TABATHA DAWN SEBASTIAN (NPI# 1508387911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508387911 |
| Entity Type | Individual |
| Full Name | TABATHA DAWN SEBASTIAN |
| Practice Address |
2085 Rustin Ave Bldg 3 Riverside CA 92507-2498 |
| Practice Telephone | (951) 358-4100 |
| Mailing Telephone | 9513584100 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CA | Other Service Providers |
| Street Address |
2085 RUSTIN AVE BLDG 3 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-2498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962737163 | Leonel Mendezgasca | Rehabilitation Practitioner | 2085 Rustin Ave Bldg 3, Riverside, CA 92507-2498 | 2009-10-06 |
| 1649750803 | Carina P Bedolla | Marriage & Family Therapist | 2085 Rustin Ave Bldg 3, Riverside, CA 92507-2498 | 2018-08-17 |
| 1629594577 | Lisa Marie Rubio-pak | Licensed Vocational Nurse | 2085 Rustin Ave Bldg 3, Riverside, CA 92507-2498 | 2017-08-22 |
| 1447795877 | Magdalena Beltran | Counselor | 2085 Rustin Ave Bldg 3, Riverside, CA 92507-2498 | 2016-12-20 |
| 1124339254 | Antonieta Rocio Sanchez | Counselor | 2085 Rustin Ave Bldg 3, Riverside, CA 92507-2498 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
| 1053802769 | Miesha Hale | Peer Specialist | 1820 University Ave Ste 2b, Riverside, CA 92507-5355 | 2018-05-29 |
| 1538677612 | Monica Munoz | Peer Specialist | 9991c County Farm Rd, Riverside, CA 92503-3506 | 2018-01-11 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1043738099 | Colene Lavonne Roberts | Peer Specialist | 9890 County Farm Rd # 2, Riverside, CA 92503-3505 | 2017-08-30 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| 1841713203 | Denise Darlene Leeper | Peer Specialist | 771 W. Blaine St, Suite C., Riverside, CA 92507 | 2017-07-18 |
| 1427590058 | Jennifer Hayford | Peer Specialist | 3250 Panorama Rd Apt 139, Riverside, CA 92506-1351 | 2016-11-14 |
| 1144693953 | Michelle Elaine Martinez | Peer Specialist | 5012 Arlington Ave, Riverside, CA 92504-2710 | 2015-11-03 |
| 1558733824 | Gina Irvin | Peer Specialist | 771 W Blaine St # C, Riverside, CA 92507-3940 | 2015-10-27 |
| 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.