BRANDON RUVALCABA


Address: 1359 N Grand Ave, Covina, CA 91724-1016
Phone: 6264302853

BRANDON RUVALCABA (NPI# 1659757805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659757805
Entity Type Individual
Full Name BRANDON RUVALCABA
Credential MSW
Practice Address 1359 N Grand Ave
Covina
CA 91724-1016
Practice Telephone 6264302853
Practice Fax Number 6263310035
Mailing Telephone 6264302853
Mailing Fax Number 6263310035
Enumeration Date 2015-08-10
Last Update Date 2019-12-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
ASW91651 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 6758 05
CA 7420 05
CA 7068 05

Office Location

Street Address 1359 N GRAND AVE
City COVINA
State CA
Zip Code 91724-1016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356355614 Los Angeles County Department of Mental Health Clinic/Center 1359 N Grand Ave, Covina, CA 91724-1016 2006-07-29
1053918789 Paloma Saldana Counselor 1359 N Grand Ave, Covina, CA 91724-1016 2020-10-06
1821603929 Cassandra Lawson Student in an Organized Health Care Education/Training Program 1359 N Grand Ave, Covina, CA 91724-1016 2020-09-15
1831717750 Melissa Guadalupe Diaz Community Health Worker 1359 N Grand Ave, Covina, CA 91724-1016 2020-07-07
1518589266 County of Los Angeles Clinic/Center 1359 N Grand Ave, Covina, CA 91724-1016 2020-05-15
1841753514 Natalie I Vasquez Community Health Worker 1359 N Grand Ave, Covina, CA 91724-1016 2019-04-10
1467955203 Teri Ferrieri Counselor 1359 N Grand Ave, Covina, CA 91724-1016 2018-03-16
1366940611 John Matthew Adriatico Community Health Worker 1359 N Grand Ave, Covina, CA 91724-1016 2018-01-31
1720586563 Isabel G Romero Community Health Worker 1359 N Grand Ave, Covina, CA 91724-1016 2018-01-26
1679082515 Paul Gift Paseli Psychologist 1359 N Grand Ave, Covina, CA 91724-1016 2017-09-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902320922 Kimberly Suzanne Manzanares-mora Rehabilitation Practitioner 1359 North Grand Avenue, Covina, CA 91724 2017-08-01
1689194680 Cynthia Garcia Counselor 1359 N. Grand Ave., Covina, CA 91724 2017-06-21
1386191963 West Covina Group Corporation Residential Treatment Facility, Emotionally Disturbed Children 1274 Center Court Dr, #208, Covina, CA 91724 2016-09-01
1184094781 Veronica May Roberts Licensed Vocational Nurse 222 S. Wilson Ave, Covina, CA 91724 2015-09-25
1912216292 Joan Mendoza Social Worker 1338 Center Court Dr Ste 107, Covina, CA 91724 2010-10-04
1548583602 Lille-anne Nzeribe Rehabilitation Practitioner 1126 N. Grand Ave. Suite D, Covina, CA 91724 2010-03-03
1154534212 Verna L Lewis Marriage & Family Therapist 420 South Grand Ave., Covina, CA 91724 2007-05-07
1093937310 Heather Annn Pedevillano Specialist/Technologist 1805 E. Lomira Dr, Covina, CA 91724 2007-05-03
1669503579 Maritza Mercedes Reyes Rehabilitation Practitioner 1411 N. Grand Ave., Covina, CA 91724 2007-03-09
1417014085 Bernadette Luyun Guaring Bagay Dentist 984 E Badillo St, Suite E, Covina, CA 91724 2007-01-03
Find all providers in zip 91724

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689194680 Cynthia Garcia Counselor 1359 N. Grand Ave., Covina, CA 91724 2017-06-21
1851741136 Olga Lydia Amador Counselor 1338 Center Court Dr Ste 105, Covina, CA 91724-3681 2016-06-16
1760836035 Ruby Lewis Counselor 545 E Rue Royale St Apt 23, Covina, CA 91723-1745 2016-04-22
1811374267 Anna Marie Hunter Counselor 1126 N. Grand Ave, Covina, CA 91724-1552 2015-05-05
1467570960 Tyrone Antonio Rush Counselor 348 E Italia St, Covina, CA 91723-2203 2007-03-26
1750414033 Vanessa Castillo Hernandez Counselor 535 S. 2nd Ave, Covina, CA 91761 2007-03-14
1366571861 Lupe Manuela Gordon Counselor 510 S 2nd Ave, Suite 7, Covina, CA 91723-3017 2007-03-02
1184759813 Remitha Latriss Houston Counselor 754 E Arrow Hwy Ste F, Covina, CA 91722-2107 2007-02-22
1003843111 Alma F. Whitsitt Counselor 750 Terrado Plz Ste 215, Covina, CA 91723-3412 2006-06-26
1053918789 Paloma Saldana Counselor 1359 N Grand Ave, Covina, CA 91724-1016 2020-10-06
Find all providers in COVINA

Competitor

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City COVINA
Zip Code 91724

Improve Information

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Dataset Information

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.

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