MS. AIDA MONIKA MOYA (NPI# 1609992882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609992882 |
Entity Type | Individual |
Full Name | MS. AIDA MONIKA MOYA |
Practice Address |
3333 E American Ave Fresno CA 93725-9235 |
Mailing Address |
3718 W Vincent Ln Fresno CA 93711-4106 |
Practice Telephone | 5594953811 |
Mailing Telephone | 5596813089 |
Enumeration Date | 2007-03-21 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
Street Address |
3333 E AMERICAN AVE |
City | FRESNO |
State | CA |
Zip Code | 93725-9235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245248160 | Sureshbabu Kurra | Psychiatry & Neurology | 3333 E American Ave, Fresno, CA 93725-9247 | 2006-08-04 |
1164070116 | Elizabeth Alvarez | Student in an Organized Health Care Education/Training Program | 3333 E American Ave, Fresno, CA 93725-9247 | 2019-09-03 |
1376191395 | Jeannie Sheng Lee | Student in an Organized Health Care Education/Training Program | 3333 E American Ave, Fresno, CA 93725-9247 | 2019-09-03 |
1588212807 | Mary Danielle Alvarez | Student in an Organized Health Care Education/Training Program | 3333 E American Ave, Fresno, CA 93725-9247 | 2019-08-29 |
1356804058 | Julie Ann Collins | Counselor | 3333 E American Ave, Fresno, CA 93725-9247 | 2019-04-09 |
1730650391 | Monica Aldana | Counselor | 3333 E American Ave, Fresno, CA 93725-9247 | 2018-12-07 |
1376014142 | Angelica Arreola-sandoval | Counselor | 3333 E American Ave, Fresno, CA 93725-9247 | 2018-12-05 |
1265903033 | Christi Michelle Fischer | Counselor | 3333 E American Ave, Fresno, CA 93725-9247 | 2018-12-05 |
1750859930 | Raul Palma | Social Worker | 3333 E American Ave, Fresno, CA 93725-9247 | 2018-11-06 |
1497235048 | Alexiz Duran | Student in an Organized Health Care Education/Training Program | 3333 E American Ave, Fresno, CA 93725-9247 | 2018-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235461203 | Greta Macias | Dental Assistant | 6713 South Chestnut Ave., Fresno, CA 93725 | 2010-02-02 |
1356589014 | Jayme Jo Calandri | Licensed Vocational Nurse | 3333 E. American Ave, Fresno, CA 93725 | 2009-02-03 |
1669596235 | Cheryl Ann Nelson | Licensed Vocational Nurse | 3103 E. Cartwright, Fresno, CA 93725 | 2007-03-19 |
1922161074 | Concepion Quipit Zamora | Licensed Practical Nurse | 5070 East Belgravia, Fresno, CA 93725 | 2006-12-19 |
1194712331 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 1155 E North Ave, Ste 105, Fresno, CA 93725 | 2005-10-03 |
1396919577 | Patricia Ann Foley | Licensed Vocational Nurse | 3103 E Cartwright Ave, Fresno, CA 93725 | 2008-04-17 |
1184756389 | Martha A Girvan | Counselor | 3103 E Cartwright Ave, Fresno, CA 93725 | 2007-03-12 |
1275698409 | Linda Dominguez | Counselor | 3103 E Cartwright Ave, Fresno, CA 93725 | 2006-12-27 |
1417047432 | County of Fresno | Clinic/Center | 5250 E Church Ave, Fresno, CA 93725-0900 | 2006-10-13 |
1386803815 | Lilia Acosta | Home Health Aide | 5234 E Blossom Ln, Fresno, CA 93725-0909 | 2008-06-09 |
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Taxonomy Code | 3245S0500X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
Specialization | Substance Abuse Treatment, Children |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
Notes: [7/1/2003: new] |
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---|---|---|---|---|
1962724120 | Eureka Program | Substance Abuse Rehabilitation Facility | 916 Waterman Ave, Fresno, CA 93706-3762 | 2010-02-15 |
1235631391 | Eureka Programs LLC | Substance Abuse Rehabilitation Facility | 916 Waterman Ave, Fresno, CA 93706-3762 | 2018-03-05 |
1447752548 | Kim'e Woods | Substance Abuse Rehabilitation Facility | 916 Waterman Ave, Fresno, CA 93706-3762 | 2018-03-05 |
1326468414 | Word of Life Evangelistic Ministry | Substance Abuse Rehabilitation Facility | 2848 Mariposa St, Fresno, CA 93721-1308 | 2014-04-16 |
1184991291 | Westcare California | Substance Abuse Rehabilitation Facility | 2772 Martin L King Jr Blvd, Fresno, CA 93706-5345 | 2011-11-18 |
1184880486 | Mental Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 190 N Van Ness Ave, Fresno, CA 93701-1672 | 2008-08-06 |
1114129814 | Addiction Intervention Resources | Substance Abuse Rehabilitation Facility | 405 N Broadway St, Fresno, CA 93701-1513 | 2007-06-04 |
1952438467 | Westcare | Substance Abuse Rehabilitation Facility | 611 E Belmont Ave, Fresno, CA 93701-1502 | 2007-02-28 |
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1720692577 | Muir Wood, LLC. | Substance Abuse Rehabilitation Facility | 1743 Skillman Lane, Petaluma, CA 94952-9495 | 2020-08-31 |
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1770194060 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 195 S Peralta Hills Dr, Anaheim, CA 92807-3424 | 2020-08-11 |
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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.