SAN BERNARDINO COUNTY PUBLIC HEALTH DEPT. (NPI# 1508944075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508944075 |
| Entity Type | Organization |
| Organization Name | SAN BERNARDINO COUNTY PUBLIC HEALTH DEPT. |
| Other Organization Name | CALIFORNIA CHILDREN'S SERVICES |
| Practice Address |
3380 Avalon Yucca Mesa Mtu Yucca Valley CA 92286-0042 |
| Mailing Address |
351 N Mountain View Ave San Bernardino CA 92415-0010 |
| Practice Telephone | 7603696315 |
| Practice Fax Number | 7603691237 |
| Mailing Telephone | 9093876218 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-03-30 |
| Authorized Official Name | DR. OHIKHUARE MAXWELL (HEALTH OFFICER) |
| Authorized Official Telephone | 9093876218 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SAN BERNARDINO COUNTY PUBLIC HEALTH DEPT. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | REHAB CLINIC | CCS00116F | 01 |
| Other Name | Type Code |
|---|---|
| California Children's Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508037649 | San Bernardino County Public Health Dept. | Occupational Therapy Assistant | 485 Agua Mansa Rd., Colton, CA 92324 | 2008-03-17 |
| 1891872081 | San Bernardino County Public Health Dept. | Occupational Therapy Assistant | 4825 Moreno St, Montclair Mtu, Montclair, CA 91763-1419 | 2006-11-01 |
| 1780761981 | San Bernardino County Public Health Dept. | Occupational Therapy Assistant | 15922 Willow St, Siegrist Mtu, Hesperia, CA 92345-2848 | 2006-11-01 |
| 1548347727 | San Bernardino County Public Health Dept. | Occupational Therapy Assistant | 4777 N State St, Carmack Mtu, San Bernardino, CA 92407-3321 | 2006-11-01 |
| 1942387147 | San Bernardino County Public Health Dept. | Occupational Therapy Assistant | 11155 Almond Ave, Fontana Mtu, Fontana, CA 92337-7113 | 2006-11-01 |
| 1144307323 | San Bernardino County Public Health Dept. | Occupational Therapy Assistant | 1451 E. Pennsylvania Ave., Redlands Mtu, Redlands, CA 92374 | 2006-11-01 |
| Street Address |
3380 AVALON YUCCA MESA MTU |
| City | YUCCA VALLEY |
| State | CA |
| Zip Code | 92286-0042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059105 | Paul Benjamin Mannes | Counselor | 59922 La Brisa Dr, Yucca Valley, CA 92284-9351 | 2020-10-06 |
| 1558978494 | Valarie Grossman | Massage Therapist | 6170 Del Rio Way, Yucca Valley, CA 92284-2272 | 2020-09-24 |
| 1891300679 | Margaret Ann Wilhelm | Physical Therapist | 57164 Juarez Dr, Yucca Valley, CA 92284-9501 | 2020-09-09 |
| 1619585940 | Cendy Varela | Dental Hygienist | 7255 Joshua Ln Ste B, Yucca Valley, CA 92284-2948 | 2020-07-22 |
| 1285252502 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 58-471 29 Palms Hwy, Yucca Valley, CA 92284-5818 | 2020-07-13 |
| 1538786900 | Tdwo Inc | Surgery | 57445 29 Palms Hwy Ste 301, Yucca Valley, CA 92284-2947 | 2020-07-01 |
| 1619599032 | Kristina Lyn Campbell | Licensed Vocational Nurse | 7293 Dumosa Ave Ste C, Yucca Valley, CA 92284-3700 | 2020-05-07 |
| 1285255125 | Lombardo Cho Dental Partnership | Dentist | 56969 Yucca Trl Ste C, Yucca Valley, CA 92284-3797 | 2020-05-01 |
| 1104469998 | Britney Kay Vachon-laguardia | Social Worker | 57336 Crestview Dr, Yucca Valley, CA 92284-3080 | 2019-10-24 |
| 1821646746 | Dawn Irene Blue | Registered Nurse | 55887 Yucca Valley Trail, Yucca Valley, CA 92284 | 2019-09-04 |
| Find all providers in YUCCA VALLEY | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745233 | Tejal Shah Chokshi | Physical Therapist | 7425 La Mantanza, San Diego, CA 92127-3636 | 2020-09-16 |
| 1487277992 | Katherine Anne Zweier | Physical Therapist | 4646 Van Dyke Ave, San Diego, CA 92116-4842 | 2020-05-19 |
| 1184246621 | Achieving Milestones Pediatric Therapy, Inc | Physical Therapist | 221 E Glenoaks Blvd # 225a, Glendale, CA 91207-2085 | 2020-05-07 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1215585690 | Maggie Christine Ridenhour | Physical Therapist | 1541 Old Bayshore Hwy, Burlingame, CA 94010-1602 | 2019-08-29 |
| 1477100162 | Fasia Ramirez | Physical Therapist | 35510 Schuber Ln, Temecula, CA 92592-8125 | 2019-08-19 |
| 1689229841 | Jaclyn Rymer | Physical Therapist | 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 | 2019-08-05 |
| 1649836669 | Karin Stohn | Physical Therapist | 100 Mcgivern Way, Santa Cruz, CA 95060-9300 | 2019-05-15 |
| 1376108597 | Karen Dzierski Cruise | Physical Therapist | 10860 Topanga Canyon Blvd, Chatsworth, CA 91311-1350 | 2019-05-02 |
| 1326511064 | Lissett Rojas | Physical Therapist | 855 N Lark Ellen Ave Ste L, West Covina, CA 91791-1099 | 2019-01-04 |
| Find all providers with the same taxonomy | ||||
| City | YUCCA VALLEY |
| Zip Code | 92286 |
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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.