ANNETTE SU (NPI# 1114313640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114313640 |
| Entity Type | Individual |
| Full Name | ANNETTE SU |
| Practice Address |
1332 Natividad Rd Suite B Salinas CA 93906-3133 |
| Mailing Address |
514 48th Ave San Francisco CA 94121-2427 |
| Practice Telephone | 8317542844 |
| Practice Fax Number | 8317540571 |
| Mailing Telephone | 5596968531 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95002358 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1332 NATIVIDAD RD SUITE B |
| City | SALINAS |
| State | CA |
| Zip Code | 93906-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085673 | Norman Rosen | Family Medicine | 1332 Natividad Rd, Suite - B, Salinas, CA 93906-3133 | 2005-07-07 |
| 1275695678 | Kimberly Reiland | Physician Assistant | 1332 Natividad Rd, Suite B, Salinas, CA 93906-3133 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618883 | Casandra Andrea Gonzales | Case Manager/Care Coordinator | 1441 Constitution Blvd Building 400 Suite 202, Salinas, CA 93906 | 2020-08-05 |
| 1033730734 | Georgina Rodriguez | Behavioral Analyst | 1441 Constituion Blvd Bldg 400, Suite 202, Salinas, CA 93906 | 2020-05-04 |
| 1083252589 | Diane M Cassam | Marriage & Family Therapist | 1441 Constitution Blvd., Bldg. 400, Suite 200, Salinas, CA 93906 | 2019-12-16 |
| 1558849349 | Heather Lynne Rogers | Counselor | 1441 Constitution Blvd., Bldg. 400, Ste 202, Salinas, CA 93906 | 2018-08-02 |
| 1053897462 | Mayra Lizeth Barocio | Counselor | 1441 Constitution Blvd Bldg 4002, Salinas, CA 93906 | 2018-07-18 |
| 1720571425 | Ashley A Rangel | Behavior Technician | 1123 Baldwin St., Salinas, CA 93906 | 2018-06-07 |
| 1013419597 | Sean Crow | Behavior Technician | 1123 Baldwin, Salinas, CA 93906 | 2018-03-01 |
| 1942720164 | Joshua Lawrence Deutsch | Student in an Organized Health Care Education/Training Program | 1441 Constutution Blvd, Blg 400, Third Floor, Salinas, CA 93906 | 2017-06-20 |
| 1679014450 | Chris Moreno | Counselor | 1127 Baldwin St., Suite A, Salinas, CA 93906 | 2017-03-14 |
| 1295101657 | Craig Varjian | Dentist | 640 E. Alvin Drive, Suite D, Salinas, CA 93906 | 2015-08-19 |
| Find all providers in zip 93906 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869099 | Zaida Noemi Zuniga | Nurse Practitioner | 45 E San Joaquin St Ste 45, Salinas, CA 93901-2903 | 2018-01-30 |
| 1417498551 | Ifeoma Catherine Okeke | Nurse Practitioner | 1806 Lancashire Dr, Salinas, CA 93906-2198 | 2017-03-08 |
| 1780127803 | Maria Magdalena Ruiz Ruelas | Nurse Practitioner | 106 W Alvin Dr Apt D, Salinas, CA 93906-8364 | 2016-11-21 |
| 1952777484 | Sharmaine Johnson | Nurse Practitioner | 335 Katherine Ave Ste 3, Salinas, CA 93901-3176 | 2015-08-19 |
| 1457996936 | Naomi Anne Hetzel | Nurse Practitioner | 1212 S Main St, Salinas, CA 93901-2260 | 2019-11-08 |
| 1053803411 | Manli Huang | Nurse Practitioner | 945 Blanco Cir Ste A, Salinas, CA 93901-4421 | 2018-06-01 |
| 1235647728 | Carolyn Dawn Goodman | Nurse Practitioner | 505 E Romie Ln Ste A, Salinas, CA 93901-4031 | 2018-01-18 |
| 1427411677 | Sally Rose | Nurse Practitioner | 45 E San Joaquin St, Salinas, CA 93901-2903 | 2016-04-04 |
| 1831566298 | Anna-marie Regalado | Nurse Practitioner | 335 Katherine Ave Ste 3, Salinas, CA 93901-3176 | 2015-09-01 |
| 1396142014 | Erin Sullivan | Nurse Practitioner | 505 E Romie Ln, Salinas, CA 93901-4031 | 2014-11-24 |
| Find all providers in SALINAS | ||||
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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.