 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 7210 Day Creek Blvd, Suite 110, Rancho Cucamonga, CA 91739 | 2018-03-01 |
| 1770082141 | Rajnis Jasani | Pharmacist | 7777-b Milliken Ave, Ste 100, Rancho Cucamonga, CA 91739 | 2018-02-12 |
| 1548787542 | Carla Hibet Castillo | Counselor | 7165 Etiwanda Ave, Rancho Cucamonga, CA 91739 | 2017-08-29 |
| 1598282428 | Yung Chun Chen | Dentist | 12453 Royal Oaks Dr., Montclair, CA 91739 | 2017-08-22 |
| 1508386806 | Emily Rose Marlen | Counselor | 845 E. Arrow Highway, Pomona, CA 91739 | 2017-06-27 |
| 1124384540 | Ameerah Rasheedah-bonner Mcmann | Marriage & Family Therapist | 8481 Etiwanda Avenue, Apartment G, Rancho Cucamonga, CA 91739 | 2012-04-10 |
| 1679866784 | Bodylogics Health Services Inc. | Rehabilitation Practitioner | 12730 Foothill Blvd., Unit 102, Rancho Cucamonga, CA 91739 | 2011-05-23 |
| 1801196027 | Lisa Louise Hazelwood | Psychologist | 9500 Etiwanda Ave., West Valley Detention Center, Attn: Medical Srvcs/liberty Roc, Rancho Cucamonga, CA 91739 | 2010-10-22 |
| 1700023520 | Gideon Puiyuen Kwok | Legal Medicine | 12225 Foothill Blvd #120, Rancho Cucamonga, CA 91739 | 2009-01-15 |
| Find all providers in zip 91739 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403553 | Sherman Thomas Charter Schools | Local Education Agency (LEA) | 101 W Adell St, Madera, CA 93638-0877 | 2020-10-07 |
| 1740895978 | Unity Schools | Local Education Agency (LEA) | 1180 70th Ave, Oakland, CA 94621-3216 | 2020-09-14 |
| 1578178786 | Unity Schools | Local Education Agency (LEA) | 6038 Brann St, Oakland, CA 94605-1544 | 2020-09-14 |
| 1942813993 | Pacific Health Education Center | Local Education Agency (LEA) | 5300 California Ave Ste 200, Bakersfield, CA 93309-1642 | 2020-08-28 |
| 1346853207 | Pacific Health Education Center Community Clinic | Local Education Agency (LEA) | 5300 California Ave Ste 220, Bakersfield, CA 93309-1644 | 2020-08-28 |
| 1164035572 | The Palmdale Aerospace Academy | Local Education Agency (LEA) | 3300 E Palmdale Blvd, Palmdale, CA 93550-5036 | 2020-08-25 |
| 1073123444 | Santa Rosa Academy, Inc | Local Education Agency (LEA) | 27587 La Piedra Rd, Menifee, CA 92584-8376 | 2020-07-31 |
| 1659989168 | Schools In Action | Local Education Agency (LEA) | 1241 S Soto St Ste 212, Los Angeles, CA 90023-2672 | 2020-07-21 |
| 1891303855 | Core Butte Charter School | Local Education Agency (LEA) | 2847 Notre Dame Blvd, Chico, CA 95928-8319 | 2020-07-16 |
| 1497372650 | Arcadia Unified School District | Local Education Agency (LEA) | 150 S 3rd Ave, Arcadia, CA 91006-3703 | 2020-07-02 |
| 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.