SPENCER BROOKS GAUERT (NPI# 1053744755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053744755 |
| Entity Type | Individual |
| Full Name | SPENCER BROOKS GAUERT |
| Practice Address |
3601 Pacific Ave Psychology Department Stockton CA 95211 |
| Practice Telephone | 2099462132 |
| Mailing Telephone | 9543197288 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3601 PACIFIC AVE PSYCHOLOGY DEPARTMENT |
| City | STOCKTON |
| State | CA |
| Zip Code | 95211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798880 | Philip J Gregory | Pharmacist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2005-05-23 |
| 1295357341 | Lena Saucedo | Student in an Organized Health Care Education/Training Program | 3601 Pacific Ave, Stockton, CA 95211-4969 | 2020-05-12 |
| 1326680745 | Emily Ann Gahn | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2019-10-17 |
| 1497396832 | Enrique Becerra | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2019-10-07 |
| 1396386058 | Carly Anne Ranson | Pharmacist | 3601 Pacific Ave, Stockton, CA 95211-0197 | 2019-10-03 |
| 1124678750 | Breanna Moreira | Student in an Organized Health Care Education/Training Program | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2019-09-16 |
| 1437658374 | Aaren Mariah Robinson | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2018-02-06 |
| 1801395736 | Boone Alexander Meyer | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2018-02-06 |
| 1356879365 | Leah Sampson | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2017-06-02 |
| 1558807438 | Christina Marie Brekelmans | Specialist/Technologist | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2017-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114312253 | Antoinetta Nursing Service LLC | Adult Companion | 2300 Montana Ave Suite 200-b, Cincinnati, OH 95211 | 2015-04-06 |
| 1063799740 | Aunyaporn Amornpongchai | Audiologist | 3601 Pacific Avenue, Audiology Department, Stockton, CA 95211 | 2011-11-09 |
| 1518963453 | Veronica Tovar Bandy | Pharmacist | Thomas J Long School of Pharmacy & Health Sciences, 751 Brookside Road, Stockton, CA 95211 | 2005-06-24 |
| 1871927392 | Amy Lynn Diep | Pharmacist | University of The Pacific, 3601 Pacific Ave, Stockton, CA 95211 | 2013-09-03 |
| 1639274616 | Marilyn Garcia Javier | Nurse Practitioner | 1041 Brookside Rd, Stockton, CA 95211 | 2006-09-14 |
| 1316573249 | May Chen | Pharmacist | 757 Brookside Rd Phs 229, Stockton, CA 95211-0001 | 2020-03-23 |
| 1902221955 | Yvonne My Y Thuy Mai | Pharmacist | Department of Pharmacy Practice, 3601 Pacific Avenue, Stockton, CA 95211-0001 | 2014-02-27 |
| 1366636847 | Rachel Abella Sumaquial | Physician Assistant | 3601 Brookside Road, Stockton, CA 95211-0001 | 2007-08-28 |
| 1619169539 | Nancy Emilia Sirker | Student in an Organized Health Care Education/Training Program | 1526 Mosaic Way #450, Stockton, CA 95211-0001 | 2007-08-14 |
| 1295757714 | Beth Gleason Mcmanis | Nurse Practitioner | 1041 Brookside Rd, Stockton, CA 95211-0001 | 2006-07-24 |
| Find all providers in zip 95211 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1083223317 | Simone A Stevens | Student in an Organized Health Care Education/Training Program | 2041 Grey Stone Dr, Stockton, CA 95206-4652 | 2020-07-22 |
| 1497381453 | Carrie Elaine Guidry | Student in an Organized Health Care Education/Training Program | 4415 N Pershing Ave Apt 4, Stockton, CA 95207-6955 | 2020-03-20 |
| 1740820786 | Brandon Jay Baccam | Student in an Organized Health Care Education/Training Program | 3302 Rutherford Dr, Stockton, CA 95212-3425 | 2020-01-07 |
| 1144886375 | Linda Voeuth Kong | Student in an Organized Health Care Education/Training Program | 3830 Alvarado Ave Apt 225, Stockton, CA 95204-2324 | 2019-05-13 |
| 1518439173 | Heidi Lee | Student in an Organized Health Care Education/Training Program | 3591 Quail Lakes Dr Apt 33, Stockton, CA 95207-5253 | 2018-12-20 |
| 1396220331 | Evangelina Dori Olson | Student in an Organized Health Care Education/Training Program | 1803 W March Ln Ste C&d, Stockton, CA 95207-6414 | 2018-09-25 |
| 1548741176 | Diep Phan | Student in an Organized Health Care Education/Training Program | 7720 Lorraine Ave Ste 102, Stockton, CA 95210-4203 | 2018-08-22 |
| 1457885279 | Angud Mehdi | Student in an Organized Health Care Education/Training Program | 6351 Saint Andrews Dr, Stockton, CA 95219-1861 | 2017-04-18 |
| 1477929453 | Manjot Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 5405 N Pershing Ave Ste C1, Stockton, CA 95207-5451 | 2015-08-13 |
| Find all providers in STOCKTON | ||||
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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.