Ebony Irene Pannell

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1870 Cordell CT Ste 101
El Cajon, CA 92020-0915

Phone

(619) 448-9700

Fax

(619) 448-9711

NPI assigned

Jun 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Love 2 Learn Therapies Inc

  • Speech-Language Pathologist
  • Huntington Beach, CA
  • NPI 1821430182
  NPD (past)
• San Diego Youth Services

  • Community/Behavioral Health Agency
  • El Cajon, CA
  • NPI 1194972174
  NPD (past)

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1225521826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16782 VON KARMAN AVE STE 11",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926062417",
            "telephone_number": "949-833-2237",
            "fax_number": "714-866-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 CORDELL CT STE 101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920200915",
            "telephone_number": "619-448-9700",
            "fax_number": "619-448-9711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "264 Landis Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919102651",
            "country_code": "US",
            "telephone_number": "619-977-6851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5762 Bolsa Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926491172",
            "country_code": "US",
            "telephone_number": "714-292-2322",
            "fax_number": "714-866-4153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "EBONY",
        "middle_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Almedo Bacani Pamintuan Jr., CATC
• Bahram Panbehi, M.D.
• Ysabella Panggat
• Giacomo Paniagua
• Keirington Pankey
• Nicholas Pantazes, B.A.
• Rhett Papa, D.O.
• Stephen Papaleo, PH.D.
• Lauren Athena Papanos, MS, RD, CSSD
• Chandani Parikh, SLP

• Student in an Organized Health Care Education/Training Program in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.