MISS MADELINE TAM CHOW (NPI# 1023031655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023031655 |
| Entity Type | Individual |
| Full Name | MISS MADELINE TAM CHOW |
| Other Name | MISS MADELINE TAM |
| Credential | NP |
| Practice Address |
1510 4th St Suite 1 Berkeley CA 94710-1717 |
| Practice Telephone | 5105258980 |
| Practice Fax Number | 5105258982 |
| Mailing Telephone | 5105258980 |
| Mailing Fax Number | 5105258982 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
10811 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | MT0629874 | 01 |
| CA | NP0108110 | 05 |
| Street Address |
1510 4TH ST SUITE 1 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94710-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871568899 | Bernard Leroy Bennett | Internal Medicine | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2006-02-22 |
| 1447705603 | Kimberly Chang | Nurse Practitioner | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2016-08-17 |
| 1457710998 | Naresh Kumar Joshi | Internal Medicine | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2016-02-11 |
| 1538547237 | Firoza Rahimi | Nurse Practitioner | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2015-05-13 |
| 1013316488 | Maki Matsumura | Nurse Practitioner | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2014-08-21 |
| 1063822187 | Amy Lynn Choy | Physician Assistant | 1510 4th St, Ste 1, Berkeley, CA 94710-1717 | 2014-04-28 |
| 1548605587 | Virgilio Y Baluyut | Nurse Practitioner | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2013-05-03 |
| 1942598289 | Christina Garza | Internal Medicine | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2011-07-20 |
| 1316255094 | Linda Beulah Tran | Internal Medicine | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2010-09-16 |
| 1437489994 | Inpatient Consultants of California, Inc | Family Medicine | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2010-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740836857 | Elizabeth B. Isono | Occupational Therapy Assistant | 2550 9th Street, Suite115, Berkeley, CA 94710 | 2019-08-14 |
| 1861967622 | Liliana Teves Sierra | Nurse Practitioner | 837 Addison St, Berkeley, CA 94710 | 2018-10-09 |
| 1841774213 | Erin Royle | Nurse Practitioner | 800 Dwight Way, Berkeley, CA 94710 | 2018-09-20 |
| 1790293389 | Nga Thien Ho | Pharmacist | 1500 Gilman St, Berkeley, CA 94710 | 2018-01-17 |
| 1942710140 | Laila Rania Tannura | Nurse Practitioner | 837 Addison St., Berkeley, CA 94710 | 2017-10-03 |
| 1578016556 | Elizaveta Pachepsky | Counselor | 1061 Eastshore Hwy, Albany, CA 94710 | 2016-07-26 |
| 1245624832 | Jody Slendebroek | Behavioral Analyst | 2560 9th Street Suite 220a, Ste Consultants LLC, Berkeley, CA 94710 | 2015-03-23 |
| 1104234731 | Felicia Ma | Physician Assistant | 2344 Sixth Street, Berkeley, CA 94710 | 2014-07-28 |
| 1699197228 | Henriette Agnes Lenssen | Acupuncturist | 809 Delaware St, Berkeley, CA 94710 | 2014-01-16 |
| 1598198350 | Fiona C. Lundy | Social Worker | 837 Addison Street, Berkeley, CA 94710 | 2013-08-15 |
| Find all providers in zip 94710 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396967261 | Petrice P. Kam | Nurse Practitioner | 1497 Alcatraz Ave, Berkeley, CA 94702-2710 | 2007-05-02 |
| 1730422767 | Martine Bernstein | Nurse Practitioner | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2013-03-27 |
| 1952342925 | Susanne Boatman | Nurse Practitioner | 3260 Sacramento St, Over 60 Health Center, Berkeley, CA 94702-2739 | 2006-06-09 |
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|---|---|---|---|---|
| 1174139109 | Lena Kazanchyan | Nurse Practitioner | 11834 Archwood St, North Hollywood, CA 91606-1603 | 2020-09-16 |
| 1740898386 | Victor De Guzman | Nurse Practitioner | 24808 Sand Wedge Ln, Valencia, CA 91355-2315 | 2020-07-20 |
| 1114535937 | Ashley Elizabeth Rosso | Nurse Practitioner | 3111 Camino Del Rio N Ste 625, San Diego, CA 92108-5718 | 2020-07-17 |
| 1518586452 | Zaruhi Harutyunyan | Nurse Practitioner | 7901 Santa Monica Blvd Ste 206, West Hollywood, CA 90046-5180 | 2020-04-10 |
| 1457986168 | Maritza J Lira | Nurse Practitioner | 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 | 2020-03-03 |
| 1225677198 | Shannon Ha Duyen Sicat | Nurse Practitioner | 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 | 2019-12-24 |
| 1528605961 | Elsa L Pineda-flores | Nurse Practitioner | 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 | 2019-12-04 |
| 1447895073 | Kemi Osilesi | Nurse Practitioner | 1943 Seasons St, Simi Valley, CA 93065-0580 | 2019-11-07 |
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1255993531 | May Therese Ronci | Nurse Practitioner | 38504 Cougar Pass, Palmdale, CA 93551-5019 | 2019-07-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.