BRENDA A AGUAYO (NPI# 1255955324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255955324 |
| Entity Type | Individual |
| Full Name | BRENDA A AGUAYO |
| Practice Address |
1481 Windsor Dr San Bernardino CA 92404-5416 |
| Mailing Address |
27976 Calle De Leon Romoland CA 92585-9633 |
| Practice Telephone | 9093616470 |
| Practice Fax Number | 9092037403 |
| Mailing Telephone | 9512305945 |
| Mailing Fax Number | 9092037403 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1481 WINDSOR DR |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104950310 | Heather Rene Brown | Counselor | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2007-03-16 |
| 1578170650 | Nancy Elizabeth Ashcraft | Licensed Vocational Nurse | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-09-23 |
| 1598370918 | Jesse Daniel Rodriguez | Case Manager/Care Coordinator | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-09-11 |
| 1619589140 | Michelle Eileen Koperski | Peer Specialist | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-08-17 |
| 1508480583 | Richard Anthony Delarosa | Counselor | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-06-04 |
| 1053935353 | Divina Elise Perez | Counselor | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-06-02 |
| 1538782917 | Rochelle Renee Knight | Licensed Vocational Nurse | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-05-20 |
| 1609497098 | Martin E Torres | Licensed Vocational Nurse | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-04-27 |
| 1508493495 | Ebony Rene Venable | Licensed Psychiatric Technician | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-03-23 |
| 1316572274 | Dana Dietz | Licensed Vocational Nurse | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700343183 | Phillip Loving | Counselor | 5500 University Pkwy # Ce-120, San Bernardino, CA 92407-2318 | 2019-02-21 |
| 1285108555 | Sl Hobson Enterprises LLC | Counselor | 445 S Arrowhead Ave Ste C, San Bernardino, CA 92408-1335 | 2019-01-19 |
| 1730660069 | Kate E Salami | Counselor | 255 N D St Ste 400, San Bernardino, CA 92401-1715 | 2018-08-24 |
| 1659875904 | Ezekiel Moseley | Counselor | 225 W Hospitality Ln Ste 201d, San Bernardino, CA 92408-3245 | 2018-03-21 |
| 1336647494 | Paul J Iorio | Counselor | 1669 Norht E Street, San Bernardino, CA 92405 | 2018-01-24 |
| 1396262119 | Katherine Ingram | Counselor | 1905 Business Center Dr Unit 100, San Bernardino, CA 92408-3460 | 2017-08-23 |
| 1245760909 | Leslie E Brooks Jr. | Counselor | 325 W. Hospitality Ln. Ste 103, San Bernardino, CA 92408 | 2017-06-15 |
| 1417486788 | Juanita Marisol Barrientos | Counselor | 1908 Business Center Dr., San Bernardino, CA 92408 | 2017-06-08 |
| 1245768480 | Erika Sethi | Counselor | 900 E. Gilbert St, Cottage 4, San Bernardino, CA 92408-3258 | 2017-06-01 |
| 1699210591 | Stacey Ramirez | Counselor | 244 S D St, San Bernardino, CA 92401-2004 | 2016-12-30 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
Please comment or provide details below to improve the information on BRENDA A AGUAYO.
| 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.