DR. LISSETTE CARMONA


Address: 769 W Blaine St Ste B, Riverside, CA 92507-3970
Phone: 9513584705

DR. LISSETTE CARMONA (NPI# 1861718975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861718975
Entity Type Individual
Full Name DR. LISSETTE CARMONA
Credential PSYD
Practice Address 769 W Blaine St Ste B
Riverside
CA 92507-3970
Mailing Address 12979 Moreno Beach Dr Apt 12202
Moreno Valley
CA 92555-4433
Practice Telephone 9513584705
Practice Fax Number 9513584719
Mailing Telephone 7872365870
Enumeration Date 2010-04-14
Last Update Date 2010-04-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 769 W BLAINE ST STE B
City RIVERSIDE
State CA
Zip Code 92507-3970

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043203466 Arthur Amador Psychiatry & Neurology 769 W Blaine St Ste B, Riverside, CA 92507-3970 2005-08-31
1184123432 Roseann Marie Ruffini Counselor 769 W Blaine St Ste B, Riverside, CA 92507-3970 2018-02-01
1215441738 Lakia Clayton Counselor 769 W Blaine St Ste B, Riverside, CA 92507-3970 2017-11-20
1003345992 Jessica Elizabeth Wilinski Counselor 769 W Blaine St Ste B, Riverside, CA 92507-3970 2017-06-06
1114395159 Silvia Villasenor Health Educator 769 W Blaine St Ste B, Riverside, CA 92507-3970 2015-09-08
1437542735 Marylee Alzaga Licensed Vocational Nurse 769 W Blaine St Ste B, Riverside, CA 92507-3970 2015-03-11
1033516182 Stephanie Lea Meinecke Licensed Vocational Nurse 769 W Blaine St Ste B, Riverside, CA 92507-3970 2014-12-03
1467862896 Gabriella Ortiz-alejos Counselor 769 W Blaine St Ste B, Riverside, CA 92507-3970 2014-05-07
1992042147 Sofia Villalobos Counselor 769 W Blaine St Ste B, Riverside, CA 92507-3970 2013-01-08
1841560232 Velvet Castro Licensed Vocational Nurse 769 W Blaine St Ste B, Riverside, CA 92507-3970 2012-01-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205448917 Rachel Nielson Counselor 1450 Spruce St, Suite A, Riverside, CA 92507 2020-08-24
1437769742 Pakravan, Manavi & Cohen Dental Corporation Dentist 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 2020-08-03
1518577972 Michael Vincent Laureola Dds Inc Dentist 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 2020-07-31
1164067567 Audrey Gruen Social Worker Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 2019-11-10
1518432962 Antonio Mixon Specialist 1405 Spruce Street, Suite A, Riverside, CA 92507 2018-10-11
1811479793 New Day Counseling Services Counselor 20363 Harvard Way, Riverside, CA 92507 2018-09-06
1780176875 Miriam Martinez Case Manager/Care Coordinator 2085 Rustin Ave., Riverside, CA 92507 2018-06-04
1518478874 Lisa Manuel Counselor 2058 Rustin Ave, Riverside, CA 92507 2017-10-13
1497272942 Yajaira Placensia Behavioral Analyst 1486 Everton Place, Riverside, CA 92507 2017-08-25
1841717691 Stephanie Teuchert Behavioral Analyst 1080 Spruce Street Apartment 7c, Riverside, CA 92507 2017-08-23
Find all providers in zip 92507

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447870365 Monica Sameh Hanna Student in an Organized Health Care Education/Training Program University of California Riverside School of Medicine, 14350 Meridian Pkwy # 2, Riverside, CA 92518-3035 2020-04-21
1861011876 Monika Ellyn Garcia Student in an Organized Health Care Education/Training Program 14350 Meridian Parkway Box #2, Riverside, CA 92518 2020-04-09
1568099976 Victoria Lee Student in an Organized Health Care Education/Training Program Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 2020-03-25
1114553765 Pamela Picchi Student in an Organized Health Care Education/Training Program 111 Prescott Ave, Riverside, RI 02915-1944 2020-03-16
1538794094 Jason Washington Student in an Organized Health Care Education/Training Program 4301 La Sierra Ave Apt 50, Riverside, CA 92505-2906 2020-03-05
1144860404 Brian Jisu Shin Student in an Organized Health Care Education/Training Program 8293 Perla Dr, Riverside, CA 92504-2419 2020-01-14
1609415116 Broderich Alexander Durley Student in an Organized Health Care Education/Training Program 14235 Oakley Dr, Riverside, CA 92503-7236 2019-12-31
1861031353 Alex Tovar Student in an Organized Health Care Education/Training Program 16901 Clementine Ct, Riverside, CA 92503-6935 2019-12-31
1477192979 Gregory David White Student in an Organized Health Care Education/Training Program 7965 Los Arboles Pl, Riverside, CA 92504-3530 2019-12-31
1407497076 Guadalupe Rocha Student in an Organized Health Care Education/Training Program 10135 Hillsborough Ln, Riverside, CA 92503-1018 2019-10-03
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92507

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Dataset Information

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.

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