DIANA KUDERNA (NPI# 1023482700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023482700 |
Entity Type | Individual |
Full Name | DIANA KUDERNA |
Practice Address |
2223 Mckinley Ave Berkeley CA 94703-1717 |
Practice Telephone | 5105410226 |
Mailing Telephone | 5105410226 |
Enumeration Date | 2015-11-18 |
Last Update Date | 2015-11-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA17761 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00 | 00 | 01 |
Street Address |
2223 MCKINLEY AVE |
City | BERKELEY |
State | CA |
Zip Code | 94703-1717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
1619427549 | Sigal Gafni | Occupational Therapist | 1622 Parker St. Apt. 1, Berkeley, CA 94703 | 2016-10-04 |
1750741138 | Ane Becker | Community Health Worker | 2026 Woolsey St, Berkeley, CA 94703 | 2016-02-29 |
1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
1962885988 | Caro Grosvenor | Marriage & Family Therapist | 1511 Ada Street, Berkeley, CA 94703 | 2015-07-08 |
1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
1013340223 | Denise Daniel | Acupuncturist | 6222 La Salle Ave Suite B, Oakland, CA 94703 | 2013-08-12 |
1104126200 | Iramis Kouromenos | Dental Hygienist | 1721 University Ave Apt#209, Berkeley, CA 94703 | 2010-10-25 |
Find all providers in zip 94703 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104234731 | Felicia Ma | Physician Assistant | 2344 Sixth Street, Berkeley, CA 94710 | 2014-07-28 |
1831501345 | Thanh Trung T Nguyen | Physician Assistant | 2052 Mcgee Ave, Berkeley, CA 94703-1417 | 2014-06-02 |
1265791891 | Sun Captain | Physician Assistant | 3031 Telegraph Ave Ste 217, Berkeley, CA 94705-2053 | 2012-05-16 |
1508901232 | George Y Pearson | Physician Assistant | 3108 Acton St, Berkeley, CA 94702-2709 | 2007-02-20 |
1811480312 | Jennifer Kha | Physician Assistant | 2920 Telegraph Ave, Berkeley, CA 94705-2031 | 2018-06-08 |
1538516430 | Kayla Christine Spring | Physician Assistant | 3095 Telegraph Ave, Berkeley, CA 94705-2035 | 2016-05-20 |
1861740961 | Justin C Davis | Physician Assistant | 2512 Telegraph Ave, Berkeley, CA 94704-2918 | 2012-08-21 |
1801192315 | Sarah Pontell | Physician Assistant | 2915 Telegraph Ave, Suite 101, Berkeley, CA 94705-2060 | 2011-01-31 |
1376868497 | Helen O Chodsky | Physician Assistant | 2320 Woolsey St, Suite 202, Berkeley, CA 94705-1973 | 2010-03-31 |
1013230440 | Miriam Mona Gaffer Ferreira | Physician Assistant | 2828 Telegraph Ave, Berkeley, CA 94705-1119 | 2010-03-12 |
Find all providers in BERKELEY |
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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.