GARRETT PRESTON CHISM (NPI# 1467921056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467921056 |
| Entity Type | Individual |
| Full Name | GARRETT PRESTON CHISM |
| Practice Address |
17270 Roosevelt St Riverside CA 92508-9523 |
| Practice Telephone | 9516836596 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
17270 ROOSEVELT ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92508-9523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831365246 | Marlene Personett | Counselor | 17270 Roosevelt St, Riverside, CA 92508-9523 | 2008-05-06 |
| 1497306740 | Dove A Vasquez | Counselor | 17270 Roosevelt St, Riverside, CA 92508-9523 | 2019-09-26 |
| 1760030043 | James Vernon Miller IIi | Counselor | 17270 Roosevelt St, Riverside, CA 92508-9523 | 2019-08-29 |
| 1316591837 | David Wayne Greer | Counselor | 17270 Roosevelt St, Riverside, CA 92508-9523 | 2019-08-01 |
| 1205492659 | Cedric Scott | Licensed Vocational Nurse | 17270 Roosevelt St, Riverside, CA 92508-9523 | 2019-05-10 |
| 1477116606 | Delana Marie Montgomery | Counselor | 17270 Roosevelt St, Riverside, CA 92508-9523 | 2019-04-14 |
| 1003380114 | Brandon Walter Oare | Counselor | 17270 Roosevelt St, Riverside, CA 92508-9523 | 2019-01-11 |
| 1609349943 | Hannah Whiting | Licensed Vocational Nurse | 17270 Roosevelt St, Riverside, CA 92508-9523 | 2019-01-09 |
| 1114499266 | Sean Michael Gilbert | Counselor | 17270 Roosevelt St, Riverside, CA 92508-9523 | 2018-12-28 |
| 1942780945 | Christine Marie Scearce | Licensed Vocational Nurse | 17270 Roosevelt St, Riverside, CA 92508-9523 | 2018-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699257121 | Careconnexus, LLC | Non-emergency Medical Transport (VAN) | 9338 Millionaire Lane, Riverside, CA 92508 | 2018-08-31 |
| 1003265117 | Travis William Cruz | Physician Assistant | 9525 Los Amigos Court, Riverside, CA 92508 | 2016-06-09 |
| 1043610769 | Mountain Vista Medical Center | General Acute Care Hospital | 8168 Palm View Ln, Riverside, CA 92508 | 2014-08-29 |
| 1952642399 | John Lawrence Bowers | Marriage & Family Therapist | 19900 Grove Community Drive, Riverside, CA 92508 | 2013-03-11 |
| 1952605248 | Dennis Graves | Counselor | 17270 Roosevelt Ave, Riverside, CA 92508 | 2011-01-01 |
| 1811207632 | Bekele T Haimanot | Physician Assistant | 9528 Los Coches Court, Riverside, CA 92508 | 2010-10-14 |
| 1518144625 | Irene T. Zaki | Dentist | 20873 Grove Community Dr., Riverside, CA 92508 | 2008-01-31 |
| 1093902447 | Edward Keith Forward | Specialist | 18167 Kross Rd, Riverside, CA 92508 | 2007-10-01 |
| 1255523593 | Sopheap Tang | Dentist | 18876 Van Buren Blvd, Ste 107, Riverside, CA 92508 | 2007-08-10 |
| 1942336995 | Ching-roo Chi | Dentist | 473 E. Allessandro Blvd., Suite A, Riverside, CA 92508 | 2007-02-26 |
| Find all providers in zip 92508 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884248 | Jose G. Cruz Rodriguez | Counselor | 66 Planet Ave, Riverside, RI 02915-2172 | 2020-09-02 |
| 1124585500 | Cesar Quintana | Counselor | 7177 Brockton Ave Ste 444, Riverside, CA 92506-2635 | 2019-02-21 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750895298 | Tanisha Jordan Balogun | Counselor | 17270 Roosevelt St # 304, Riverside, CA 92508-9523 | 2017-11-20 |
| 1790207058 | Albert Anthony Silva | Counselor | 80 Cove St, Riverside, RI 02915-3637 | 2017-07-07 |
| 1972040061 | Tim O'connell | Counselor | 2085 Rustin Ave Bldg 1, Riverside, CA 92507-2498 | 2017-01-26 |
| 1215397757 | Renee Machado | Counselor | 5484 Cedar St, Riverside, CA 92509-3746 | 2016-02-25 |
| 1831561299 | Alysia Webb | Counselor | 11359 Dole Ct, Riverside, CA 92505-2353 | 2015-10-26 |
| 1053796110 | Jessica Anne Pellegrin | Counselor | 3576 Arlington Ave Suite 102 & 104, Riverside, CA 92506-3907 | 2015-07-29 |
| 1346632379 | Jessica Molina | Counselor | 6860 Brockton Ave # 9, Riverside, CA 92506-3821 | 2015-02-27 |
| Find all providers in RIVERSIDE | ||||
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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.