TINA MARIE BREWSTER (NPI# 1679053524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679053524 |
| Entity Type | Individual |
| Full Name | TINA MARIE BREWSTER |
| Practice Address |
1691 W Summerset Dr Rialto CA 92377-3846 |
| Practice Telephone | 9098150509 |
| Mailing Telephone | 9098150509 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2019-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | Other Service Providers | ||
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14677 Merrill, Fontana, CA 92335 | 9516432340 |
| Street Address |
1691 W SUMMERSET DR |
| City | RIALTO |
| State | CA |
| Zip Code | 92377-3846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063071850 | Fjs Hearing Professionals | Hearing Instrument Specialist | 2012 N Riverside Ave, Suite J, Rialto, CA 92377 | 2019-06-06 |
| 1508319153 | Min Jeong Cho | Dentist | 2019 N Riverside Ave # C, Rialto, CA 92377 | 2016-08-01 |
| 1942510607 | Mehrdad Ghahremani-ghajar | Internal Medicine | 2248 N. Milor Ave, Rialto, CA 92377 | 2010-10-15 |
| 1972763670 | Tania Mara Orozco-mendoza | Specialist | 554 West Longwood St, Rialto, CA 92377 | 2008-06-16 |
| 1750451068 | Jorge H Beber | Psychiatry & Neurology | 1100 South Akers Road, Ste 101, Visaliea, CA 92377 | 2006-11-08 |
| 1447671714 | Ace Gastroenterology Associates Inc | Internal Medicine | 2006 N. Riverside Avenue, Rialto, CA 92377 | 2014-01-03 |
| 1710537568 | Carmen Britt | Technician | 3242 N Amberwood Ave, Rialto, CA 92377-2601 | 2019-09-13 |
| 1811126386 | Cranes Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2476 W Via Bello Dr, Rialto, CA 92377-2717 | 2009-07-06 |
| 1538322656 | Wanda | Residential Treatment Facility, Physical Disabilities | 3730 Fernwood Ave, Rialto, CA 92377-2724 | 2008-07-09 |
| 1982868048 | Wanda Smith | Licensed Practical Nurse | 3730 Fernwood Ave, Rialto, CA 92377-2724 | 2008-07-17 |
| Find all providers in zip 92377 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124407358 | Miesha Warren | Peer Specialist | 850 East Foothill Bld, Rialto, CA 92376 | 2015-05-20 |
| 1306461314 | Danny Contreras | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-06-15 |
| 1932724721 | Sintia Michelle Diaz | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-06-08 |
| 1164068482 | Cynthia Contreras | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2019-11-21 |
| 1871141283 | Clint Lewis | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2019-08-28 |
| 1912484643 | Alyssia Corinne Sims | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2018-07-25 |
| 1528573367 | Aaron Maurice Clayton | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2017-12-01 |
| 1982127254 | Jennifer Mari Martinez | Peer Specialist | 850 E. Foothill Blvd, Rialto, CA 92376 | 2017-07-19 |
| 1447708417 | Ronald Beardshear | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2016-09-19 |
| 1023479185 | Melissa Guerrero | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2016-03-16 |
| Find all providers in RIALTO | ||||
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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.