MR. KEVIN P BRADY (NPI# 1053889550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053889550 |
Entity Type | Individual |
Full Name | MR. KEVIN P BRADY |
Credential | RT |
Practice Address |
3801 Miranda Ave Palo Alto CA 94304-1207 |
Practice Telephone | 6504935000 |
Mailing Telephone | 6504935000 |
Enumeration Date | 2018-11-02 |
Last Update Date | 2018-11-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
545266 | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104815927 | Kevin Brady | Podiatrist | 1705 Gardner Dr, Wilmington, NC 28405 | 2005-10-14 |
1760025332 | Kevin Brady | Pharmacist | 2010 Zonal Ave, Los Angeles, CA 90033-1026 | 2019-10-25 |
1700281169 | Kevin Brady | Rehabilitation Practitioner | 2560 Business Pkwy, Minden, NV 89423-8985 | 2014-10-28 |
1669641668 | Kevin Brady | Psychologist | 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 | 2008-02-22 |
1528002045 | Kevin Michael Brady | Anesthesiology | 2700 Dolbeer St, Eureka, CA 95501-4736 | 2006-06-15 |
1154315810 | Kevin M Brady | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2005-09-08 |
Street Address |
3801 MIRANDA AVE |
City | PALO ALTO |
State | CA |
Zip Code | 94304-1207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962405449 | John Paul Lavelle | Urology | 3801 Miranda Ave, B3-117 Bldg 100 Urology (#112), Palo Alto, CA 94304-1207 | 2005-05-27 |
1437750619 | Ashley Ando | Respiratory Therapist, Registered | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-11-04 |
1265032783 | Jim Le | Occupational Therapist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-10-26 |
1497354484 | Laura Renee Zimmerman | Registered Nurse | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-10-21 |
1891300810 | Clark Dan Ma | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-09-15 |
1124630900 | Palo Alto Perfusion Service | Perfusionist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-21 |
1790397362 | Gihun Kim | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
1750993309 | Jessica Tran | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
1083226500 | Danielle Jean Fox | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-08-17 |
1346851078 | Alice Lin | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
Find all providers in zip 94304 |
Taxonomy Code | 2471C3402X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Radiography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184972192 | Vonnetta Powell | Radiologic Technologist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2012-08-22 |
1114197118 | Tsuyumi Tanaka | Radiologic Technologist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2008-03-05 |
1245400282 | Cynthia Karen Ho - Holzum | Radiologic Technologist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2008-03-05 |
1497872501 | Laurie Denise Carr | Radiologic Technologist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2007-03-23 |
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1831657402 | Excel Imaging | Radiologic Technologist | 18158 Us Highway 18, Apple Valley, CA 92307-2202 | 2019-03-03 |
1568968899 | Conrado Olalia Quemuel | Radiologic Technologist | 242 Preble Dr, Tustin, CA 92780-3720 | 2018-04-04 |
1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
1134582083 | Bertha Patricia Orna | Radiologic Technologist | 1206 E 17th St Ste 205, Santa Ana, CA 92701-2641 | 2016-03-29 |
1467825703 | Jack Pavich | Radiologic Technologist | 9411 Sunnyside Ave, Ben Lomond, CA 95005-9345 | 2015-11-09 |
1306234703 | Socal Surgical Imaging | Radiologic Technologist | 10755 Scripps Poway Pkwy # 709, San Diego, CA 92131-3924 | 2015-01-07 |
1013320605 | Hera Nal | Radiologic Technologist | 406 E. Poppy St., Long Beach, CA 90805 | 2014-06-11 |
1245643279 | Coastal Diagnostic Services Inc | Radiologic Technologist | 1010 W La Veta Ave Ste 615, Orange, CA 92868-4310 | 2014-06-06 |
1003237439 | Amir Nahavandi | Radiologic Technologist | 6206 1/2 Nita Ave, Woodland Hills, CA 91367-7652 | 2014-01-03 |
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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.