LISA MARIE PENALOZA (NPI# 1336629682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336629682 |
Entity Type | Individual |
Full Name | LISA MARIE PENALOZA |
Practice Address |
2458 N Fillmore Ave Rialto CA 92377-4214 |
Mailing Address |
845 E Arrow Hwy Pomona CA 91767-2535 |
Practice Telephone | 9098551338 |
Mailing Telephone | 9096241233 |
Enumeration Date | 2018-08-16 |
Last Update Date | 2018-08-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Street Address |
2458 N FILLMORE AVE |
City | RIALTO |
State | CA |
Zip Code | 92377-4214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063071850 | Fjs Hearing Professionals | Hearing Instrument Specialist | 2012 N Riverside Ave, Suite J, Rialto, CA 92377 | 2019-06-06 |
1508319153 | Min Jeong Cho | Dentist | 2019 N Riverside Ave # C, Rialto, CA 92377 | 2016-08-01 |
1942510607 | Mehrdad Ghahremani-ghajar | Internal Medicine | 2248 N. Milor Ave, Rialto, CA 92377 | 2010-10-15 |
1972763670 | Tania Mara Orozco-mendoza | Specialist | 554 West Longwood St, Rialto, CA 92377 | 2008-06-16 |
1750451068 | Jorge H Beber | Psychiatry & Neurology | 1100 South Akers Road, Ste 101, Visaliea, CA 92377 | 2006-11-08 |
1447671714 | Ace Gastroenterology Associates Inc | Internal Medicine | 2006 N. Riverside Avenue, Rialto, CA 92377 | 2014-01-03 |
1710537568 | Carmen Britt | Technician | 3242 N Amberwood Ave, Rialto, CA 92377-2601 | 2019-09-13 |
1811126386 | Cranes Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2476 W Via Bello Dr, Rialto, CA 92377-2717 | 2009-07-06 |
1538322656 | Wanda | Residential Treatment Facility, Physical Disabilities | 3730 Fernwood Ave, Rialto, CA 92377-2724 | 2008-07-09 |
1982868048 | Wanda Smith | Licensed Practical Nurse | 3730 Fernwood Ave, Rialto, CA 92377-2724 | 2008-07-17 |
Find all providers in zip 92377 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689813370 | Behavioral Helath | Substance Abuse Rehabilitation Facility | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2009-02-19 |
NPI | Name | Taxonomy | Address | Enumeration |
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1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
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1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
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.