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GENESIS J DADE ATC
NPI 1669106126
Student in an Organized Health Care Education/Training Program in Corona, CA

Active since July 12, 2022
1222 LAVENDAR WAY, CORONA, CA 92882(951) 665-7256 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genesis J Dade Atc NPPES

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

GENESIS J DADE ATC (NPI 1669106126) is an individual student in an organized health care education/training program in Corona, California and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1669106126
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGENESIS J DADECredential: ATC
Location Address1222 LAVENDAR WAYCorona, CA 92882-7333
Mailing Address1222 Lavendar WayCorona, CA 92882-7333 · (951) 665-7256
Phone(951) 665-7256
Sole ProprietorNo
Enumeration DateJuly 12, 2022
NPPES CertifiedJuly 12, 2022
✔ NPI 1669106126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License E151905 (CA)
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1222 LAVENDAR WAY, Corona, CA 92882
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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 Genesis Dade's NPI number?

The NPI number for Genesis Dade is 1669106126. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Genesis Dade located?

Genesis Dade practices at 1222 Lavendar Way, Corona, CA 92882. The listed phone number is (951) 665-7256.

What is Genesis Dade's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Genesis Dade was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.