SANDRA CHAVEZ (NPI# 1619534096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619534096 |
| Entity Type | Individual |
| Full Name | SANDRA CHAVEZ |
| Practice Address |
1260 E Arrow Hwy Bldg B Upland CA 91786-4996 |
| Mailing Address |
18133 Slover Ave Bloomington CA 92316-2368 |
| Practice Telephone | 9099321069 |
| Mailing Telephone | 9094378674 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| 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) |
197727 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538551155 | Sandra Jo Chavez | Registered Nurse | 770 Carnine Rd, Castle Rock, WA 98611-9714 | 2015-02-19 |
| 1578835179 | Sandra Lee Chavez | Counselor | 428 Los Lentes, S.e., Los Lunas, NM 87031 | 2012-01-30 |
| 1013094895 | Sandra Veronica Chavez | Counselor | 760 Mountain View St, Altadena, CA 91001-4925 | 2006-11-01 |
| 1134766017 | Sandra Chavez | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-12-10 |
| 1568014264 | Sandra Denisse Chavez | Dietitian, Registered | 100 Bay Pl, Oakland, CA 94610 | 2019-07-12 |
| 1639660301 | Sandra Chavez | Behavioral Analyst | 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093 | 2018-05-29 |
| 1043755077 | Sandra Chavez | Case Manager/Care Coordinator | 3737 Martin Luther King Jr Blvd, Suite 550, Lynwood, CA 90262-3513 | 2016-12-29 |
| 1073800751 | Sandra Chavez | Counselor | 2930 Inland Empire Blvd, Suite 105, Ontario, CA 91764-4802 | 2011-07-01 |
| Street Address |
1260 E ARROW HWY BLDG B |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-4996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669697322 | Robert Andrew Gallegos | Counselor | 1260 E Arrow Hwy Bldg B, Upland, CA 91786-4996 | 2007-04-16 |
| 1447890744 | Jason Henley | Marriage & Family Therapist | 1260 E Arrow Hwy Bldg B, Upland, CA 91786-4996 | 2020-01-14 |
| 1336799493 | Trask Robert Hernandez | Counselor | 1260 E Arrow Hwy Bldg B, Upland, CA 91786-4996 | 2019-09-19 |
| 1164800090 | Mia Lujan | Counselor | 1260 E Arrow Hwy Bldg B, Upland, CA 91786-4996 | 2015-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059725 | Nicholas Howard Munoz | Counselor | 934 N Mountain Ave Ste C-d, Upland, CA 91786-3659 | 2020-10-08 |
| 1437625969 | Melissa Jean Hacker | Counselor | 934 N Mountain Ave Ste A, Upland, CA 91786-3659 | 2018-10-23 |
| 1356887152 | Erica Roxanne Caudillo | Counselor | 167 N 3rd Ave Ste N, Upland, CA 91786-6052 | 2017-01-17 |
| 1255729422 | Alexander Murray | Counselor | 1260 E. Arrow Hwy Bldg. E, Upland, CA 91786 | 2014-12-22 |
| 1477875433 | Sandra I. Romero | Counselor | 916 N. Mountain Ave., Suite A, Upland, CA 91786 | 2010-02-18 |
| 1467788315 | Becky Baker | Counselor | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2009-10-28 |
| 1669697322 | Robert Andrew Gallegos | Counselor | 1260 E Arrow Hwy Bldg B, Upland, CA 91786-4996 | 2007-04-16 |
| 1831222652 | Susan Evette Otero | Counselor | 916 N Mountain Ave, Suite A, Upland, CA 91786-3697 | 2007-03-13 |
| 1245387687 | Janice Kay Degrande | Counselor | 1260 E Arrow Hwy Bldg C, Upland, CA 91786-4987 | 2007-01-05 |
| 1598366304 | Theresa Smith | Counselor | 239 W 9th St, Upland, CA 91786-5979 | 2020-11-06 |
| Find all providers in UPLAND | ||||
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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.