BOBBY PHILLIPS (NPI# 1548635535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548635535 |
| Entity Type | Individual |
| Full Name | BOBBY PHILLIPS |
| Practice Address |
66651 San Rafael Rd Desert Hot Springs CA 92240-2631 |
| Practice Telephone | 7608948481 |
| Mailing Telephone | 7608948481 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
66651 SAN RAFAEL RD |
| City | DESERT HOT SPRINGS |
| State | CA |
| Zip Code | 92240-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962929182 | Dominique Thornhill | Licensed Vocational Nurse | 13760 Mark Dr, #a, Desert Hot Springs, CA 92240 | 2017-08-28 |
| 1043569965 | Jacquelyn Y. Arias | Counselor | 12890 Quinta Way, Desert Hot Springs, CA 92240 | 2012-09-06 |
| 1891096178 | Lengpea Yang | Social Worker | 14080 Palm Dr., Ste E, Desert Hot Springs, CA 92240 | 2010-11-03 |
| 1609106285 | Family Services of The Desert | Counselor | 14080 Palm Drive, Ste. E, Dhs, CA 92240 | 2010-01-05 |
| 1922292283 | Sherri Langhorne | Pediatrics | 66675 Pierson Boulevard, Desert Hot Springs, CA 92240 | 2007-08-30 |
| 1609913409 | Angel View Cripppled Childrens Foundation Inc | Custodial Care Facility | 13785 Via Real, Desert Hot Springs, CA 92240 | 2007-01-31 |
| 1295872034 | Angel View Crippled Childrens Foundation Inc | Intermediate Care Facility, Mentally Retarded | 12840 Cactus Drive, Desert Hot Springs, CA 92240 | 2007-01-31 |
| 1477690238 | Angel View Crippled Childrens Foundation Inc | Intermediate Care Facility, Mentally Retarded | 66863 Flora Avenue, Desert Hot Springs, CA 92240 | 2007-01-31 |
| 1922145796 | Angel View Crippled Childrens Foundation Inc | Intermediate Care Facility, Mentally Retarded | 66770 Hacienda Blvd, Desert Hot Springs, CA 92240 | 2007-01-31 |
| 1093852899 | Angel View Crippled Childrens Foundation Inc | Intermediate Care Facility, Mentally Retarded | 66811 Fourth Street, Desert Hot Springs, CA 92240 | 2007-01-31 |
| Find all providers in zip 92240 | ||||
| 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 |
|---|---|---|---|---|
| 1194336917 | Araceli Castro | Peer Specialist | 14320 Palm Dr, Desert Hot Springs, CA 92240-6874 | 2020-08-14 |
| 1871000430 | Michele Holleman | Peer Specialist | 14320 Palm Dr, Desert Hot Springs, CA 92240-6874 | 2018-01-04 |
| 1780038901 | Andrea Monserrat Post | Peer Specialist | 14320 Palm Dr, Desert Hot Springs, CA 92240-6874 | 2016-04-14 |
| 1407217433 | Judith Del Cid | Peer Specialist | 14320 Palm Dr, Desert Hot Springs, CA 92240-6874 | 2016-03-18 |
| 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 | DESERT HOT SPRINGS |
| Zip Code | 92240 |
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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.