KAIULANI SOTO (NPI# 1609276450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609276450 |
| Entity Type | Individual |
| Full Name | KAIULANI SOTO |
| Credential | CATC-I |
| Practice Address |
17727 E Cypress St Covina CA 91722-2634 |
| Practice Telephone | 6269672677 |
| Practice Fax Number | 6268584923 |
| Mailing Telephone | 6269672677 |
| Mailing Fax Number | 6268584923 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 122969 | CA | Residential Treatment Facilities |
| Street Address |
17727 E CYPRESS ST |
| City | COVINA |
| State | CA |
| Zip Code | 91722-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164709895 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 17727 E Cypress St, Covina, CA 91722-2634 | 2011-11-09 |
| 1538782487 | Jessica M Lopez Barrera | Counselor | 17727 E Cypress St, Covina, CA 91722-2634 | 2020-05-27 |
| 1326673260 | Olivia Clayton | Counselor | 17727 E Cypress St, Covina, CA 91722-2634 | 2020-03-11 |
| 1467008813 | Michelle Concepcion Chavez | Counselor | 17727 E Cypress St, Covina, CA 91722-2634 | 2019-08-12 |
| 1588220644 | Lorraine Rosas | Counselor | 17727 E Cypress St, Covina, CA 91722-2634 | 2019-05-14 |
| 1588125652 | Maria Theresa Rodriguez | Counselor | 17727 E Cypress St, Covina, CA 91722-2634 | 2019-03-29 |
| 1306314299 | Ashley Alicia Tuvell | Counselor | 17727 E Cypress St, Covina, CA 91722-2634 | 2018-11-08 |
| 1568952968 | Jennifer Marie Oronoz | Counselor | 17727 E Cypress St, Covina, CA 91722-2634 | 2018-05-11 |
| 1659879468 | Leticia Haro | Counselor | 17727 E Cypress St, Covina, CA 91722-2634 | 2018-01-26 |
| 1205359957 | Jennice Jefferson | Counselor | 17727 E Cypress St, Covina, CA 91722-2634 | 2017-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083072607 | Lauren Rae Ramos | Dental Assistant | 1406 N Azuza Ave, Sute C, Covina, CA 91722 | 2016-02-10 |
| 1841674983 | John Catania | Case Manager/Care Coordinator | 4670 North Hollenbeck Ave, Covina, CA 91722 | 2015-07-18 |
| 1255615522 | Abbassi Johnson Professional Corporation | Dentist | 558 W Badillo St, Covina, CA 91722 | 2011-10-05 |
| 1528207982 | Adriana Luna | Dental Assistant | 1406 N. Azusa Ave., Suite C, Covina, CA 91722 | 2009-02-09 |
| 1295984805 | Sima Khavaran | Dentist | 546 W. Badillo St., Suite C, Covina, CA 91722 | 2008-09-18 |
| 1538361753 | Adriana Inez Camargo-fernandez | Psychologist | 599 S. Baranca, Suitel104, Covina, CA 91722 | 2007-06-01 |
| 1740498591 | Yolanda Bulaon Dycoco-esguerra | Dentist | 546 West Badillo Street, Suite E, Covina, CA 91722 | 2007-05-17 |
| 1225150543 | Michael C Huang | Dentist | 520 West Badillo Street, Covina, CA 91722 | 2007-04-06 |
| 1801914874 | Harry Humphreys Dds Inc | Dentist | 558 West Badillo, Covina, CA 91722 | 2007-03-27 |
| 1881755411 | Helen Louise Taylor | Physician Assistant | 1433 N. Hollenbeck Avenue, Suite 200, Covina, CA 91722 | 2006-12-13 |
| Find all providers in zip 91722 | ||||
| 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 |
|---|---|---|---|---|
| 1164893749 | Shelby Recovery Services Inc. | Substance Abuse Rehabilitation Facility | 279 E Greenhaven St, Covina, CA 91722-2838 | 2015-10-08 |
| 1164709895 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 17727 E Cypress St, Covina, CA 91722-2634 | 2011-11-09 |
| 1275768509 | Hope and Grace | Substance Abuse Rehabilitation Facility | 865 W Glentana St, Suite 3, Covina, CA 91722-3617 | 2009-05-15 |
| 1275933822 | Marilynn C Kubisch | Substance Abuse Rehabilitation Facility | 17727 E Cypress St, Covina, CA 91722-2634 | 2014-09-02 |
| 1649498288 | We Can Help Foundation | Substance Abuse Rehabilitation Facility | 21304 E Arrow Hwy, Covina, CA 91724-1442 | 2007-04-20 |
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| 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.