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MRS. FAVIOLA ALFARO PANDURO
NPI 1487113114
Counselor - Addiction (Substance Use Disorder) in Bloomington, CA

Active since March 12, 2019
18612 SANTA ANA AVE, BLOOMINGTON, CA 92316(909) 421-7120(909) 421-7128 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2023, Jan 27, 2023, Mar 12, 2019 (3 updates tracked since 2019).

About Mrs. Faviola Alfaro Panduro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. FAVIOLA ALFARO PANDURO (NPI 1487113114) is an individual addiction (substance use disorder) provider in Bloomington, California and active in the NPI registry since March 2019. She maintains a secondary practice location in San Bernardino.

NPPES Registry Identity

NPI1487113114
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. FAVIOLA ALFARO PANDURO
Location Address18612 SANTA ANA AVEBloomington, CA 92316-2639
Mailing Address290 Wilson Ave Apt 206Perris, CA 92571-3020 · (951) 722-7979
Phone(909) 421-7120
Fax(909) 421-7128
Sole ProprietorNo
Enumeration DateMarch 12, 2019
Last NPPES UpdateJanuary 30, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
✔ NPI 1487113114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedPeer SpecialistTaxonomy 175T00000X
18612 SANTA ANA AVE, Bloomington, CA 92316
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Other Names 1

Former Name (1)Faviola Alfaro

Secondary Practice Location 1

Location 11481 Windsor DrSan Bernardino, CA 92404-5416 · Phone (909) 361-6470

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGINA LISA SANCHEZ
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
MR. JAMES B ENTZ MFT
Marriage & Family Therapist
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
KEIANA DOBSON
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
SAMANTHA PINEDA
Licensed Vocational Nurse
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (840) 220-9529
NICHOLAS SMITH
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
TAMMY AHUMADA
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
KENNEDY ODERO
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
LEAH BOYD
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Faviola Panduro's NPI number?

The NPI number for Faviola Panduro is 1487113114. It was assigned to this individual provider in the NPPES registry on March 12, 2019. The provider is also known as Faviola Alfaro.

Where is Faviola Panduro located?

Faviola Panduro practices at 18612 Santa Ana Ave, Bloomington, CA 92316. The listed phone number is (909) 421-7120.

What is Faviola Panduro's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Faviola Panduro was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.