PAMELA GAUERKE (NPI# 1568818995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568818995 |
| Entity Type | Individual |
| Full Name | PAMELA GAUERKE |
| Credential | BS, CADC-CAS |
| Practice Address |
1341 N Escondido Blvd Escondido CA 92026-2507 |
| Mailing Address |
1601 Riva Lane #c Escondido CA 92026 |
| Practice Telephone | 7603179115 |
| Mailing Telephone | 7604847096 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
1341 N ESCONDIDO BLVD |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92026-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427190339 | Edina Dawn Martinez | Psychologist | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2007-02-14 |
| 1639778558 | Frederica Rachelle Garcia | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-10-21 |
| 1669086146 | Vasti Jael Galicia | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-09-02 |
| 1306459706 | Karla Jhovana Gutierrez | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-08-25 |
| 1326658642 | Shaza Hummel | Nurse Practitioner | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-08-01 |
| 1831708130 | Gabriela Arroyo Slutsky | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-07-23 |
| 1801414248 | Kerry Ireland Song | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-07-13 |
| 1225656812 | Victoria Luisa Moreno | Nurse's Aide | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-07-09 |
| 1174141246 | Mary Brumbeloe | Registered Nurse | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-07-06 |
| 1396369203 | Cynthia Elizabeth Blount | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477908663 | Nancy Martinez-molano | Counselor | 1029 N. Broadway Avenue, Escondido, CA 92026 | 2016-04-26 |
| 1114322765 | Christina Boekamp | Speech-Language Pathologist | 1325 Las Villas Way, Escondido, CA 92026 | 2014-10-24 |
| 1609170356 | Pectus Services of Southern California LLC | Durable Medical Equipment & Medical Supplies | 317 N. Elcamino Real, Suite 502, Encinitas, CA 92026 | 2011-01-10 |
| 1518277987 | Maryam Delsen | Social Worker | 1029 N. Broadway Ave., Escondido, CA 92026 | 2010-10-19 |
| 1528372554 | Shirley Dianne Kunkel | Speech-Language Pathologist | 9649 Galatea Lane, Escondido, CA 92026 | 2010-08-02 |
| 1124295266 | Kendell Hales Ricks | Dentist | 8895 Lawrence Welk Dr, Escondido, CA 92026 | 2008-05-08 |
| 1861517005 | Mountain Shadows Support Group, Inc | Nursing Facility/Intermediate Care Facility | 4840 Fairhill Place, Riverside, CA 92026 | 2007-03-20 |
| 1982731253 | Cynthia Louise Canney | Marriage & Family Therapist | 502 W. El Norte Parkway, Excondido, CA 92026 | 2007-02-27 |
| 1992891790 | Vijaya Kv Prabhu | Dentist | El Norte Family Dental., 306 W.el Norte Pkwy. Suite D & E, Escondido, CA 92026 | 2006-10-05 |
| 1104291418 | Escondido Healing Center | Acupuncturist | 11130 Arco Dr, Escondido, CA 92026 | 2015-12-11 |
| Find all providers in zip 92026 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013402908 | Ndllj Inc | Substance Abuse Rehabilitation Facility | 21734 Amble Dr, Escondido, CA 92029-4800 | 2018-06-25 |
| 1245766260 | Recovery Solutions LLC | Substance Abuse Rehabilitation Facility | 20710 Elfin Forest Rd, Escondido, CA 92029-3313 | 2017-05-11 |
| 1730535501 | Socal Detox, LLC | Substance Abuse Rehabilitation Facility | 20555 Fortuna Del Sur, Escondido, CA 92029-4507 | 2016-05-10 |
| 1578746103 | North County Serenity House,inc. | Substance Abuse Rehabilitation Facility | 240 S Hickory St Ste 210, Escondido, CA 92025-4357 | 2007-12-05 |
| 1902808744 | The Fellowship Center Alcohol Services Program, Inc. | Substance Abuse Rehabilitation Facility | 737 E Grand Ave, Escondido, CA 92025-4404 | 2005-08-11 |
| 1912440645 | Pure Life Recovery, LLC | Substance Abuse Rehabilitation Facility | 19915 Fortuna Del Este, Escondido, CA 92029-5917 | 2016-11-29 |
| 1952761454 | Healthright 360 | Substance Abuse Rehabilitation Facility | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2016-02-26 |
| 1013041482 | Healthright 360 | Substance Abuse Rehabilitation Facility | 130 S Fig St, Escondido, CA 92025-4401 | 2007-03-15 |
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| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
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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.