JERE ALM (NPI# 1093833659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093833659 |
Entity Type | Individual |
Full Name | JERE ALM |
Credential | PA-C |
Practice Address |
46900 Ocean Dr Gualala CA 95445-8353 |
Mailing Address |
50855 Washington St C # 276 La Quinta CA 92253 |
Practice Telephone | 7078844005 |
Mailing Telephone | 7609871919 |
Enumeration Date | 2007-03-26 |
Last Update Date | 2011-10-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
500 | AK | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
46900 OCEAN DR |
City | GUALALA |
State | CA |
Zip Code | 95445-8353 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649279233 | Northern California Medical Assoc Inc | Internal Medicine | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2005-07-18 |
1558707968 | Adele Zita | Registered Nurse | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2013-05-13 |
1407030968 | Jefferson Nerney | Psychologist | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2007-12-19 |
1164555769 | Leon Koenck | Physician Assistant | 46900 Ocean Dr, Ste 1100, Gualala, CA 95445-8353 | 2007-03-13 |
1962530725 | Redwood Coast Medical Services, Inc. | Clinic/Center | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2007-03-01 |
1952494817 | Joanne C. Brooks | Family Medicine | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2006-10-02 |
1346332335 | Lois Falk | Nurse Practitioner | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2006-09-28 |
1780776682 | Roberta U. Rams | Dentist | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2006-09-28 |
1851379705 | Elizabeth J Nagle | Nurse Practitioner | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2006-01-01 |
1316937931 | Mark Kal | Family Medicine | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2005-10-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205453586 | Mendocino Pharmacy Holdings Inc. | Pharmacy | 39251 South Highway 1, Gualala, CA 95445 | 2020-07-02 |
1922659499 | Lucinda Weaver Physical Therapy | Clinic/Center | 39120 Ocean Dr, Gualala, CA 95445 | 2019-09-25 |
1275858573 | James Edwin Platt | Chiropractor | 38820 Hwy. 1, Suite 108, Gualala, CA 95445 | 2010-03-30 |
1184862013 | Lucinda Weaver I | Physical Therapist | 39120 Ocean Dr., Gualala, CA 95445 | 2009-01-30 |
1902050669 | Gena Lynn Davis | Optometrist | 39150 Ocean Drive, Suite 2a, Gualala, CA 95445 | 2008-11-07 |
1477731032 | Carolee Brady | Marriage & Family Therapist | 38550 S Hwy 1, Gualala, CA 95445 | 2008-02-06 |
1053432971 | Barbara Brittell | Physician Assistant | 46900 Ocean Drive, Redwood Coast Medical Services, Gualala, CA 95445 | 2007-04-02 |
1174658298 | Richard T Miner | Chiropractor | 38690 Pacific Dr., Suite 3, Gualala, CA 95445 | 2007-02-22 |
1104962638 | Robert Arnold Nelson | Ophthalmology | 30150 So Hwy One, Gualala, CA 95445 | 2007-01-30 |
1982808119 | Allen B. Cox Jr. | Dentist | 38460 S. Highway One, Gualala, CA 95445-1199 | 2007-06-12 |
Find all providers in zip 95445 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053432971 | Barbara Brittell | Physician Assistant | 46900 Ocean Drive, Redwood Coast Medical Services, Gualala, CA 95445 | 2007-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.