ROBERT MALLARD (NPI# 1750820890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750820890 |
| Entity Type | Individual |
| Full Name | ROBERT MALLARD |
| Practice Address |
762 Cypress St San Dimas CA 91773-3505 |
| Practice Telephone | 9095991227 |
| Mailing Telephone | 9095991227 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285625970 | Robert E Mallard | Pediatrics | 2325 Crestmoor Rd Ste 101, Nashville, TN 37215-2027 | 2005-11-02 |
| Street Address |
762 CYPRESS ST |
| City | SAN DIMAS |
| State | CA |
| Zip Code | 91773-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194742825 | Divya Krishnamoorthy | Psychiatry & Neurology | 762 Cypress St, San Dimas, CA 91773-3505 | 2006-07-17 |
| 1053911057 | Quashana Barber | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-10-28 |
| 1841898715 | William Castillo | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-10-13 |
| 1881291235 | Jordan Derbis | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-10-07 |
| 1851998215 | Berenice Esquivel | Registered Nurse | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-10-07 |
| 1821605098 | Jennifer Vidal | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-30 |
| 1255948899 | Gloria Rojas | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-28 |
| 1710594361 | Dori Sayad | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-28 |
| 1639786205 | Danielle Prioleau | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-28 |
| 1841806783 | Elizabeth Kabahuma | Student in an Organized Health Care Education/Training Program | 762 Cypress St, San Dimas, CA 91773-3505 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1922581560 | Readirides, Inc. | Non-emergency Medical Transport (VAN) | 451 W Bonita Ave Ste 14, San Dimas, CA 91773 | 2018-09-10 |
| 1710468376 | Marianne Shehata | Dentist | 925 Avenida Loma Vista, San Dimas, CA 91773 | 2018-08-22 |
| 1750875738 | Compassionate Hearts Home Health, Inc. | Home Health | 237 W Bonita Ave Ste F, San Dimas, CA 91773 | 2018-06-21 |
| 1548786056 | Era Life Care | Home Health | 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 | 2017-08-16 |
| 1700302569 | Melanie Sabrina Schmuck | Physical Therapist | 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 | 2017-08-14 |
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1417485020 | Young Mi Kim | Acupuncturist | 1121 Via Verde, San Dimas, CA 91773 | 2017-05-25 |
| Find all providers in zip 91773 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629696042 | Ashlie Renee Javier | Rehabilitation Practitioner | 1266 Calle Estrella, San Dimas, CA 91773-4080 | 2020-07-13 |
| 1619500576 | Cognet Rehab Solutions Inc | Rehabilitation Practitioner | 417 W Allen Ave Ste 107, San Dimas, CA 91773-4707 | 2020-02-19 |
| 1770075327 | Jeffery Taylor | Rehabilitation Practitioner | 762 Cypress St, San Dimas, CA 91773-3505 | 2018-05-30 |
| 1225563356 | Cynthia Zavala | Rehabilitation Practitioner | 762 Cypress St, San Dimas, CA 91773-3505 | 2017-04-26 |
| 1649702663 | Brannon Gomes | Rehabilitation Practitioner | 762 Cypress St, San Dimas, CA 91773-3505 | 2017-03-29 |
| 1790217974 | Nathaniel Smith V | Rehabilitation Practitioner | 762 Cypress St, San Dimas, CA 91773-3505 | 2017-03-28 |
| 1437681608 | Julissa Castellanos | Rehabilitation Practitioner | 762 Cypress St, San Dimas, CA 91773-3505 | 2017-03-28 |
| 1801331418 | Natasha Garcia | Rehabilitation Practitioner | 762 Cypress St, San Dimas, CA 91773-3505 | 2017-01-05 |
| 1134662687 | Taylor-anne Esparza | Rehabilitation Practitioner | 762 Cypress St, San Dimas, CA 91773-3505 | 2016-11-30 |
| 1144763699 | Cassandra Cabrera | Rehabilitation Practitioner | 762 Cypress St, San Dimas, CA 91773-3505 | 2016-11-30 |
| Find all providers in SAN DIMAS | ||||
Please comment or provide details below to improve the information on ROBERT MALLARD.
| 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.