ALFREDO J BOLANOS JR.
NPI 1649754417
Counselor in San Dimas, CA

Active since September 18, 2018
762 CYPRESS ST, SAN DIMAS, CA 91773(909) 599-1227 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 24, 2019, Sep 18, 2018 (2 updates tracked since 2018).

About Alfredo J Bolanos Jr. NPPES

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

ALFREDO J BOLANOS JR. (NPI 1649754417) is an individual counselor in San Dimas, California and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1649754417
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameALFREDO J BOLANOS JR.
Location Address762 CYPRESS STSan Dimas, CA 91773-3505
Mailing Address762 Cypress StSan Dimas, CA 91773-3505
Sole ProprietorNo
Enumeration DateSeptember 18, 2018
Last NPPES UpdateApril 24, 20192 updates tracked since enumeration
NPI 1649754417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
762 CYPRESS ST, San Dimas, CA 91773

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.

Case Manager/Care Coordinator
762 CYPRESS ST
SAN DIMAS, CA 91773
Counselor
762 CYPRESS ST
SAN DIMAS, CA 91773
Licensed Vocational Nurse
762 CYPRESS ST
SAN DIMAS, CA 91773
Case Manager/Care Coordinator
762 CYPRESS ST
SAN DIMAS, CA 91773
Licensed Vocational Nurse
762 CYPRESS ST
SAN DIMAS, CA 91773
Student in an Organized Health Care Education/Training Program
762 CYPRESS ST
SAN DIMAS, CA 91773
Student in an Organized Health Care Education/Training Program
762 CYPRESS ST
SAN DIMAS, CA 91773
Adult Companion
762 CYPRESS ST
SAN DIMAS, CA 91773

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 Alfredo Bolanos's NPI number?

The NPI number for Alfredo Bolanos is 1649754417. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Alfredo Bolanos located?

Alfredo Bolanos practices at 762 Cypress St, San Dimas, CA 91773. The listed phone number is (909) 599-1227.

What is Alfredo Bolanos's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Alfredo Bolanos was last updated on April 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.