MARY SODIYAN (NPI# 1437658929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437658929 |
| Entity Type | Individual |
| Full Name | MARY SODIYAN |
| Practice Address |
1330 E Cooley Dr Colton CA 92324-3905 |
| Practice Telephone | 9095803746 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
732410 | CA | Nursing Service Providers |
| Street Address |
1330 E COOLEY DR |
| City | COLTON |
| State | CA |
| Zip Code | 92324-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457459877 | Randall Lyle Kerr | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2006-09-20 |
| 1417569070 | Veronica Saenz | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-08-17 |
| 1255957486 | Dpartment of Behavioral Health | Clinic/Center | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-06-23 |
| 1871113548 | Winston James Williams | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-04-22 |
| 1114579117 | Shaneece Williams | Case Manager/Care Coordinator | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2019-07-10 |
| 1982124897 | Elizabeth Marie Maldonado | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-06-21 |
| 1346778446 | Zachary Robert Eckert | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-06-01 |
| 1972030575 | Angel Magallanes | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-05-15 |
| 1740720580 | Melissa Daniels | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-02-27 |
| 1164875324 | Joshua Ellis-kennedy | Case Manager/Care Coordinator | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2016-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410463 | Alexis Ventura | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2019-11-04 |
| 1598093775 | Virginia Cheatham | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2009-11-25 |
| 1801123351 | Evelyn L Moore | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2009-11-04 |
| 1386810364 | Alice Chow | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2008-04-30 |
| 1922271055 | Kathie Montanez | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2008-04-09 |
| 1558534057 | Joyce Crocker | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2008-04-07 |
| 1871765107 | Darold Dahse | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2008-03-26 |
| 1407028723 | Scott Greg Gvesrude | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2008-03-26 |
| 1841462298 | Pius Omolewa | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2008-03-26 |
| 1013189463 | Edith Harris | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2008-03-26 |
| Find all providers in COLTON | ||||
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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.