CASSANDRA PALACIOS (NPI# 1790395937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790395937 |
| Entity Type | Individual |
| Full Name | CASSANDRA PALACIOS |
| Practice Address |
1196 3rd Ave Chula Vista CA 91911-3131 |
| Practice Telephone | 6194274661 |
| Practice Fax Number | 6194267849 |
| Mailing Telephone | 6194274661 |
| Mailing Fax Number | 6194267849 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1196 3RD AVE |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629150834 | Brian Anthony Kendrick | Social Worker | 1196 3rd Ave, Chula Vista, CA 91911-3131 | 2006-10-19 |
| 1043827470 | Kelsey Alejandra Ramos Christerson | Counselor | 1196 3rd Ave, Chula Vista, CA 91911-3131 | 2020-09-29 |
| 1598389694 | Zaiah Lewis | Student in an Organized Health Care Education/Training Program | 1196 3rd Ave, Chula Vista, CA 91911-3131 | 2020-06-04 |
| 1639792187 | Marisa Pappas | Counselor | 1196 3rd Ave, Chula Vista, CA 91911-3131 | 2020-05-19 |
| 1467075903 | Anne Marie Camille Puso | Student in an Organized Health Care Education/Training Program | 1196 3rd Ave, Chula Vista, CA 91911-3131 | 2020-05-19 |
| 1427670611 | Ariel Almarakeshy | Counselor | 1196 3rd Ave, Chula Vista, CA 91911-3131 | 2020-05-11 |
| 1144861816 | Graciela Perez Huizar | Peer Specialist | 1196 3rd Ave, Chula Vista, CA 91911-3131 | 2019-10-03 |
| 1164072310 | Kelly Uc Castro | Licensed Vocational Nurse | 1196 3rd Ave, Chula Vista, CA 91911-3131 | 2019-09-18 |
| 1376106211 | Priscila Yesenia Berumen | Interpreter | 1196 3rd Ave, Chula Vista, CA 91911-3131 | 2019-04-16 |
| 1043772320 | Ana Cristina Carbonell | Student in an Organized Health Care Education/Training Program | 1196 3rd Ave, Chula Vista, CA 91911-3131 | 2019-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| 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 |
|---|---|---|---|---|
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1760095707 | Estefany Mendez | Peer Specialist | 855 3rd Ave Ste 2230, Chula Vista, CA 91911-1350 | 2020-08-28 |
| 1144861816 | Graciela Perez Huizar | Peer Specialist | 1196 3rd Ave, Chula Vista, CA 91911-3131 | 2019-10-03 |
| 1003389743 | Tania Castaneda | Peer Specialist | 1196 Third Ave Fl 1, Chula Vista, CA 91911-3103 | 2019-01-04 |
| 1184132037 | Ana Villanueva | Peer Specialist | 1196 3rd Ave Ste C, Chula Vista, CA 91911-3131 | 2018-01-12 |
| 1487013223 | Wendy R Villarreal | Peer Specialist | 835 3rd Ave, Suite C, Chula Vista, CA 91911-1352 | 2016-02-22 |
| 1649676057 | Danielle Bader | Peer Specialist | 835 3rd Ave Ste C, Chula Vista, CA 91911-1352 | 2014-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on CASSANDRA PALACIOS.
| 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.