MS. WANDA HARRIETTE JOHNSON (NPI# 1043263452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043263452 |
Entity Type | Individual |
Full Name | MS. WANDA HARRIETTE JOHNSON |
Credential | NP |
Practice Address |
10700 Macarthur Blvd East Oakland Clinic, Suite 14b Oakland CA 94605-5260 |
Mailing Address |
10700 Macarthur Blvd Oakland CA 94605-5298 |
Practice Telephone | 5105634300 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2012-10-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
13709 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1992838437 | 05 | |
CA | 1629293956 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659890903 | Wanda Johnson | Counselor | 3411 Eleanor Cir, Alexandria, LA 71302-5617 | 2017-09-18 |
1467827766 | Wanda Johnson | Social Worker | 201 Johnson Loop A, Natchitoches, LA 71457 | 2015-12-11 |
1598160509 | Wanda Lee Johnson | Registered Nurse | 4866 Persimmon Bend Ln, Black Jack, MO 63033-4568 | 2014-11-03 |
1699010942 | Wanda Sue Johnson | Occupational Therapist | 16292 Porterfield Hwy, Abingdon, VA 24210-8474 | 2012-11-27 |
1942565775 | Wanda Denise Johnson | Specialist | 2040 Bruckner Blvd Apt 9e, Bronx, NY 10473-1931 | 2012-07-09 |
1497033765 | Wanda Leslie Johnson | Home Health Aide | 100 N Edge Dr, South Hill, VA 23970-1233 | 2011-08-03 |
1134305501 | Wanda Johnson | Social Worker | 91 Camden Street, Suite 206, Rockland, ME 04841 | 2008-01-16 |
1649819129 | Wanda Breshae Johnson | Day Training/Habilitation Specialist | 506 Manchester Expy Ste A13, Columbus, GA 31904-6483 | 2019-12-31 |
1740770577 | Wanda Johnson | Case Manager/Care Coordinator | 1818 W 3rd St, Dayton, OH 45417-2537 | 2018-05-17 |
1689086555 | Wanda Sue Johnson | Counselor | 911 N Buffalo Dr, Suite 213, Las Vegas, NV 89128-0379 | 2014-05-28 |
Street Address |
10700 MACARTHUR BLVD EAST OAKLAND CLINIC, SUITE 14B |
City | OAKLAND |
State | CA |
Zip Code | 94605-5260 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154327138 | Lifelong Medical Care | Family Medicine | 10700 Macarthur Blvd, Ste 14b, Oakland, CA 94605-5260 | 2005-06-23 |
1972104875 | Taylor Cuffaro | Nurse Practitioner | 10700 Macarthur Blvd, Oakland, CA 94605-5298 | 2020-11-05 |
1134731318 | Jimmy Allen Huang | Pharmacist | 10700 Macarthur Blvd, Oakland, CA 94605-5298 | 2020-08-19 |
1972134294 | Marl Ayson | Pharmacist | 10700 Macarthur Blvd, Oakland, CA 94605-5298 | 2020-01-27 |
1760966410 | Stephanie Phung | Physician Assistant | 10700 Macarthur Blvd, Oakland, CA 94605-5298 | 2018-09-19 |
1790296556 | Michael Sweeney | Nurse Practitioner | 10700 Macarthur Blvd, Oakland, CA 94605-5298 | 2017-10-19 |
1881121663 | Rochelle Lynn Allen | Respiratory Therapist, Certified | 10700 Macarthur Blvd, Oakland, CA 94605-5298 | 2017-05-11 |
1124563309 | Alexandra Gray | Nurse Practitioner | 10700 Macarthur Blvd, #14b, Oakland, CA 94605-5298 | 2016-12-27 |
1811346075 | Carrie Miller | Registered Nurse | 10700 Macarthur Blvd, Suite 14b, Oakland, CA 94605-5298 | 2016-06-08 |
1598114753 | David Greenberg | Registered Nurse | 10700 Macarthur Blvd, 14b, Oakland, CA 94605-5298 | 2016-06-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
Find all providers in zip 94605 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639777386 | Jonathan Josue Grijalva | Nurse Practitioner | 1909 White Feather Loop, Oakland, FL 34787-8127 | 2020-10-14 |
1790313047 | Macy Sun | Nurse Practitioner | 1806 9th Ave, Oakland, CA 94606-3020 | 2020-03-31 |
1073157756 | Theola J Rivera | Nurse Practitioner | 889 Wynstone Cir N, Oakland, MI 48363-1605 | 2019-11-05 |
1326692211 | Shanna Lee | Nurse Practitioner | 35 Buena Vista Pl, Oakland, CA 94618-2132 | 2019-07-29 |
1184287682 | Kristine Dionne Williams | Nurse Practitioner | 3847 Rhoda Ave, Oakland, CA 94602-3322 | 2019-04-19 |
1346702404 | Whitney Karr | Nurse Practitioner | 65 Thousand Oaks St, Oakland, CA 94605-4618 | 2019-04-05 |
1982104360 | Brandi Sue Paugh | Nurse Practitioner | 241 N 4th St, Oakland, MD 21550-1375 | 2018-02-13 |
1164930533 | Brookside Health & Wellness LLC | Nurse Practitioner | 6500 Thayer Center, Oakland, MD 21550-1116 | 2018-01-18 |
1356870315 | Ayelet Cohen | Nurse Practitioner | 333 Park View Ter Apt 2, Oakland, CA 94610-4646 | 2017-06-05 |
1679014534 | Priscilla Beach Brown | Nurse Practitioner | 138 Monte Cresta Ave Apt 206, Oakland, CA 94611-4805 | 2017-03-12 |
Find all providers in OAKLAND |
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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.