MS. GEORGINA GISELLE GRIMM (NPI# 1104367739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104367739 |
| Entity Type | Individual |
| Full Name | MS. GEORGINA GISELLE GRIMM |
| Credential | FNP |
| Practice Address |
9925 International Blvd #5 Oakland CA 94603-2558 |
| Mailing Address |
5018 Shafter Ave Oakland CA 94609-2221 |
| Practice Telephone | 5107771177 |
| Practice Fax Number | 5105502644 |
| Mailing Telephone | 5103883261 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95006100 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9925 INTERNATIONAL BLVD #5 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94603-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250998 | East Oakland Obs Gyn Med Gp Inc | Obstetrics & Gynecology | 9925 International Blvd, Ste 1, Oakland, CA 94603 | 2005-07-27 |
| 1912539966 | Keyona Boykin | Nurse Practitioner | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-02-07 |
| 1861023640 | Kayla Perry | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1558992347 | Raven Dixon | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1831720630 | Macy Dion Harris | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1073144812 | Kye Duren | Case Management | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1699305565 | Phyllis Marie Brown-little | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-20 |
| 1104466549 | Tavare Williams Sr. | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-14 |
| 1477196210 | Rafael Kenney | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2019-10-24 |
| 1174177679 | Megan Richardson | Family Medicine | 9925 International Blvd, Oakland, CA 94603-2558 | 2019-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235694092 | Kimberlyn Taylor | Behavioral Analyst | 11042 Robledo Dr, Oakland, CA 94603 | 2019-02-06 |
| 1114414315 | Christopher Maurice Cain | Community Health Worker | 9925 International Blvd #5, Oakland, CA 94603 | 2018-04-13 |
| 1720508039 | Jessie James King Jr. | Counselor | 9925 International Blvd Suite #5, 9925 International Blvd Suite #5, Oakland, CA 94603 | 2017-06-27 |
| 1619426475 | Susana Obispo | Counselor | 10429 International Boulevard, Oakland, CA 94603 | 2016-09-22 |
| 1760764955 | Paul E Rammer | Marriage & Family Therapist | 1523 Chandler Street, Oakland, CA 94603 | 2011-09-13 |
| 1285184846 | Sharrise Williams | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
| 1659821213 | Linna Hov | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
| 1699729426 | Robert Scott Millard | Physical Medicine & Rehabilitation | 500 Arguello Street, Suite 100, Redwood City, CA 94603 | 2006-05-19 |
| 1982920542 | Alwaha Travel Agency for Hajj and Umrah LLC | Non-emergency Medical Transport (VAN) | 60 98th Ave Ste 100, Oakland, CA 94603-1000 | 2010-04-07 |
| 1336637644 | Carlos Leonel Lopez | Technician, Other | 301 Clara St, Oakland, CA 94603-1101 | 2018-04-23 |
| Find all providers in zip 94603 | ||||
| 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.