GWANA SANDERS (NPI# 1457705261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457705261 |
| Entity Type | Individual |
| Full Name | GWANA SANDERS |
| Credential | M.S., M.A., RAD-I |
| Practice Address |
1341 N Escondido Blvd Escondido CA 92026-2507 |
| Practice Telephone | 7602082070 |
| Mailing Telephone | 7602082070 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Street Address |
1341 N ESCONDIDO BLVD |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92026-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427190339 | Edina Dawn Martinez | Psychologist | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2007-02-14 |
| 1639778558 | Frederica Rachelle Garcia | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-10-21 |
| 1669086146 | Vasti Jael Galicia | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-09-02 |
| 1306459706 | Karla Jhovana Gutierrez | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-08-25 |
| 1326658642 | Shaza Hummel | Nurse Practitioner | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-08-01 |
| 1831708130 | Gabriela Arroyo Slutsky | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-07-23 |
| 1801414248 | Kerry Ireland Song | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-07-13 |
| 1225656812 | Victoria Luisa Moreno | Nurse's Aide | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-07-09 |
| 1174141246 | Mary Brumbeloe | Registered Nurse | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-07-06 |
| 1396369203 | Cynthia Elizabeth Blount | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477908663 | Nancy Martinez-molano | Counselor | 1029 N. Broadway Avenue, Escondido, CA 92026 | 2016-04-26 |
| 1114322765 | Christina Boekamp | Speech-Language Pathologist | 1325 Las Villas Way, Escondido, CA 92026 | 2014-10-24 |
| 1609170356 | Pectus Services of Southern California LLC | Durable Medical Equipment & Medical Supplies | 317 N. Elcamino Real, Suite 502, Encinitas, CA 92026 | 2011-01-10 |
| 1518277987 | Maryam Delsen | Social Worker | 1029 N. Broadway Ave., Escondido, CA 92026 | 2010-10-19 |
| 1528372554 | Shirley Dianne Kunkel | Speech-Language Pathologist | 9649 Galatea Lane, Escondido, CA 92026 | 2010-08-02 |
| 1124295266 | Kendell Hales Ricks | Dentist | 8895 Lawrence Welk Dr, Escondido, CA 92026 | 2008-05-08 |
| 1861517005 | Mountain Shadows Support Group, Inc | Nursing Facility/Intermediate Care Facility | 4840 Fairhill Place, Riverside, CA 92026 | 2007-03-20 |
| 1982731253 | Cynthia Louise Canney | Marriage & Family Therapist | 502 W. El Norte Parkway, Excondido, CA 92026 | 2007-02-27 |
| 1992891790 | Vijaya Kv Prabhu | Dentist | El Norte Family Dental., 306 W.el Norte Pkwy. Suite D & E, Escondido, CA 92026 | 2006-10-05 |
| 1104291418 | Escondido Healing Center | Acupuncturist | 11130 Arco Dr, Escondido, CA 92026 | 2015-12-11 |
| Find all providers in zip 92026 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245456003 | Kids First Foundation | Community Based Residential Treatment Facility, Mental Illness | 1944 N Iris Ln, Escondido, CA 92026-1318 | 2007-04-18 |
| 1174747935 | Kids First Foundation | Community Based Residential Treatment Facility, Mental Illness | 1962 W El Norte Pkwy, Escondido, CA 92026-3348 | 2007-04-12 |
| 1205280948 | Annette Riccio | Community Based Residential Treatment Facility, Mental Illness | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2016-04-19 |
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| 1215538244 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 10525 Fuerte Dr, La Mesa, CA 91941-4350 | 2020-11-05 |
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| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
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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.