CORAZON P MENCHACA (NPI# 1376762070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376762070 |
| Entity Type | Individual |
| Full Name | CORAZON P MENCHACA |
| Practice Address |
3853 Rosecrans St San Diego CA 92110-3115 |
| Mailing Address |
712 Duoro Dr Chula Vista CA 91910-7812 |
| Practice Telephone | 6196928225 |
| Mailing Telephone | 6195652605 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
3853 ROSECRANS ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750490645 | Nicole Marie Lanouette | Psychiatry & Neurology | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2006-08-30 |
| 1396345260 | Jamson Jaeger Deloria Abella | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-29 |
| 1588262158 | Kyle Alvin Pedines Marmolejo | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-15 |
| 1972101129 | Robert James Dodson | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-10 |
| 1114524402 | Ma Rosa Nika Z Paet | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-08 |
| 1164029740 | Charmaine Lim Solmerano | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-06 |
| 1609483858 | Bethany Anne Higgins | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-30 |
| 1972110609 | Shannon M Keene | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-27 |
| 1396352449 | Connor Louis Kleis | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-23 |
| 1396351284 | Lourdes Marie Terry | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
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| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184157208 | San Diego Rehab and Fitness | Day Training/Habilitation Specialist | 4184 Madison Ave, San Diego, CA 92116-4709 | 2017-04-05 |
| 1659450443 | Armi Guzman | Day Training/Habilitation Specialist | 446 26th St, San Diego, CA 92102-3026 | 2006-11-03 |
| 1942386636 | Marshall C. Smith | Day Training/Habilitation Specialist | 4660 Viewridge Ave, San Diego, CA 92123-1638 | 2006-10-27 |
| 1245311752 | Timothy Willims | Day Training/Habilitation Specialist | 446 26th St Fl 6, San Diego, CA 92102-3026 | 2006-10-18 |
| 1932321171 | Carmen Maritza Delgaldo | Day Training/Habilitation Specialist | 3853 Rosecrans Street, San Diego, CA 92110 | 2007-05-03 |
| 1275755134 | Keysha Clarke | Day Training/Habilitation Specialist | 3853 Rosecrans Street, San Diego, CA 92110 | 2007-05-02 |
| 1336369917 | Dedra A Hunter | Day Training/Habilitation Specialist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2007-04-26 |
| 1871712851 | David Wilson | Day Training/Habilitation Specialist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2007-04-25 |
| 1558580001 | Howard S Rubio-fleischer | Day Training/Habilitation Specialist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2007-04-24 |
| 1023237666 | Evan Ross | Day Training/Habilitation Specialist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2007-04-24 |
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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.