ANDREA GRANADOS (NPI# 1396357083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396357083 |
| Entity Type | Individual |
| Full Name | ANDREA GRANADOS |
| Practice Address |
20240 E Cienega Ave Covina CA 91724-1227 |
| Practice Telephone | 6269668331 |
| Practice Fax Number | 6269679580 |
| Mailing Telephone | 6269668331 |
| Mailing Fax Number | 6269679580 |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750859963 | Andrea Granados | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-11-06 |
| 1538438320 | Andrea Morales Granados | Rehabilitation Practitioner | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2011-12-22 |
| 1073830204 | Andrea Granados | Pediatrics | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2010-04-28 |
| Street Address |
20240 E CIENEGA AVE |
| City | COVINA |
| State | CA |
| Zip Code | 91724-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205013752 | Charter Oak Unified School District | Local Education Agency (LEA) | 20240 E Cienega Ave, Covina, CA 91724-1227 | 2008-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902320922 | Kimberly Suzanne Manzanares-mora | Rehabilitation Practitioner | 1359 North Grand Avenue, Covina, CA 91724 | 2017-08-01 |
| 1689194680 | Cynthia Garcia | Counselor | 1359 N. Grand Ave., Covina, CA 91724 | 2017-06-21 |
| 1386191963 | West Covina Group Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1274 Center Court Dr, #208, Covina, CA 91724 | 2016-09-01 |
| 1184094781 | Veronica May Roberts | Licensed Vocational Nurse | 222 S. Wilson Ave, Covina, CA 91724 | 2015-09-25 |
| 1912216292 | Joan Mendoza | Social Worker | 1338 Center Court Dr Ste 107, Covina, CA 91724 | 2010-10-04 |
| 1548583602 | Lille-anne Nzeribe | Rehabilitation Practitioner | 1126 N. Grand Ave. Suite D, Covina, CA 91724 | 2010-03-03 |
| 1154534212 | Verna L Lewis | Marriage & Family Therapist | 420 South Grand Ave., Covina, CA 91724 | 2007-05-07 |
| 1093937310 | Heather Annn Pedevillano | Specialist/Technologist | 1805 E. Lomira Dr, Covina, CA 91724 | 2007-05-03 |
| 1669503579 | Maritza Mercedes Reyes | Rehabilitation Practitioner | 1411 N. Grand Ave., Covina, CA 91724 | 2007-03-09 |
| 1417014085 | Bernadette Luyun Guaring Bagay | Dentist | 984 E Badillo St, Suite E, Covina, CA 91724 | 2007-01-03 |
| Find all providers in zip 91724 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1689120826 | Vanessa Jeannette Rano | Student in an Organized Health Care Education/Training Program | 149 N Barranca Ave, #2, Covina, CA 91723-2229 | 2016-08-28 |
| 1316335953 | Christine Flores | Student in an Organized Health Care Education/Training Program | 3613 N Danehurst Ave, Covina, CA 91724-3406 | 2015-01-06 |
| 1841630993 | Jeffrey Chi Kin Chan | Student in an Organized Health Care Education/Training Program | 215 W Merlot Dr, Covina, CA 91723-1565 | 2013-07-02 |
| 1376776914 | Michelle Antonia Alfaro | Student in an Organized Health Care Education/Training Program | 540 S Eremland Dr Ste E, Covina, CA 91723-3186 | 2009-08-31 |
| 1356940688 | Monica Nicole Quinn | Student in an Organized Health Care Education/Training Program | 540 S Eremland Dr, Covina, CA 91723-3186 | 2020-10-19 |
| 1821603929 | Cassandra Lawson | Student in an Organized Health Care Education/Training Program | 1359 N Grand Ave, Covina, CA 91724-1016 | 2020-09-15 |
| 1255943585 | Courtney Francheska Boston | Student in an Organized Health Care Education/Training Program | 540 S Eremland Dr, Covina, CA 91723-3186 | 2020-08-18 |
| 1992317457 | Serena Ventura | Student in an Organized Health Care Education/Training Program | 540 S Eremland Dr, Covina, CA 91723-3186 | 2020-08-17 |
| 1417568130 | Alan Taylor | Student in an Organized Health Care Education/Training Program | 540 S Eremland Dr, Covina, CA 91723-3186 | 2020-08-14 |
| Find all providers in COVINA | ||||
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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.