DR. CARLOS VENANCIO BEJARANO (NPI# 1104443134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104443134 |
| Entity Type | Individual |
| Full Name | DR. CARLOS VENANCIO BEJARANO |
| Practice Address |
5301 E Grant Rd Tucson AZ 85712-2805 |
| Practice Telephone | 5203242516 |
| Mailing Telephone | 5203242516 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| 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 | I024645 | AZ | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487194544 | Carlos Bejarano | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2017-03-08 |
| Street Address |
5301 E GRANT RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910157 | Coleman Wade Davidson II | Obstetrics & Gynecology | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2005-05-23 |
| 1134720501 | Rosalee Valdivia Blair | Pharmacist | 5301 E Grant Rd, Tucson, AZ 85712-2874 | 2020-11-03 |
| 1811509383 | Julia Jennifer Ni | Registered Nurse | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-08-17 |
| 1295345759 | Myriam Raquel Hanna | Physical Therapist | 5301 E Grant Rd, Tucson, AZ 85712-2874 | 2020-08-08 |
| 1326664566 | Michelle Skrzelowski | Student in an Organized Health Care Education/Training Program | 5301 E Grant Rd, Tucson, AZ 85712-2874 | 2020-06-23 |
| 1295351591 | Chloe Evelyn Williams | Student in an Organized Health Care Education/Training Program | 5301 E Grant Rd, Tucson, AZ 85712-2874 | 2020-06-23 |
| 1790301901 | Raveena Kaur Brar | Student in an Organized Health Care Education/Training Program | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-06-23 |
| 1043835333 | Danielle Monique Anderson | Pharmacist | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-06-11 |
| 1336764927 | Brandon Pike | Student in an Organized Health Care Education/Training Program | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-06-10 |
| 1073138756 | Stephanie Lee | Pharmacist | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| 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 |
|---|---|---|---|---|
| 1710590153 | Dominique Marilyn Gonzalez | Student in an Organized Health Care Education/Training Program | 2902 N River Creek Pl, Tucson, AZ 85745-7019 | 2020-08-25 |
| 1083227425 | Alejandra Arroyo | Student in an Organized Health Care Education/Training Program | 3046 W Autumn Breeze Dr, Tucson, AZ 85742-4857 | 2020-08-25 |
| 1306459953 | Cassandra Camacho | Student in an Organized Health Care Education/Training Program | 4229 E Boulder Springs Way, Tucson, AZ 85712-6657 | 2020-08-24 |
| 1306458161 | Danielle Williams | Student in an Organized Health Care Education/Training Program | 8310 E Kenyon Dr, Tucson, AZ 85710-4228 | 2020-08-21 |
| 1356953251 | Adora Leann Natasha Hall | Student in an Organized Health Care Education/Training Program | 1330 E Deer Canyon Rd, Tucson, AZ 85718-1094 | 2020-08-21 |
| 1588276034 | Sarah Jane Krepps | Student in an Organized Health Care Education/Training Program | 1924 N Fremont Ave, Tucson, AZ 85719-3536 | 2020-08-17 |
| 1720690324 | Jacqueline Marie Burruel | Student in an Organized Health Care Education/Training Program | 14032 N Lago Del Oro Pkwy, Tucson, AZ 85739-9608 | 2020-08-17 |
| 1356962260 | Jordyn J Kreutzfeldt | Student in an Organized Health Care Education/Training Program | Kerith Lisa Program Manager, 1501 N Campbell Ave, Tucson, AZ 85724-5040 | 2020-05-01 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1942837448 | Jenny La | Student in an Organized Health Care Education/Training Program | 3601 S 6th Ave # 11-112a, Tucson, AZ 85723-0001 | 2020-03-24 |
| Find all providers in TUCSON | ||||
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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.