JOSH BORDEN (NPI# 1679094817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679094817 |
| Entity Type | Individual |
| Full Name | JOSH BORDEN |
| Practice Address |
1106 W 22nd St Upland CA 91784-1231 |
| Mailing Address |
1463 Magnolia Ave Ontario CA 91762-5333 |
| Practice Telephone | 9099498181 |
| Mailing Telephone | 9095736971 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1106 W 22ND ST |
| City | UPLAND |
| State | CA |
| Zip Code | 91784-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164872792 | Bjorn Lars Gothberg | Counselor | 1106 W 22nd St, Upland, CA 91784-1231 | 2016-06-14 |
| 1790385250 | David Christopher Sudyka | Counselor | 1106 W 22nd St, Upland, CA 91784 | 2020-10-26 |
| 1598291114 | Michael Sudyka | Marriage & Family Therapist | 1106 W 22nd St, Upland, CA 91784-1231 | 2017-05-02 |
| 1679009203 | Children's Hope Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 1106 W 22nd St, Upland, CA 91784-1231 | 2017-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488265 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 2121 W Baseline Rd, Upland, CA 91784 | 2018-05-22 |
| 1518490135 | Christopher Velasquez | Emergency Medicine | 481 Fremont St, Upland, CA 91784 | 2017-04-10 |
| 1558613240 | Yung Huang | Marriage & Family Therapist | 1550 Geryser St., Upland, CA 91784 | 2012-10-05 |
| 1508132051 | Bunsri Thanasophon | Orthopaedic Surgery | 285 East 24th Street, Upland, CA 91784 | 2012-03-29 |
| 1265742605 | Shahin Taheri | Pharmacist | 15222 Summit Ave, Fontana, CA 91784 | 2010-10-19 |
| 1093883886 | Asha Nayak Ubhayakar | Family Medicine | 1157 West 22nd Street, Upland, CA 91784 | 2006-12-01 |
| 1770786428 | Mahmoud Torabinejad | Dentist | 600 N Euclid Ave, #102, Upland, CA 91784 | 2007-06-08 |
| 1730532946 | Michael Cervantes | Dentist | 2523 Mountain Ln, Upland, CA 91784-1075 | 2016-07-22 |
| 1497099220 | Ellen Liu | Nurse Practitioner | 1307 Mallorca St, Upland, CA 91784-1090 | 2012-11-16 |
| 1497897664 | Charles A Demott | Counselor | 1269 Granada St, Upland, CA 91784-1095 | 2007-02-13 |
| Find all providers in zip 91784 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164872792 | Bjorn Lars Gothberg | Counselor | 1106 W 22nd St, Upland, CA 91784-1231 | 2016-06-14 |
| 1922357466 | Myrna Macias-prado | Counselor | 1425 W Foothill Blvd Ste 310, Upland, CA 91786-8007 | 2012-08-30 |
| 1558597062 | Esteban Rojas Jr. | Counselor | 172 N 13th Ave Apt A, Upland, CA 91786-8176 | 2009-06-10 |
| 1609067024 | Artinice Walker | Counselor | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2007-08-09 |
| 1003366113 | Tanya Tobing | Counselor | 1425 W Foothill Blvd, Upland, CA 91786-8007 | 2016-10-12 |
| 1174979579 | Tamar Minassian | Counselor | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2016-05-04 |
| 1275918146 | Kellishia T Worsham | Counselor | 222 N Mountain Ave, Upland, CA 91786 | 2015-07-21 |
| 1639591746 | Vicki Hobson | Counselor | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2014-01-08 |
| 1740568575 | Sharlene Whittey | Counselor | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2011-07-27 |
| 1649503970 | Lynn Ashley Craig | Counselor | 934 N Mountain Ave Ste C, Upland, CA 91786-3659 | 2009-09-18 |
| 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.