DIANE ELLEN SHAW (NPI# 1225698954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225698954 |
| Entity Type | Individual |
| Full Name | DIANE ELLEN SHAW |
| Credential | CADAC LL |
| Practice Address |
1950 E 17th St Santa Ana CA 92705-6852 |
| Mailing Address |
17261 Gothard St Spc 9 Huntington Beach CA 92647-5454 |
| Practice Telephone | 7145474300 |
| Practice Fax Number | 7145472109 |
| Mailing Telephone | 7146045281 |
| Mailing Fax Number | 7145472109 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A014670315 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255874418 | Diane Shaw | Technician | 1015 Roanoke Avenue Suite A, Roanoke Rapids, NC 27870 | 2016-11-21 |
| 1275192346 | Diane Shaw | Behavior Technician | 25201 Paseo De Alicia Ste 110, Laguna Hills, CA 92653-4627 | 2019-06-11 |
| 1144587874 | Diane Shaw | Home Health Aide | 1707 L St Nw, Suite 900, Washington, DC 20036-4201 | 2012-04-19 |
| Street Address |
1950 E 17TH ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-6852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801242763 | Cornerstone of Southern California | Substance Abuse Rehabilitation Facility | 1950 E 17th St, Suite 150, Santa Ana, CA 92705-6852 | 2016-05-10 |
| 1003417049 | Matt David Gomez | Licensed Vocational Nurse | 1950 E 17th St, Santa Ana, CA 92705-6852 | 2020-11-05 |
| 1902406846 | Ernest Marquez | Counselor | 1950 E 17th St, Santa Ana, CA 92705-6852 | 2020-10-29 |
| 1386252880 | Danielle Bernadette Graniello | Licensed Vocational Nurse | 1950 E 17th St, Santa Ana, CA 92705-6852 | 2020-07-21 |
| 1558918557 | Mark Ballard | Counselor | 1950 E 17th St, Santa Ana, CA 92705-6852 | 2019-08-23 |
| 1407403405 | Mary Lynn Fritz | Counselor | 1950 E 17th St, Santa Ana, CA 92705-6852 | 2019-08-23 |
| 1245887892 | Anna Chernitskaya | Counselor | 1950 E 17th St, Santa Ana, CA 92705-6852 | 2019-08-19 |
| 1134776784 | Darla Ruth Simons | Counselor | 1950 E 17th St, Santa Ana, CA 92705-6852 | 2019-08-19 |
| 1902253560 | Recovery Homes of America Inc | Substance Abuse Rehabilitation Facility | 1950 E 17th St, #150, Santa Ana, CA 92705-6852 | 2016-05-24 |
| 1760838312 | Apolis Industrial Multispecialty Inc. | Specialist | 1950 E 17th St, Suite 215, Santa Ana, CA 92705-6852 | 2016-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1437780236 | Spencer Addison Layman | Counselor | 31 E Macarthur Cres Apt E215, Santa Ana, CA 92707-5965 | 2020-01-30 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1083267314 | Sierra Lynn Smith | Counselor | 1241 E Dyer Rd Ste 120, Santa Ana, CA 92705-5611 | 2019-07-16 |
| 1437718103 | Jeremy John Rintalan | Counselor | 600 W Santa Ana Blvd Ste 18-109, Santa Ana, CA 92701-4558 | 2019-06-06 |
| 1609430081 | Michael Ramos | Counselor | 600 W Santa Ana Blvd Ste 109, Santa Ana, CA 92701-4582 | 2019-04-30 |
| 1164800512 | Carol J Doll | Counselor | 2101 E First Street, Santa Ana, CA 92705 | 2015-05-18 |
| 1467845073 | Jacqueline Kademian | Counselor | 666 S Harbor Blvd, Santa Ana, CA 92704-1384 | 2015-03-07 |
| 1245667849 | Joseph M Montanez | Counselor | 1200 N Main St., Ste. 201, Santa Ana, CA 92701 | 2013-09-27 |
| 1437404225 | Lisa Steele | Counselor | 1910 N. Bush, Santa Ana, CA 92706 | 2012-07-17 |
| Find all providers in SANTA ANA | ||||
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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.