CLARISSA AGLAEN GALLARDO (NPI# 1518525351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518525351 |
| Entity Type | Individual |
| Full Name | CLARISSA AGLAEN GALLARDO |
| Practice Address |
27261 Las Ramblas Ste 220 Mission Viejo CA 92691 |
| Mailing Address |
27261 Las Ramblas Ste 220 Mission Viejo CA 92691-6468 |
| Practice Telephone | 9494205954 |
| Mailing Telephone | 9494205954 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17595 Almahurst St, City of Industry, CA 917481779 | 6263444434 |
| Street Address |
27261 LAS RAMBLAS STE 220 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497787865 | Kim Uyen Tran Preston | Marriage & Family Therapist | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2006-07-07 |
| 1982247821 | Vanessa Aguilar | Case Manager/Care Coordinator | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2019-10-23 |
| 1821649633 | Liliana Aldaz | Case Manager/Care Coordinator | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2019-09-23 |
| 1124678537 | Lucy Maria Ramos | Case Manager/Care Coordinator | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2019-09-17 |
| 1134772619 | Leslie Anai Ortega | Peer Specialist | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2019-07-23 |
| 1922662741 | Jasmine Salcedo | Case Manager/Care Coordinator | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2019-04-26 |
| 1518427723 | Laura Kassandra Montejano | Case Manager/Care Coordinator | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2019-03-22 |
| 1225504939 | Jalisa Sylvester | Case Manager/Care Coordinator | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691 | 2018-10-19 |
| 1881178952 | Andrew Theodore Ezpeleta | Counselor | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2018-09-24 |
| 1194208033 | Selena Briana Bueno | Counselor | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| 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 |
|---|---|---|---|---|
| 1134772619 | Leslie Anai Ortega | Peer Specialist | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2019-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
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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.