PHOEUTH YO PHON (NPI# 1538286000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538286000 |
| Entity Type | Individual |
| Full Name | PHOEUTH YO PHON |
| Practice Address |
9707 Magnolia Ave Riverside CA 92503-3609 |
| Mailing Address |
Po Box 349 Crestline CA 92325-0349 |
| Practice Telephone | 9513586858 |
| Mailing Telephone | 9518408765 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
9707 MAGNOLIA AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003928342 | Luis Carlos Lamadrid | Social Worker | 9707 Magnolia Ave, Riverside, CA 92503-3609 | 2006-08-31 |
| 1427395458 | Diane Pena | Counselor | 9707 Magnolia Ave, Riverside, CA 92503-3609 | 2013-01-10 |
| 1538467543 | Maria Luisa Rabago-kidder | Case Manager/Care Coordinator | 9707 Magnolia Ave, Riverside, CA 92503-3609 | 2011-03-01 |
| 1821395757 | County of Riverside Mental Health | Community/Behavioral Health | 9707 Magnolia Ave, Riverside, CA 92503-3609 | 2011-02-11 |
| 1902100241 | Riverside County Dept of Mental Health | Case Management | 9707 Magnolia Ave, Riverside, CA 92503-3609 | 2010-12-30 |
| 1376846600 | Jawad Mahid Hajawad | Social Worker | 9707 Magnolia Ave, Riverside, CA 92503-3609 | 2010-12-08 |
| 1720215130 | Susan Kelvie | Counselor | 9707 Magnolia Ave, Riverside, CA 92503-3609 | 2009-06-12 |
| 1104088046 | Pauline Youlin-bartlett | Marriage & Family Therapist | 9707 Magnolia Ave, Riverside, CA 92503-3609 | 2008-07-01 |
| 1235391806 | Eliza Ramirez-neally | Social Worker | 9707 Magnolia Ave, Riverside, CA 92503-3609 | 2008-06-25 |
| 1992964803 | Lora Faye Cooke-channer | Social Worker | 9707 Magnolia Ave, Riverside, CA 92503-3609 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518351766 | Jamal M Abdel-hadi | Contractor | 446 W Campus View Dr, Riverside, CA 92507-4034 | 2015-03-26 |
| 1760759948 | Marxia Aranda Naquila | Contractor | 1663 Catania Dr, Riverside, CA 92507-2389 | 2011-11-16 |
| 1346532520 | Advanced Medical Consulting Inc | Contractor | 3410 La Sierra Ave #f-123a, Riverside, CA 92503-5205 | 2011-05-06 |
| 1497995773 | Tara L Slaughter | Contractor | 5225 Canyon Crest Dr Ste 251, Riverside, CA 92507-6326 | 2009-02-26 |
| 1023290178 | Renee Colleen Davis | Contractor | 19558 Emanuel Dr, Suite B, Riverside, CA 92508-6815 | 2007-11-30 |
| 1114350329 | Brittanee Nicole Threadgill | Contractor | 525 Technology Ct Ste 105, Riverside, CA 92507-2181 | 2013-08-12 |
| 1982826525 | Il Nam Kim | Contractor | 1485 Spruce St, Suite P, Riverside, CA 92507-2445 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324012 | Bailey Rose Medical Billing LLC | Contractor | 839 Fan Palm Ln, Brentwood, CA 94513-5680 | 2020-10-21 |
| 1245837566 | Irshad H Fardan | Contractor | 2167 Pasetta Dr Apt 1, Santa Clara, CA 95050-3249 | 2020-10-09 |
| 1245838531 | Karen Strickland | Contractor | 3450 Sacramento St # 531, San Francisco, CA 94118-1914 | 2020-10-09 |
| 1831796879 | Laura Barker | Contractor | 55 River Oaks Pl Apt 381, San Jose, CA 95134-2074 | 2020-10-02 |
| 1477167054 | Jarib Takezhi Concilco Colin | Contractor | 3862 Sherwood Pl, Sherman Oaks, CA 91423-4608 | 2020-09-01 |
| 1609492289 | Neil Sankar | Contractor | 3610 Flora Vista Ave Apt 238, Santa Clara, CA 95051-3508 | 2020-06-19 |
| 1467077404 | Eric Avirett | Contractor | 1944 Bonita Ave, Berkeley, CA 94704-1038 | 2020-06-16 |
| 1699305805 | Sanjiv Ramdeo | Contractor | 710 Santa Susana St, Sunnyvale, CA 94085-3470 | 2020-01-16 |
| 1407498942 | Terry Lee Moffit | Contractor | 1165 W 15th St, San Bernardino, CA 92411-1811 | 2019-10-16 |
| 1538701693 | Ramin P Shirazi IIi | Contractor | 25411 Mina Ct, Lake Forest, CA 92630-5311 | 2019-10-10 |
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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.