TERESA TORRES BASTIDAS (NPI# 1376158238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376158238 |
| Entity Type | Individual |
| Full Name | TERESA TORRES BASTIDAS |
| Practice Address |
43485 Hollyhock St Indio CA 92201-1976 |
| Mailing Address |
1612 1st St Coachella CA 92236-1407 |
| Practice Telephone | 7606192860 |
| Mailing Telephone | 7603989000 |
| Mailing Fax Number | 7603989790 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1361440819 | CA | Behavioral Health & Social Service Providers |
| Street Address |
43485 HOLLYHOCK ST |
| City | INDIO |
| State | CA |
| Zip Code | 92201-1976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235675646 | Riverside County Latino Commission On Alcohol and Drug Abuse Services | Substance Abuse Rehabilitation Facility | 43485 Hollyhock St, Indio, CA 92201-1976 | 2017-01-09 |
| 1982258513 | Robert Blumenthal | Counselor | 43485 Hollyhock St, Indio, CA 92201-1976 | 2019-07-31 |
| 1760969711 | Gabriela Becerra | Counselor | 43485 Hollyhock St, Indio, CA 92201-1976 | 2018-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811417025 | Johnny Joseph Courreges | Counselor | 44-359 Palm St, Indio, CA 92201-9220 | 2017-06-20 |
| 1164829586 | Fernando Quiroz | Counselor | 23912 Avenue 45, Suite 9, Indio, CA 92201-3338 | 2014-12-01 |
| 1811173792 | The Awareness Program | Counselor | 45550 Grace St, Indio, CA 92201-4610 | 2008-01-10 |
| 1679759567 | Guillermo Simo | Counselor | 45926 Oasis Street, Indio, CA 92201-4610 | 2008-01-10 |
| 1194916221 | Rachelle Lynn Wiedeman | Counselor | 83912 Avenue 45 Ste B, Indio, CA 92201-3338 | 2007-08-05 |
| 1134343742 | Fritz M Solis | Counselor | 44199 Monroe St, Indio, CA 92201-3094 | 2007-04-13 |
| 1265572630 | Pio B Dingle Jr. | Counselor | 83921 Avenue 45, Suite 9, Indio, CA 92201 | 2007-02-07 |
| 1356480040 | Socorro Sanchez | Counselor | 83912 Avenue 45 Ste 9, Indio, CA 92201-3338 | 2007-02-06 |
| 1023622198 | Dominick Cardillo | Counselor | 83844 Hopi Ave, Indio, CA 92203-2638 | 2020-09-04 |
| 1982249322 | Joseph Leray Lashley | Counselor | 44359 Palm St, Indio, CA 92201-3116 | 2019-11-08 |
| Find all providers in INDIO | ||||
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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.