DEPATMENT OF BEHAVIORAL HEALTH (NPI# 1710249461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710249461 |
| Entity Type | Organization |
| Organization Name | DEPATMENT OF BEHAVIORAL HEALTH |
| Practice Address |
1300 E Cooley Dr Colton CA 92324-3905 |
| Practice Telephone | 9094230750 |
| Mailing Telephone | 9094230750 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |
| Authorized Official Name | MRS. ELLEN BRIDGET OLSEN (LICENSED PSYCHIATRIC TECHNICIAN) |
| Authorized Official Telephone | 9095986462 |
| Authorized Official Credential | L.P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 32634 | CA | Hospitals |
| Street Address |
1300 E COOLEY DR |
| City | COLTON |
| State | CA |
| Zip Code | 92324-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861447195 | Fay A. Simpson | Nurse Practitioner | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2006-05-24 |
| 1972052132 | Brenda Jerez-aguilar | Nurse Practitioner | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2016-09-29 |
| 1497102701 | Hassan Quadri | Family Medicine | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2016-05-17 |
| 1942654793 | Suchal Karkera | Family Medicine | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2016-04-19 |
| 1174933279 | Kelvin Ma | Family Medicine | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2014-04-29 |
| 1497194468 | Linda Kit | Optometrist | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2013-06-22 |
| 1518212299 | Jennifer Lynn Jensen | Physician Assistant | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2012-07-18 |
| 1932341203 | Carlos Daniel Ramirez | General Practice | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2009-04-01 |
| 1831377662 | Beaver Medical Group Lp | Non-Pharmacy Dispensing Site | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2008-02-04 |
| 1730398595 | Nicole Michelle Antonio | Pediatrics | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
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|---|---|---|---|---|
| 1053857706 | 5 Direction Integrative Veterinary Care | Special Hospital | 32 Ulloa St, San Francisco, CA 94127-1218 | 2017-01-18 |
| 1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
| 1821458662 | Poodles Inc | Special Hospital | 1333 9th Ave, San Francisco, CA 94122-2308 | 2016-03-04 |
| 1588023824 | Sue K Morizi | Special Hospital | 7527 Draper Ave, La Jolla, CA 92037-4802 | 2016-02-15 |
| 1831561307 | Willow Buckley | Special Hospital | 1840 Gatepost Rd, Encinitas, CA 92024-3021 | 2015-10-23 |
| 1063893741 | Patricia Piper | Special Hospital | 6422 Old Redwood Hwy, Santa Rosa, CA 95403-1158 | 2015-06-17 |
| 1225416365 | Kristen Yee Md PC | Special Hospital | 1111 Sonoma Ave Ste 112, Santa Rosa, CA 95405-4813 | 2015-05-08 |
| 1326438813 | Amalia Zacher | Special Hospital | 7160 Santa Teresa Blvd, San Jose, CA 95139-1349 | 2015-02-04 |
| 1962800870 | June K Chang | Special Hospital | 4000 W Riverside Dr, B, Burbank, CA 91505-4328 | 2014-12-09 |
| 1174921092 | Hired Power Transitional Living Center LLC | Special Hospital | 21062 Brookhurst St Ste 201, Huntington Beach, CA 92646-7404 | 2014-12-09 |
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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.