CRAFTON HILLS COLLEGE (NPI# 1578690111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578690111 |
| Entity Type | Organization |
| Organization Name | CRAFTON HILLS COLLEGE |
| Other Organization Name | HEALTH AND WELLNESS CENTER |
| Practice Address |
11711 Sand Canyon Rd Ssb 101 Yucaipa CA 92399-1742 |
| Practice Telephone | 9093893272 |
| Practice Fax Number | 9093890772 |
| Mailing Telephone | 9093893272 |
| Mailing Fax Number | 9093890772 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JUDY A GIACONA (COORDINATOR) |
| Authorized Official Telephone | 9093893272 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
G72154 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Health and Wellness Center | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CRAFTON HILLS COLLEGE | 11711 Sand Canyon Rd, Yucaipa, CA 92399-1742 |
| Street Address |
11711 SAND CANYON RD SSB 101 |
| City | YUCAIPA |
| State | CA |
| Zip Code | 92399-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457420945 | Hannah P Sandy | Nurse Practitioner | 11711 Sand Canyon Rd, Yucaipa, CA 92399-1742 | 2006-11-07 |
| 1407385149 | Gilbert Agyemang-boakye | Nurse Practitioner | 11711 Sand Canyon Rd, Yucaipa, CA 92399-1742 | 2017-06-07 |
| 1356726509 | Maria Garcia | Registered Nurse | 11711 Sand Canyon Rd, Yucaipa, CA 92399-1742 | 2015-07-29 |
| 1861791923 | Laura Estrada | Registered Nurse | 11711 Sand Canyon Rd, Yucaipa, CA 92399-1742 | 2011-03-15 |
| 1033418108 | Judith Giacona | Registered Nurse | 11711 Sand Canyon Rd, Yucaipa, CA 92399-1742 | 2011-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301941 | Emily Ambrosi | Occupational Therapist | 12257 Tulip Ln, Yucaipa, CA 92399 | 2020-09-23 |
| 1952943524 | Terrence Williams | Behavioral Analyst | 13768 Meadow View Lane, Yucaipa, CA 92399 | 2019-10-15 |
| 1235795097 | Han Acu&herbs, Inc | Acupuncturist | 32387 Yucaipa Blvd, Ste, F, Yucaipa, CA 92399 | 2019-05-16 |
| 1366926784 | David Gene Satre | Psychologist | 31752 Dove Ct, Yucaipa, CA 92399 | 2018-09-21 |
| 1336659861 | Titianna Little | Physical Therapist | 32819 Yucaipa Boulevard #3, Yucaipa, CA 92399 | 2017-10-11 |
| 1174043467 | Sharon Lee Pendola | Licensed Vocational Nurse | 11885 4th St, Yucaipa, CA 92399 | 2017-06-27 |
| 1073033072 | Juniper Manor, LLC | Skilled Nursing Facility | 35223 Juniper Avenue, Yucaipa, CA 92399 | 2017-06-21 |
| 1952858417 | Rafael Arias | Non-emergency Medical Transport (VAN) | 12386 17th St, Yucaipa, CA 92399 | 2016-09-01 |
| 1578906467 | Joyce I Bandele | Durable Medical Equipment & Medical Supplies | 34664 County Line Rd Suite 14, Yucaipa, CA 92399 | 2013-04-10 |
| 1033475108 | Loleta Michelle Gustafson | Marriage & Family Therapist | 34455 Yucaipa Blvd Ste 206, Yucaipa, CA 92399 | 2012-04-03 |
| Find all providers in zip 92399 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
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| 1437756103 | Wonderful Center for Health Innovation Inc | Clinic/Center | 14848 Lamberson Ave, Lost Hills, CA 93249 | 2020-10-06 |
| 1811452493 | Wonderful Center for Health Innovation Inc | Clinic/Center | 2070 Veneto St, Delano, CA 93215-9122 | 2019-02-07 |
| 1386134815 | Ventura County Community College District | Clinic/Center | 4667 Telegraph Road, Ventura, CA 93003-3872 | 2018-05-10 |
| 1104339761 | Kern Community College District | Clinic/Center | 1801 Panorama Dr, Bakersfield, CA 93305-1219 | 2017-11-06 |
| 1104342393 | Yosemite Community College District | Clinic/Center | 11600 Columbia College Dr, Sonora, CA 95370-8560 | 2017-08-18 |
| 1750813663 | Yosemite Community College District | Clinic/Center | 435 College Ave, Modesto, CA 95350-5808 | 2017-03-30 |
| 1275937682 | Emmons Student Wellness Center | Clinic/Center | 1600 Campus Rd # F-57, Emmons Wellness Center, Los Angeles, CA 90041-3314 | 2014-10-14 |
| 1083036495 | Nora Anderson | Clinic/Center | 1603 Merion Way, 42 G, Seal Beach, CA 90740-4984 | 2014-01-21 |
| 1386082766 | Esteban E. Torres High School Clinic | Clinic/Center | 4127 East Cesar Chavez Avenue, Los Angeles, CA 90063 | 2013-06-07 |
| 1770920787 | Allan Hancock College | Clinic/Center | 800 S College Dr, Santa Maria, CA 93454-6399 | 2013-05-30 |
| Find all providers with the same taxonomy | ||||
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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.