MS. JENNIFER L FANZO (NPI# 1821229253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821229253 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER L FANZO |
| Credential | M.A. |
| Practice Address |
217 W Cerritos Ave Building 8 Anaheim CA 92805-6549 |
| Practice Telephone | 7142548473 |
| Mailing Telephone | 7142548473 |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
217 W CERRITOS AVE BUILDING 8 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-6549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922022821 | Antonio Gutierrez | Marriage & Family Therapist | 217 W Cerritos Ave, Building # 8, Anaheim, CA 92805-6549 | 2006-07-26 |
| 1346710555 | Joann Hyungjoo Lee | Specialist/Technologist | 217 W Cerritos Ave, Anaheim, CA 92805-6549 | 2018-11-30 |
| 1033686811 | Lauren Ybarra | Specialist/Technologist | 217 W Cerritos Ave, Anaheim, CA 92805-6549 | 2018-10-30 |
| 1689159386 | Cassandra Amour Jasso | Occupational Therapy Assistant | 217 W Cerritos Ave, Anaheim, CA 92805-6549 | 2018-09-27 |
| 1871094342 | Kenneth Hoi Yu | Occupational Therapist | 217 W Cerritos Ave, Anaheim, CA 92805-6549 | 2018-02-21 |
| 1750899894 | Elizabeth Gonzalez | Specialist/Technologist | 217 W Cerritos Ave, Anaheim, CA 92805-6549 | 2018-01-10 |
| 1962913004 | Amanda Theeck | Speech-Language Pathologist | 217 W Cerritos Ave, Anaheim, CA 92805-6549 | 2017-10-16 |
| 1376053470 | Brenda Itay Lomeli | Specialist/Technologist | 217 W Cerritos Ave, Anaheim, CA 92805-6549 | 2017-10-03 |
| 1760991590 | Lesley Avilez | Physical Therapist | 217 W Cerritos Ave, Anaheim, CA 92805-6549 | 2017-09-25 |
| 1912416884 | Ndidi Egeonuigwe | Speech-Language Pathologist | 217 W Cerritos Ave, Anaheim, CA 92805-6549 | 2017-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174932297 | Sarah Kathleen Rimack | Psychologist | 505 N Euclid St, Suite 300, Anaheim, CA 92801-5506 | 2014-08-04 |
| 1699043604 | Melissa Lynn Batista | Psychologist | 505 N. Euclid Ave., Suite 300, Anaheim, CA 92801 | 2011-12-05 |
| 1003103268 | Lori Johnson | Psychologist | 160 W Cerritos Ave, Anaheim, CA 92805-6546 | 2011-07-07 |
| 1619100260 | Advanced Research Center, Inc. | Psychologist | 1020 S Anaheim Blvd, #316, Anaheim, CA 92805-5851 | 2009-08-31 |
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| 1073148938 | Kristine Fleming | Psychologist | 4309 Campbell Dr, Pittsburg, CA 94565-6017 | 2020-03-11 |
| 1730711375 | Benjamin Alpert, Psyd, A Psychological Corporation | Psychologist | 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 | 2020-02-11 |
| 1073144010 | Melissa Alexis Ramirez | Psychologist | 1514 Caminito Soria Unit 2, Chula Vista, CA 91913-2503 | 2020-01-29 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1184264533 | New Vision Counseling Center | Psychologist | 8050 La Mesa Blvd, La Mesa, CA 91942-0335 | 2020-01-14 |
| 1235778614 | Jessica Herbold | Psychologist | 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 | 2020-01-02 |
| 1003478405 | Melissa Berrenge-browde | Psychologist | 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 | 2019-07-05 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
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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.