ANDREW ALBERTO PANTOJA (NPI# 1366904500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366904500 |
| Entity Type | Individual |
| Full Name | ANDREW ALBERTO PANTOJA |
| Credential | BA |
| Practice Address |
2200 E Route 66 Glendora CA 91740-4659 |
| Practice Telephone | 6268592089 |
| Practice Fax Number | 6268596537 |
| Mailing Telephone | 6268592089 |
| Mailing Fax Number | 6268596537 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2200 E ROUTE 66 |
| City | GLENDORA |
| State | CA |
| Zip Code | 91740-4659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699892612 | Tracy Lynn Wilson | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740 | 2007-03-23 |
| 1609438894 | Gabriela Fonteyn | Counselor | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-07-08 |
| 1336709914 | Erin-ashley Brown | Marriage & Family Therapist | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-06-17 |
| 1346805314 | Ofelia G Lopez | Marriage & Family Therapist | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-05-06 |
| 1528622032 | Hannah M Price | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-04-30 |
| 1679039663 | Hannah E Elliott | Marriage & Family Therapist | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-02-14 |
| 1548739311 | Ashley M Mitchell | Counselor | 2200 E Route 66, Glendora, CA 91740-4659 | 2018-11-21 |
| 1790250843 | Gabriela Stephany Estrada-arreguin | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2018-10-04 |
| 1467936013 | Briana Nicole Perlson | Counselor | 2200 E Route 66, Glendora, CA 91740-4659 | 2018-09-19 |
| 1124566096 | Irene Martinez | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2017-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559638 | Kenny Tokuji Michioka | Nurse Practitioner | 1208 S Barranca Ave Unit C, Glendora, CA 91740 | 2020-05-07 |
| 1629535380 | Sudario Home Health Care, Inc. | Home Health | 620 W Riute 66 Suite 220a, Glendora, CA 91740 | 2019-02-28 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1972029981 | Keyauna C Thomas | Case Manager/Care Coordinator | 987 Shady Lane, Glendora, CA 91740 | 2017-08-21 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1912454547 | Natalie Sayegh | Dentist | 102 W. Route 66, Suite G, Glendora, CA 91740 | 2016-09-01 |
| 1255715744 | Daily Care,llc | Non-emergency Medical Transport (VAN) | 623 Lemar Park Drive, B, Glendora, CA 91740 | 2015-07-14 |
| 1245661776 | Rjdj Hospice Care, Inc. | Hospice Care, Community Based | 631 E. Arrow Hwy Ste E, Glendora, CA 91740 | 2013-12-10 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1508292384 | Keaunna Sonae Knox | Speech-Language Pathologist | 420 E. Baseline St Suite D & E, Glendora, CA 91740 | 2013-09-24 |
| Find all providers in zip 91740 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588896567 | Veronica A Zendejas | Rehabilitation Practitioner | 2200 E Route 66 Ste 100, Glendora, CA 91740-4662 | 2009-08-10 |
| 1275787301 | Christine Deborah Price | Rehabilitation Practitioner | 1222 S Soderberg Ave, Glendora, CA 91740-4993 | 2008-11-17 |
| 1780703041 | Tom Rayle | Rehabilitation Practitioner | 1771 S Grand Ave, Apt #41, Glendora, CA 91740-5436 | 2007-03-28 |
| 1699892612 | Tracy Lynn Wilson | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740 | 2007-03-23 |
| 1447392782 | Myrna Diaz Yepez | Rehabilitation Practitioner | 1160 South Grand Avenue, Glendora, CA 91740 | 2007-02-13 |
| 1295369734 | Sandra Castaneda | Rehabilitation Practitioner | 2200 E Route 66 Ste 200, Glendora, CA 91740-4699 | 2020-02-24 |
| 1326680521 | Briana Acevedo | Rehabilitation Practitioner | 2200 E Route 66 Ste 100, Glendora, CA 91740-4662 | 2019-10-09 |
| 1528622032 | Hannah M Price | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-04-30 |
| 1790250843 | Gabriela Stephany Estrada-arreguin | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2018-10-04 |
| 1124566096 | Irene Martinez | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2017-02-10 |
| Find all providers in GLENDORA | ||||
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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.