JENNIFER CRANDALL


Address: 11182 Poulsen Ave, Montclair, CA 91763-6513
Phone: 9096969348

JENNIFER CRANDALL (NPI# 1518513431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518513431
Entity Type Individual
Full Name JENNIFER CRANDALL
Practice Address 11182 Poulsen Ave
Montclair
CA 91763-6513
Practice Telephone 9096969348
Mailing Telephone 9096969348
Enumeration Date 2019-08-15
Last Update Date 2019-08-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JENNIFER CRANDALL

NPI Name Taxonomy Address Enumeration
1356892749 Jennifer Crandall Occupational Therapist 1229 N Alma School Rd, Unit 10, Mesa, AZ 85201-1920 2016-10-20
1326445370 Jennifer Lee Crandall Case Manager/Care Coordinator 87 Clinton Ave N, Rochester, NY 14604-1455 2014-11-19
1285050138 Jennifer Crandall Registered Nurse 151 E Wood St, Spartanburg, SC 29303-3016 2014-03-14
1679761662 Jennifer Louise Crandall Dentist 18740 Ventura Blvd, #305, Tarzana, CA 91356-3366 2007-10-04
1073671046 Jennifer M Crandall Social Worker 24 Sweden St, Caribou, ME 04736-2127 2006-12-04

Office Location

Street Address 11182 POULSEN AVE
City MONTCLAIR
State CA
Zip Code 91763-6513

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194335760 Cho Jeon Yun Dental Partnership Dentist 9655 Monte Vista Ave #406, Montclair, CA 91763 2020-08-07
1215498811 Above Urgent Care Center Emergency Medicine 8891 N. Central Ave Ste A, Montclair, CA 91763 2019-03-27
1467936906 Bronislava Kroulik Behavior Technician 4950 San Bernardino St Ste 101, Montclair, CA 91763 2018-09-20
1063936110 Monique Karina Enriquez Licensed Vocational Nurse 5580 Moreno St #82, Montclair, CA 91763 2017-07-31
1972961159 Lacy Pinsky Specialist/Technologist 5035 Flora St., Montclair, CA 91763 2016-02-03
1912333790 Cinta Hospice Care Inc Hospice Care, Community Based 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 2013-09-24
1720334626 Priority One Hospice, Inc. Hospice Care, Community Based 4959 Palo Verde St Ste 107c, Montclair, CA 91763 2012-07-28
1689982498 Paulina Trujillo Perez Counselor 9916 Central Ave., Montclair, CA 91763 2010-09-15
1982846499 Esther Phillips Agepogu Physician Assistant 9301 Central Ave., Montclair, CA 91763 2009-03-30
1568633139 Mahin Nosrati-jahromi Dentist 9509 Central Ave #d, Montclair, CA 91763 2008-03-21
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831701739 Julissa Leann Nario Student in an Organized Health Care Education/Training Program 9365 Mills Ave Apt 3, Montclair, CA 91763-1807 2020-08-20
1457980369 Soroush Seifirad Student in an Organized Health Care Education/Training Program 1 Bay Ave Bay Avenue, Montclair, NJ 07042-4837 2020-04-02
1326603556 Alisa Farokhian Student in an Organized Health Care Education/Training Program 34 Valley Rd Apt 609, Montclair, NJ 07042-2871 2019-05-02
1033679600 Brian Behnke Student in an Organized Health Care Education/Training Program 8937 Felipe Ave, Montclair, CA 91763-1437 2019-03-20
1316407943 Aquino Anthony Williams Student in an Organized Health Care Education/Training Program Attn. Department of Medicine/internal Medicine Program, 1 Bay Avenue, Montclair, NJ 07042-2315 2019-03-20
1982058897 Lara Musser Student in an Organized Health Care Education/Training Program 141 Forest St, 1, Montclair, NJ 07042-3807 2016-04-17
1760849418 Joseph Peter Civitello Student in an Organized Health Care Education/Training Program 1 Bay Ave # 3, Montclair, NJ 07042-4837 2016-01-26
1851795546 Alison Patton Student in an Organized Health Care Education/Training Program 15827 Vista Dr, Montclair, VA 22025-1808 2014-10-09
1225304140 Michael Joseph Laquaglia Student in an Organized Health Care Education/Training Program 138 Forest St, Montclair, NJ 07042-3806 2012-03-26
1326370453 Andrew Peter Semedo Student in an Organized Health Care Education/Training Program 9916 Central Ave, Montclair, CA 91763-3201 2010-01-29
Find all providers in MONTCLAIR

Competitor

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City MONTCLAIR
Zip Code 91763

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Dataset Information

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.

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