CLARE MATRIX (NPI# 1992129282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992129282 |
Entity Type | Organization |
Organization Name | CLARE MATRIX |
Other Organization Name | CLARE FOUNDATION, INC. DBA MATRIX INSTITUTE ON ADDICTIONS |
Practice Address |
812 N Euclid Ave Ontario CA 91762-2714 |
Mailing Address |
2644 30th St Ste 100 Santa Monica CA 90405-3051 |
Practice Telephone | 0993950888 |
Mailing Telephone | 3103146200 |
Mailing Fax Number | 3104502024 |
Enumeration Date | 2014-02-07 |
Last Update Date | 2019-08-16 |
Authorized Official Name | DR. LISA D. STEELE (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 3103146200 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
Y | 251S00000X | Community/Behavioral Health | 360020AN | CA | Agencies |
Other Name | Type Code |
---|---|
CLARE Foundation, Inc. dba MATRIX Institute on Addictions | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467916403 | Clare Matrix | Clinic/Center | 5220 W Washington Blvd Ste 200, Los Angeles, CA 90016-1331 | 2019-01-23 |
1811486988 | Clare Matrix | Substance Abuse Rehabilitation Facility | 131 N Bundy Dr, Los Angeles, CA 90049-2823 | 2018-05-04 |
1760987044 | Clare Matrix | Substance Abuse Rehabilitation Facility | 3741 S Barrington Ave, Los Angeles, CA 90066-3218 | 2018-03-28 |
1528563285 | Clare Matrix | Substance Abuse Rehabilitation Facility | 515 N Kenter Ave, Los Angeles, CA 90049-1934 | 2018-03-26 |
1508378860 | Clare Matrix | Substance Abuse Rehabilitation Facility | 2207 & 2207 1/2 23rd Street, Santa Monica, CA 90405-1725 | 2017-10-26 |
1346752730 | Clare Matrix | Substance Abuse Rehabilitation Facility | 4336 Alla Rd, Los Angeles, CA 90066-6101 | 2017-10-25 |
1306387006 | Clare Matrix | Substance Abuse Rehabilitation Facility | 1023 Pico Blvd, Santa Monica, CA 90405-1415 | 2017-03-14 |
1063878510 | Clare Matrix | Community/Behavioral Health | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2016-01-13 |
1962839746 | Clare Matrix | Substance Abuse Rehabilitation Facility | 1869-1871 9th St, Santa Monica, CA 90404-4501 | 2013-10-10 |
1265707152 | Clare Matrix | Clinic/Center | 20301 Ventura Blvd Ste 121, Woodland Hills, CA 91364-2447 | 2012-03-12 |
Street Address |
812 N EUCLID AVE |
City | ONTARIO |
State | CA |
Zip Code | 91762-2714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932710647 | Allyce Christine Gomez | Counselor | 812 N Euclid Ave, Ontario, CA 91762-2714 | 2020-08-14 |
1558911826 | Amanda Marie Tafoya | Counselor | 812 N Euclid Ave, Ontario, CA 91762-2714 | 2019-09-18 |
1982258000 | Shea Hawks | Counselor | 812 N Euclid Ave, Ontario, CA 91762-2714 | 2019-07-26 |
1881177632 | Maria Luisa Vargas | Counselor | 812 N Euclid Ave, Ontario, CA 91762-2714 | 2018-09-07 |
1710460555 | Kerri-anne Nicole Whiting Denton | Marriage & Family Therapist | 812 N Euclid Ave, Ontario, CA 91762-2714 | 2018-09-07 |
1063904159 | Jacqueline Julissa Sosa-torres | Counselor | 812 N Euclid Ave, Ontario, CA 91762-2714 | 2018-06-04 |
1538658661 | Clare Matrix | Clinic/Center | 812 N Euclid Ave, Ontario, CA 91762-2714 | 2018-05-03 |
1114423415 | Amy Elizabeth Sinkeldam | Counselor | 812 N Euclid Ave, Ontario, CA 91762-2714 | 2018-04-04 |
1841607017 | Sean Cuypers | Marriage & Family Therapist | 812 N Euclid Ave, Ontario, CA 91762-2714 | 2014-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366093486 | Samantha Jo Brumfield | Nurse Practitioner | 5562 Central Avenue, Suite 300, Chino, CA 91762 | 2019-09-20 |
1215598578 | Janet Murphy | Behavior Technician | 1520 North Mountain Ave., Ste 206, Ontario, CA 91762 | 2019-06-26 |
1437717550 | Fjs Hearing Professionals | Hearing Instrument Specialist | 528 N Palm Ave, Ontario, CA 91762 | 2019-06-04 |
1669990768 | Claudia Juarez Tapia | Counselor | 125 W F Street, Ontario, CA 91762 | 2017-09-08 |
1093230468 | David Rayo | Respiratory Therapist, Registered | 805 W E St, Ontario, CA 91762 | 2017-08-07 |
1215475348 | Chinmay Patel | Physical Therapist | 910 S Mountain Avenue Unite A, Ontario, CA 91762 | 2017-02-09 |
1003265604 | Bambi Mpiana | Dentist | 1337 N Mountain Ave Ste 1, Ontario, CA 91762 | 2016-06-06 |
1548630940 | Ned Paniagua, Dmd A Professional Corporation | Dentist | 533 W. Holt Blvd., Suite B, Ontario, CA 91762 | 2015-09-29 |
1568865251 | Jennifer Estberg | Student in an Organized Health Care Education/Training Program | 317 W. F Street, Ontario, CA 91762 | 2014-10-08 |
1447660873 | Agha Zulfequar Hayder | Nurse Practitioner | 1001 West 6th Street, Suite B., Ontario, CA 91762 | 2014-05-07 |
Find all providers in zip 91762 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376069815 | Valerie Maldonado | Community/Behavioral Health | 1645 N Humboldt Ave, Ontario, CA 91764-1437 | 2017-08-16 |
1578883906 | West End Family Counseling Service | Community/Behavioral Health | 1420 S Milliken Ave Ste 506&508, Ontario, CA 91761-2336 | 2010-06-08 |
1376707489 | Hope Counseling and Family Therapy, Inc. | Community/Behavioral Health | 4100 Jurupa St, Suite 108, Ontario, CA 91761-1420 | 2008-07-17 |
1457539785 | Foundation Services Group, Inc | Community/Behavioral Health | 372 Sw 1st Ave, Ontario, OR 97914-2734 | 2008-02-08 |
1093270332 | Savior's Faith Ministries | Community/Behavioral Health | 3401 Centre Lake Dr, Ontario, CA 91761-1201 | 2019-01-31 |
1891222659 | Lifeways, Inc | Community/Behavioral Health | 686 Nw 9th St, Ontario, OR 97914-1600 | 2017-05-11 |
1992175962 | Bilingual Family Counseling Services | Community/Behavioral Health | 317 W F St, Ontario, CA 91762-3205 | 2015-10-02 |
1982071627 | Mental Health Systems, Inc. | Community/Behavioral Health | 316 E E St, Ontario, CA 91764-3712 | 2015-08-28 |
1902273923 | Pacific Clinics | Community/Behavioral Health | 2990 Inland Empire Blvd, Suites 101 & 102, Ontario, CA 91764-4899 | 2015-08-25 |
1073780516 | Safe Haven Inc | Community/Behavioral Health | 372 Sw 1st Ave, Ontario, OR 97914-2734 | 2008-05-14 |
Find all providers in ONTARIO |
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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.