MR. ALPHONSO CHISLOM JR. (NPI# 1275700312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275700312 |
| Entity Type | Individual |
| Full Name | MR. ALPHONSO CHISLOM JR. |
| Credential | R.C.P. |
| Practice Address |
5880 Fair Isle Dr Apt 283 Riverside CA 92507-8462 |
| Practice Telephone | 9513782083 |
| Practice Fax Number | 9517867726 |
| Mailing Telephone | 9513782083 |
| Mailing Fax Number | 9517867726 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 227800000X | Respiratory Therapist, Certified | 00017933 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA. STATE LICENSE | 00017933 | 01 |
| Street Address |
5880 FAIR ISLE DR APT 283 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-8462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 227800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| A Certified Respiratory Therapist (CRT) is a an entry level therapist who has passed a standardized written examination administered by the National Board for Respiratory Care (NBRC). CRTs provide diagnostic testing, therapeutics, monitoring, rehabilitation, and education to patients with disorders of the cardiopulmonary system. They provide these respiratory care services in all health care facilities and in the home. A CRT is a graduate of an associate degree program approved by the Commission on Accreditation of Allied Health Educational Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of the license. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720510845 | Suzanne M Pierson | Respiratory Therapist, Certified | 3036 Hidden Meadow Dr, Riverside, IA 52327-9007 | 2017-03-29 |
| 1639653173 | Oscar Villatoro | Respiratory Therapist, Certified | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2018-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457911828 | Mark Trever Stone X | Respiratory Therapist, Certified | 19873 Emmett Rd, Santa Clarita, CA 91351-4801 | 2019-06-18 |
| 1922564145 | Richmond P Uy | Respiratory Therapist, Certified | 1334 Southgate Ave, Daly City, CA 94015-3939 | 2019-02-12 |
| 1992260137 | Jimmie Rasaan Morris II | Respiratory Therapist, Certified | 1779 W Yosemite Ave Ste 205, Manteca, CA 95337-5130 | 2019-02-01 |
| 1609330364 | Afaf Asfour | Respiratory Therapist, Certified | 1353 Rosana Way, Rohnert Park, CA 94928-2951 | 2019-01-28 |
| 1366906935 | Janet Frost King | Respiratory Therapist, Certified | 4467 Le Conte Cir, Antioch, CA 94531-7147 | 2019-01-28 |
| 1447714126 | Michael Hoai Tran I | Respiratory Therapist, Certified | 1366 Deerfield Ct, Concord, CA 94521-4237 | 2019-01-26 |
| 1588128375 | Jason Morales | Respiratory Therapist, Certified | 3589 Levanto Way, Manteca, CA 95337-8435 | 2019-01-25 |
| 1356815534 | Richard Kabasinskas | Respiratory Therapist, Certified | 1426 S Main St, Walnut Creek, CA 94596-5319 | 2019-01-22 |
| 1639633860 | Angelo Duaso | Respiratory Therapist, Certified | 712 North Regatta Drive, Vallejo, CA 94591 | 2019-01-22 |
| 1427520683 | Catherin Mary Sunnafrank | Respiratory Therapist, Certified | 2294 Sherry Dr, Napa, CA 94558-4545 | 2018-12-27 |
| 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.