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3633 Inland Empire Blvd Ste 777 Ontario CA 91764-7974 | |
| (909) 295-5805 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 3633 Inland Empire Blvd Ste 777, Ontario, California |
| Authorized Official Name and Position | Sherif Toma (DIRECTOR) |
| Authorized Official Contact | 9096102759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3633 Inland Empire Blvd Ste 777 Ontario CA 91764-7974 Ph: (909) 766-0023 | 3633 Inland Empire Blvd Ste 777 Ontario CA 91764-7974 Ph: (909) 295-5805 |
| NPI Number | 1528640026 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/26/2024 |
| Medicare PECOS PAC ID | 1658744974 |
|---|---|
| Medicare Enrollment ID | O20230307000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528640026 | NPI | - | NPPES |
| Provider Name | Ruby D Varela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073642484 PECOS PAC ID: 7517228133 Enrollment ID: I20180222002008 |
| Provider Name | Peter Joel Heck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629520507 PECOS PAC ID: 2860769635 Enrollment ID: I20191010001058 |
| Provider Name | Sherif R Toma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336270305 PECOS PAC ID: 3375953599 Enrollment ID: I20201029000689 |
| Provider Name | Kaleb L. Singleton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699384651 PECOS PAC ID: 2961814215 Enrollment ID: I20201210002183 |
| Provider Name | Mina Youssef |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316562390 PECOS PAC ID: 5991196669 Enrollment ID: I20220107000439 |
| Provider Name | Ann Catherine Eicker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821280017 PECOS PAC ID: 3971975871 Enrollment ID: I20230201003204 |
| Provider Name | Michelle S Enriquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144810771 PECOS PAC ID: 7315391745 Enrollment ID: I20231003003320 |
| Provider Name | Amanda Jean Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477029866 PECOS PAC ID: 8123475654 Enrollment ID: I20231106001359 |
| Provider Name | Nicole Levin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942638937 PECOS PAC ID: 8527417385 Enrollment ID: I20231206000944 |
| Provider Name | Ilse Aerts |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174975155 PECOS PAC ID: 3476997339 Enrollment ID: I20240219002725 |
| Provider Name | Kara Jj Silver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346338969 PECOS PAC ID: 1355786062 Enrollment ID: I20240304001051 |
| Provider Name | Forough A. Eftekhari |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235252206 PECOS PAC ID: 9931641123 Enrollment ID: I20240603003452 |
| Provider Name | Priscila Mendoza |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952955049 PECOS PAC ID: 5597207308 Enrollment ID: I20240607003047 |
| Provider Name | Diana Franco |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871024141 PECOS PAC ID: 0941746861 Enrollment ID: I20240726001766 |
| Provider Name | Jean Gin-yi Chow |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902469125 PECOS PAC ID: 9830636430 Enrollment ID: I20240731003536 |
| Provider Name | Patrice Nicole Douglas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275911257 PECOS PAC ID: 5597299123 Enrollment ID: I20241105002919 |
| Provider Name | Marlene Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245784966 PECOS PAC ID: 3870027410 Enrollment ID: I20241105003309 |
| Provider Name | Jeffrey John Schneider |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750017034 PECOS PAC ID: 1153855655 Enrollment ID: I20241106001904 |
| Provider Name | Patricia Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457619363 PECOS PAC ID: 5294269528 Enrollment ID: I20241108003871 |
| Provider Name | Yevett Enid Ogea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689233728 PECOS PAC ID: 5698209807 Enrollment ID: I20241111003449 |
| Provider Name | Cory E Kowalski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770201709 PECOS PAC ID: 6305370495 Enrollment ID: I20241112002854 |
| Provider Name | Sammantha Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508416942 PECOS PAC ID: 6709310436 Enrollment ID: I20241118000267 |
| Provider Name | Beatriz Ornelas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801089719 PECOS PAC ID: 3870028541 Enrollment ID: I20241119001995 |
| Provider Name | Sorayda Gonzalez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689189250 PECOS PAC ID: 5092240192 Enrollment ID: I20241126003800 |
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Blue Oak Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 E Guasti Rd Ste 100, Ontario, CA 91761 Phone: 909-306-8686 | |
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Lovely Day Family Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 E Guasti Rd Ste 100, Ontario, CA 91761 Phone: 909-701-7476 | |
Stepping Stones Behavior Guidance, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 E Guasti Rd Ste 100, Ontario, CA 91761 Phone: 661-202-6993 Fax: 909-804-6069 | |