REBECCA RUTH DODGE (NPI# 1811547698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811547698 |
| Entity Type | Individual |
| Full Name | REBECCA RUTH DODGE |
| Practice Address |
13586 Delaware Rd Apple Valley CA 92308-6178 |
| Practice Telephone | 7609003998 |
| Mailing Telephone | 7609003998 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
CA | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245884014 | Rebecca Dodge | Pharmacy | 4611 E Shea Blvd Ste 180, Phoenix, AZ 85028-4258 | 2019-07-30 |
| 1205167160 | Rebecca M Dodge | Psychologist | 3939 Ne Hancock St # 316, Portland, OR 97212-5321 | 2010-01-15 |
| 1033326699 | Rebecca Ann Dodge | Psychologist | 86 South Steward Street, Suite 201, Sonora, CA 95370-4771 | 2007-05-16 |
| Street Address |
13586 DELAWARE RD |
| City | APPLE VALLEY |
| State | CA |
| Zip Code | 92308-6178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831850 | Lisa K Frandsen | Behavioral Analyst | 19794 Poppy Rd, Apple Valley, CA 92308 | 2020-08-14 |
| 1518484195 | Jennifer Redwine | Behavioral Analyst | 1905 Business Center Drive South, Unit 100, San Bernardino, CA 92308 | 2017-08-24 |
| 1508397100 | West Care Transportation | Non-emergency Medical Transport (VAN) | 15480 Straight Arrow Rd #b, Apple Valley, CA 92308 | 2017-03-24 |
| 1811346497 | E Kim Dental Corp | Dentist | 21580 Bear Valley Rd., Ste B2-2, Apple Valley, CA 92308 | 2016-06-06 |
| 1134575376 | Seth Owuor | Pharmacist | 14426 Palmdale Road, Victorville, CA 92308 | 2016-05-06 |
| 1043608763 | Kamal Ebadpour | Adult Companion | 13224 Iroquois Road, Apple Valley, CA 92308 | 2015-01-05 |
| 1487099669 | Hateem Siddiqui | Internal Medicine | 19059 Bear Valley Rd # 3, Apple Valley, CA 92308 | 2013-05-01 |
| 1225305618 | Edward N. Sianipar | Nurse Practitioner | 19059 Bear Valley Rd., #1, Apple Valley, CA 92308 | 2011-11-29 |
| 1043508559 | Southern California Primary Medical Inc | Clinic/Center | 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308 | 2011-07-18 |
| 1396070959 | Asghar Ali Rajani | Registered Nurse | 19059 Bear Valley Road, Apple Valley, CA 92308 | 2009-10-14 |
| Find all providers in zip 92308 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154533040 | Thanh Do | Technician | 12502 Iland Ct., Apple Valley, MN 55124 | 2007-05-04 |
| 1205058351 | Pany Romanson | Technician | 15920 Garrett Path, Apple Valley, MN 55124-5115 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346865540 | Yulissa Leon | Technician | 78 Rodondo Ave, Suisun City, CA 94585-1745 | 2020-06-12 |
| 1992338248 | Antonio R Pantua | Technician | 1766 E Calaveras St, Altadena, CA 91001-3310 | 2020-02-14 |
| 1407486574 | Shay Turner | Technician | 310 E Foothill Blvd Ste 257, Pomona, CA 91767-1406 | 2020-01-17 |
| 1164061115 | Harmony Home Care, Inc. | Technician | 22600 Savi Ranch Pkwy Ste A44, Yorba Linda, CA 92887-4606 | 2019-12-21 |
| 1194369082 | Carnelian Villas LLC | Technician | 1773 S Carnelian St, Anaheim, CA 92802-2402 | 2019-11-04 |
| 1164065363 | Rebecca Pena | Technician | 2927 Wainwright Ave, Merced, CA 95340-2425 | 2019-10-21 |
| 1720620248 | Devana Gabrielle Devoe | Technician | 345 Thomas Ave, Vallejo, CA 94590-7126 | 2019-10-16 |
| 1184275158 | Wetonna Marie Walker | Technician | 20630 Iris Canyon Rd, Riverside, CA 92508-3525 | 2019-09-21 |
| 1841840949 | Alisia Roberta, Dominique Reyes | Technician | 2210 Dobern Ave, San Jose, CA 95116-3403 | 2019-09-19 |
| 1508416686 | Antoinette Yvette Mccall | Technician | 6800 Woodbine Ave, Sacramento, CA 95822-4066 | 2019-09-19 |
| Find all providers with the same taxonomy | ||||
| City | APPLE VALLEY |
| Zip Code | 92308 |
Please comment or provide details below to improve the information on REBECCA RUTH DODGE.
| 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.