DEWRAISE CORPREW (NPI# 1811315260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811315260 |
| Entity Type | Individual |
| Full Name | DEWRAISE CORPREW |
| Practice Address |
1260 E Arrow Hwy Bldg E Upland CA 91786-4984 |
| Practice Telephone | 9099321069 |
| Practice Fax Number | 9099321087 |
| Mailing Telephone | 9099321069 |
| Mailing Fax Number | 9099321087 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2018-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1260 E ARROW HWY BLDG E |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-4984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710017165 | Roberta Reid | Marriage & Family Therapist | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2007-03-06 |
| 1790318004 | Tahmra Reid | Peer Specialist | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2020-02-14 |
| 1073023628 | Melissa Lozano | Licensed Vocational Nurse | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2017-10-10 |
| 1629591193 | Trudy Alice Osborne | Licensed Vocational Nurse | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2017-07-17 |
| 1043750375 | Elizabeth Ann Guilleaume | Counselor | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2017-03-06 |
| 1871037085 | Carlos Cabello | Counselor | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2016-12-06 |
| 1245697275 | Thomas Marsteller | Counselor | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2016-01-21 |
| 1801270244 | Smita Kapoor | Marriage & Family Therapist | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2015-07-15 |
| 1659764934 | Brittany Duarte | Counselor | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2015-03-11 |
| 1013260173 | Carina Shaw | Counselor | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2012-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059725 | Nicholas Howard Munoz | Counselor | 934 N Mountain Ave Ste C-d, Upland, CA 91786-3659 | 2020-10-08 |
| 1437625969 | Melissa Jean Hacker | Counselor | 934 N Mountain Ave Ste A, Upland, CA 91786-3659 | 2018-10-23 |
| 1356887152 | Erica Roxanne Caudillo | Counselor | 167 N 3rd Ave Ste N, Upland, CA 91786-6052 | 2017-01-17 |
| 1255729422 | Alexander Murray | Counselor | 1260 E. Arrow Hwy Bldg. E, Upland, CA 91786 | 2014-12-22 |
| 1477875433 | Sandra I. Romero | Counselor | 916 N. Mountain Ave., Suite A, Upland, CA 91786 | 2010-02-18 |
| 1467788315 | Becky Baker | Counselor | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2009-10-28 |
| 1669697322 | Robert Andrew Gallegos | Counselor | 1260 E Arrow Hwy Bldg B, Upland, CA 91786-4996 | 2007-04-16 |
| 1831222652 | Susan Evette Otero | Counselor | 916 N Mountain Ave, Suite A, Upland, CA 91786-3697 | 2007-03-13 |
| 1245387687 | Janice Kay Degrande | Counselor | 1260 E Arrow Hwy Bldg C, Upland, CA 91786-4987 | 2007-01-05 |
| 1598366304 | Theresa Smith | Counselor | 239 W 9th St, Upland, CA 91786-5979 | 2020-11-06 |
| 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.