JASON WILLOUGHBY


Address: 2236 Mulberry Ln, Placerville, CA 95667
Phone: 5303916929

JASON WILLOUGHBY (NPI# 1023440963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023440963
Entity Type Individual
Full Name JASON WILLOUGHBY
Practice Address 2236 Mulberry Ln
Placerville
CA 95667
Mailing Address 2236 Mulberry Ln
Placerville
CA 95667-7783
Practice Telephone 5303916929
Mailing Telephone 5303916929
Enumeration Date 2013-08-02
Last Update Date 2013-08-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2472E0500X Technician, Other
Specialization: EEG
Technologists, Technicians & Other Technical Service Providers

Other Providers JASON WILLOUGHBY

NPI Name Taxonomy Address Enumeration
1497740583 Jason Alexander Willoughby Occupational Therapist 151 N Eagle Creek Dr, Suite 400, Lexington, KY 40509-1889 2005-09-14
1124453204 Jason Keith Willoughby Nurse Practitioner 927 Medical Center Dr, Bessemer, AL 35022-6081 2013-09-09
1811202443 Jason Cyril Willoughby Psychologist 11059 E. Bethany Drive, Ste 200, Aurora, CO 80014-9811 2010-08-06

Office Location

Street Address 2236 MULBERRY LN
City PLACERVILLE
State CA
Zip Code 95667

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1225694474 Camille Borba Doula 1212 Lotus Rd, Placerville, CA 95667 2019-05-14
1033610399 Julie Marie Halsall Counselor 2844 Coloma Street, Placerville, CA 95667 2018-02-22
1053839092 County of El Dorado Community/Behavioral Health 3057 Briw Road, Suite A, Placerville, CA 95667 2017-08-30
1982129508 Brent Charles Ulrici Counselor 2986 Colma St, Placerville, CA 95667 2017-08-04
1629464326 Crystal Coury Counselor 5607 Mount Murphy Roas, Garden Valley, CA 95667 2015-04-09
1396141750 Brown and Ghazal Dental Corporation Dentist 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 2014-11-13
1962808402 Laura Ann Curry Counselor 6765 Green Valley Road, Placerville, CA 95667 2014-11-11
1518374453 Kelly Lynn Carson Counselor 2844 Colona St., Placerville, CA 95667 2014-07-11
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Taxonomy Information

Taxonomy Code 2472E0500X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Other
Specialization EEG

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245878503 Anne Edano Technician, Other 1105 Wesley Ave, Pasadena, CA 91104-3158 2019-12-18
1942782370 Susan Elizabeth Smiley Technician, Other 160 S. Lasky Drive, Beverly Hills, CA 90212 2018-09-01
1275931438 Mynd Analytics, Inc. Technician, Other 25201 Paseo De Alicia Ste 145, Laguna Hills, CA 92653-4612 2014-12-19
1962808030 James Hong Technician, Other 705 E Borchard Ave, Santa Ana, CA 92707-1917 2014-11-17
1194167759 Derek Swanier Technician, Other 14709 S Budlong Ave Apt 309, Gardena, CA 90247-3063 2013-07-24
1588900757 Charlene Simpson Technician, Other 32430 Pacific Coast Hwy, Malibu, CA 90265-2531 2012-12-17
1386998862 Noel Lopez Sr. Technician, Other 1117 Huntington Dr, Modesto, CA 95350-3457 2012-11-05
1023616935 Gabriel J Hernandez Technician, Other 1600 E Belle Ter, Bakersfield, CA 93307-3871 2020-10-13
1942840186 Brittany Frank Technician, Other 2500 Grant Rd, Mountain View, CA 94040-4302 2020-01-15
1013419480 Michaella Chua Technician, Other 1999 Harrison St Ste 1800, Oakland, CA 94612-4700 2018-03-01
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Competitor

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City PLACERVILLE
Zip Code 95667

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Dataset Information

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.

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