CANDICE DIVERS (NPI# 1598239527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598239527 |
| Entity Type | Individual |
| Full Name | CANDICE DIVERS |
| Practice Address |
1050 N Garey Ave Pomona CA 91767-3802 |
| Mailing Address |
3663 Buchanan St Spc 127 Riverside CA 92503-4864 |
| Practice Telephone | 9096236391 |
| Mailing Telephone | 9512044724 |
| Enumeration Date | 2019-01-12 |
| Last Update Date | 2019-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1050 N GAREY AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91767-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023173135 | Aegis Treatment Centers, LLC | Clinic/Center | 1050 N Garey Ave, Pomona, CA 91767-3802 | 2006-12-27 |
| 1275180861 | Priscila Stanfield | Licensed Vocational Nurse | 1050 N Garey Ave, Pomona, CA 91767-3802 | 2019-08-20 |
| 1407314008 | Bianca Ruiz | Counselor | 1050 N Garey Ave, Pomona, CA 91767-3802 | 2019-03-04 |
| 1043784051 | Elizabeth Amaya | Counselor | 1050 N Garey Ave, Pomona, CA 91767-3802 | 2019-01-14 |
| 1205306917 | Roxanne Jordan | Counselor | 1050 N Garey Ave, Pomona, CA 91767-3802 | 2018-11-26 |
| 1003317488 | Cameron Sidney | Counselor | 1050 N Garey Ave, Pomona, CA 91767-3802 | 2018-02-22 |
| 1659880003 | Shmenia Allan | Counselor | 1050 N Garey Ave, Pomona, CA 91767-3802 | 2017-09-28 |
| 1699209841 | Mariana Nicole Ortiz | Counselor | 1050 N Garey Ave, Pomona, CA 91767-3802 | 2017-04-14 |
| 1609318963 | Krystalle Thomas | Counselor | 1050 N Garey Ave, Pomona, CA 91767-3802 | 2016-11-17 |
| 1023563780 | Ericka Ramirez-solis | Counselor | 1050 N Garey Ave, Pomona, CA 91767-3802 | 2016-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519034 | Nancy Maritza Trujillo | Counselor | 150 W Foothill Blvd Apt 20d, Pomona, CA 91767-1169 | 2020-08-19 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1427690338 | Sharon Beatrice Moreno | Counselor | 2180 Valley Bvld, Pomona, CA 91768 | 2019-10-11 |
| 1962988311 | Marissa Katrina Vasquez | Counselor | 1812 Fleming St, Pomona, CA 91766-1027 | 2018-07-18 |
| 1710492087 | Freddie Lee Dominguez | Counselor | 2180 W Vally Blvd, Pomona, CA 91768 | 2017-12-08 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1508386806 | Emily Rose Marlen | Counselor | 845 E. Arrow Highway, Pomona, CA 91739 | 2017-06-27 |
| 1154851913 | Maria Concepcion Galvez | Counselor | 2180 W Valley Blvd, Pomona, CA 91768 | 2017-06-14 |
| 1487196721 | Artimus Jenkins | Counselor | 404 N Gibbs St, Pomona, CA 91767-5416 | 2016-11-16 |
| 1629434162 | Ann Marie Lara | Counselor | 629 W 8th St, Pomona, CA 91766-3013 | 2016-01-13 |
| Find all providers in POMONA | ||||
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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.