Dema Agency Consultants LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DEMA AGENCY CONSULTANTS LLC

Doing business as

DEMA Health

Practice address

699 W Rialto Ave Unit B
San Bernardino, CA 92410-3327

Phone

(312) 728-3509

Fax

(312) 312-7364

NPI assigned

Nov 11, 2022

Last updated

Feb 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cassandra Govan

Title

Ceo

Phone

(630) 880-2150

Specialties & licenses 4

Addresses

Other names 1

• DEMA Health Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ese Ogbetuo, FNP

  • Family Nurse Practitioner
  • Torrance, CA
  • NPI 1417423138
  NPD (past)
• Peter Oziegbe

  • Psychiatric/Mental Health Nurse Practitioner
  • Torrance, CA
  • NPI 1770753618
  NPD (past)
• Rerhime Reri Uku, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Laguna Hills, CA
  • NPI 1659906147
  NPD (past)

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1265140875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 PEACHTREE WALK NE UNIT B503",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093968",
            "telephone_number": "630-880-2150",
            "fax_number": "312-312-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 W RIALTO AVE UNIT B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103327",
            "telephone_number": "312-728-3509",
            "fax_number": "312-312-7364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1074 Peachtree Walk NE Unit B503",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303093968",
            "country_code": "US",
            "telephone_number": "312-728-3509",
            "fax_number": "313-312-7364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 E Erie St Ste 525-2903",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112740",
            "country_code": "US",
            "telephone_number": "312-728-3509",
            "fax_number": "312-312-7364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEMA AGENCY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "GOVAN",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-880-2150",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEMA Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DEMA Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Precious Saida Delgado
• Deliverance House Incorporated
• Delta Drugs
• Robert Martin Deluca, D.C.
• Marissa Helen Delvalle, RN, BSN, PMHNP
• Alexis Demery
• Helen Kathleen Demetrion, M.S.
• David Demissie, DDS
• Marquita Shenea Dempsey, AMFT, ED,D.
• Jeffrey Lloyd Denison

• Psychiatric/Mental Health Nurse Practitioner in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.