MARIAH PRENTICE (NPI# 1629419981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629419981 |
| Entity Type | Individual |
| Full Name | MARIAH PRENTICE |
| Practice Address |
410 E Merced Ave Ste E West Covina CA 91790-5058 |
| Mailing Address |
246 N Shamrock Ave Monrovia CA 91016-2458 |
| Practice Telephone | 2665412398 |
| Mailing Telephone | 6572969186 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SPA 2300 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
410 E MERCED AVE STE E |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-5058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028593 | Guadalupe Estephany Alvarez | Speech-Language Pathologist | 410 E Merced Ave Ste E, West Covina, CA 91790-5058 | 2019-08-15 |
| 1467004689 | Maryann Alice Narez | Specialist/Technologist | 410 E Merced Ave Ste E, West Covina, CA 91790-5058 | 2019-07-09 |
| 1407414287 | Stephanie Grace Distelrath | Specialist/Technologist | 410 E Merced Ave Ste E, West Covina, CA 91790-5058 | 2019-06-05 |
| 1568971489 | Vedali Santosh Inamdar | Speech-Language Pathologist | 410 E Merced Ave Ste E, West Covina, CA 91790-5058 | 2017-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013555762 | Celest Segovia | Specialist/Technologist | 410 E Merced Ave Unit 3, West Covina, CA 91790-5058 | 2019-12-12 |
| 1992200968 | Amber Castillo | Specialist/Technologist | 222 N Sunset Ave Ste D, West Covina, CA 91790-2278 | 2018-03-29 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1962010843 | Jessica M Romo | Specialist/Technologist | 222 N Sunset Ave Ste D, West Covina, CA 91790-2278 | 2020-07-16 |
| 1376176388 | Angelina Doris Loa | Specialist/Technologist | 410 E Merced Ave, West Covina, CA 91790-5058 | 2020-02-18 |
| 1770113045 | Deborah Victoria Hernandez | Specialist/Technologist | 222 N Sunset Ave Ste D, West Covina, CA 91790-2278 | 2020-01-24 |
| 1578100590 | Marina Alexandra Gonzalez | Specialist/Technologist | 410 E Merced Ave, West Covina, CA 91790-5058 | 2019-12-09 |
| 1467004689 | Maryann Alice Narez | Specialist/Technologist | 410 E Merced Ave Ste E, West Covina, CA 91790-5058 | 2019-07-09 |
| 1407414287 | Stephanie Grace Distelrath | Specialist/Technologist | 410 E Merced Ave Ste E, West Covina, CA 91790-5058 | 2019-06-05 |
| 1528546546 | Julie Lu | Specialist/Technologist | 222 N Sunset Ave Ste D, West Covina, CA 91790-2278 | 2018-08-01 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
Please comment or provide details below to improve the information on MARIAH PRENTICE.
| 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.