NEDRA MITCHELL (NPI# 1275132144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275132144 |
| Entity Type | Individual |
| Full Name | NEDRA MITCHELL |
| Practice Address |
10751 Dale Ave Stanton CA 90680-2604 |
| Practice Telephone | 7148215311 |
| Practice Fax Number | 7148216309 |
| Mailing Telephone | 7148215311 |
| Mailing Fax Number | 7148216309 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| 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) |
13765 | CA | Behavioral Health & Social Service Providers |
| Street Address |
10751 DALE AVE |
| City | STANTON |
| State | CA |
| Zip Code | 90680-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942342811 | Western Pacific Med-corp | Clinic/Center | 10751 Dale Ave, Stanton, CA 90680-2604 | 2007-02-13 |
| 1063997419 | Tiffani Buonanno | Counselor | 10751 Dale Ave, Stanton, CA 90680-2604 | 2018-10-02 |
| 1295210219 | Christine Ciscone | Counselor | 10751 Dale Ave, Stanton, CA 90680-2604 | 2018-09-25 |
| 1629560412 | Patricia Eason | Licensed Vocational Nurse | 10751 Dale Ave, Stanton, CA 90680-2604 | 2018-06-06 |
| 1063904860 | Rossi Ceniceros | Counselor | 10751 Dale Ave, Stanton, CA 90680-2604 | 2018-06-06 |
| 1497100069 | Jeffery Boots | Counselor | 10751 Dale Ave, Stanton, CA 90680-2604 | 2016-05-02 |
| 1467816454 | Brandy Lyn Martin | Counselor | 10751 Dale Ave, Stanton, CA 90680-2604 | 2016-04-06 |
| 1659739332 | Debra Padua | Counselor | 10751 Dale Ave, Stanton, CA 90680-2604 | 2016-02-09 |
| 1417340225 | Niccole Marie Molina | Counselor | 10751 Dale Ave, Stanton, CA 90680-2604 | 2015-03-18 |
| 1417349333 | Jeff Schrick | Counselor | 10751 Dale Ave, Stanton, CA 90680-2604 | 2015-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962978429 | Mountain View Hospice | Hospice Care, Community Based | 12235 Beach Blvd., Suite 205c, Stanton, CA 90680 | 2018-10-22 |
| 1073983250 | Jennifer Van | Dental Hygienist | 10882 Cedar Street, Stanton, CA 90680 | 2015-10-01 |
| 1780097915 | Chris G Kim | Acupuncturist | 7731 Katella Ave #b, Stanton, CA 90680 | 2014-06-05 |
| 1982035069 | San Blas Medical Clinic | General Practice | 7777 Katella Avenue, Stanton, CA 90680 | 2013-11-27 |
| 1487969861 | Dean Tran, D.o., Inc | Clinic/Center | 11418 1/2 Renaissance Way, Stanton, CA 90680 | 2010-08-10 |
| 1255562229 | Ability Center | Durable Medical Equipment & Medical Supplies | 11600 Western Ave, Stanton, CA 90680 | 2009-08-07 |
| 1235369786 | Diem-trinh Maria Nguyen | Dentist | 532 E Chapman, Orange, CA 90680 | 2009-07-17 |
| 1932315959 | Esther L Sy | Dentist | 10468 Beach Boulevard, Stanton, CA 90680 | 2007-05-15 |
| 1255409694 | Minh Duc Nguyen | Dentist | 12880 Beach Blvd, Stuite Aa, Stanton, CA 90680 | 2006-12-02 |
| 1780750612 | Go Diagnostics Inc | Specialist/Technologist, Other | 7159 Katella Ave, Stanton, CA 90680 | 2006-11-24 |
| Find all providers in zip 90680 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538681770 | Summer Nicole Hulsey | Counselor | 10862 Oak St, Stanton, CA 90680-9068 | 2017-07-10 |
| 1518584598 | Cheyenne Elayne Mckloski | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-06-25 |
| 1083230072 | Antoinette Sanchez | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-06-25 |
| 1225652944 | Donald Ross | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-05-29 |
| 1225667827 | Melissa J Johnson | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-04-06 |
| 1568095842 | Jeshua Valverde | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-02-15 |
| 1659904936 | Nicholas A Alcus | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2020-02-15 |
| 1710525589 | Hinal Maganlal | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2019-12-12 |
| 1750924056 | Shauna Mckinney | Counselor | 10936 Dale Ave, Stanton, CA 90680-2724 | 2019-10-21 |
| 1255985255 | Breanon Kratzer | Counselor | 10936 Dale Ave, Stanton, CA 90680 | 2019-07-29 |
| Find all providers in STANTON | ||||
Please comment or provide details below to improve the information on NEDRA MITCHELL.
| 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.