Individual provider Active NPI

Ramona Chante Stanford Gilbert

  • Addiction (Substance Use Disorder) Counselor
  • Montclair, CA
National Provider Identifier
1093330755
Registry record updated Apr 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1328841118 Issued in CA
Practice address
5505 Moreno St Ste 102
Montclair, CA 91763-1656
Phone
(909) 221-2800
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X RH0011621023 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X R1328841118 CA Primary

Addresses

Primary practice location

5505 Moreno St Ste 102
Montclair, CA 91763-1656

Mailing address

5505 Moreno St Ste 102
Montclair, CA 91763-1656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R1328841118CAMDAddiction (Substance Use Disorder) Counselor
RH0011621023CAMDCase Manager/Care Coordinator

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713657600000",
    "number": "1093330755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 MORENO ST STE 102",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 MORENO ST STE 102",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631656",
            "telephone_number": "909-221-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD GILBERT",
        "first_name": "RAMONA",
        "middle_name": "CHANTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "RH0011621023",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1328841118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.