CHASE WILLIAM GULSTROM (NPI# 1386149391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386149391 |
| Entity Type | Individual |
| Full Name | CHASE WILLIAM GULSTROM |
| Practice Address |
3430 E 4th St Unit 3041 Ontario CA 91764-5066 |
| Practice Telephone | 8082280886 |
| Mailing Telephone | 8082280886 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2019-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 146077 | AK | Allopathic & Osteopathic Physicians |
| Street Address |
3430 E 4TH ST UNIT 3041 |
| City | ONTARIO |
| State | CA |
| Zip Code | 91764-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096952 | Jacqueline Iriart | Behavior Technician | 2930 Inland Empire Blvd St 100, Ontario, CA 91764 | 2020-09-03 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1023629649 | Yazmin Ramos | Behavior Technician | 4688 Ontario Mills Pwky, Ontario, CA 91764 | 2020-08-17 |
| 1184234999 | Adoniram Morales | Behavior Technician | 4688 Ontatio Mills Parkway, Ontario, CA 91764 | 2020-08-06 |
| 1396395489 | Enhanced Sleep Solutions | Clinic/Center | 2990 E. Inland Empire Blvd. #105, Antonio, CA 91764 | 2019-09-19 |
| 1013561588 | Jaquelyn Herrera | Behavior Technician | 2151 E Convention Center Way Ste #103, Ontario, CA 91764 | 2019-08-01 |
| 1285287995 | Ha Tran Tsai Dental Corporation | Dentist | 1361 East 4th Street, Ontario, CA 91764 | 2019-07-22 |
| 1346702974 | Rocio Sandoval | Behavior Technician | 800 Ferrari Ln Ste 100, Ontario, CA 91764 | 2019-04-02 |
| 1275011678 | Jquana Lucille Dowdy | Behavior Technician | 2903 Inland Empire Blvd, Suite 101, Ontario, CA 91764 | 2018-07-30 |
| 1063917458 | Maria Veronica Heard | Specialist/Technologist | 740 E Princeton St, Ontario, CA 91764 | 2018-03-27 |
| Find all providers in zip 91764 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629603972 | Sau Thong | Family Medicine | 1109 W Francis St Apt D, Ontario, CA 91762-6188 | 2020-03-06 |
| 1023572401 | Julie Elizabeth Burkhart | Family Medicine | 715 Richland Mall Ste A, Ontario, OH 44906-3802 | 2019-01-30 |
| 1326579525 | Rancho Physicians Choice A Medical Corporation | Family Medicine | 1871 E 4th St, Ontario, CA 91764-2601 | 2017-03-21 |
| 1619215373 | Norman Richard Loomis | Family Medicine | 7736 Tamarack Ln, Ontario, NY 14519-9536 | 2013-01-30 |
| 1578816120 | Sana Medical Clinic Inc | Family Medicine | 1435 S Grove Ave Ste 8, Ontario, CA 91761-4590 | 2012-10-19 |
| 1386919397 | Paul None Dest | Family Medicine | 1545 North Cypress Ave, Ontario, CA 91762-1215 | 2012-03-09 |
| 1750651485 | David Duc Diep | Family Medicine | 2295 S. Vineyard Ave, Medical Office Building A - Family Medicine, Ontario, CA 91761 | 2012-01-11 |
| 1447561162 | Ontario Family Medical Center Inc | Family Medicine | 3700 E. Inland Empire Blvd, Suite 250, Ontario, CA 91764-4906 | 2010-06-28 |
| 1306026091 | Vernon E Barton Md PC | Family Medicine | 915 Sw 3rd Ave, Ontario, OR 97914-2124 | 2007-11-09 |
| 1326244062 | Jose Alvarez De La Llana | Family Medicine | 1749 S Euclid Ave, Ste A, Ontario, CA 91762-5832 | 2007-06-21 |
| Find all providers in ONTARIO | ||||
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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.