KENNETH R. WULFF (NPI# 1124105085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124105085 |
| Entity Type | Individual |
| Full Name | KENNETH R. WULFF |
| Credential | MD |
| Practice Address |
770 E Calaveras Blvd Milpitas CA 95035-5491 |
| Mailing Address |
1400 Emeline Ave Santa Cruz CA 95060-1976 |
| Practice Telephone | 6509452900 |
| Mailing Telephone | 8314544170 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2016-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
G32683 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G326830 | 05 |
| Street Address |
770 E CALAVERAS BLVD |
| City | MILPITAS |
| State | CA |
| Zip Code | 95035-5491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326130261 | Peggy Jung | Pharmacist | 770 E Calaveras Blvd, Milpitas, CA 95035-5491 | 2006-09-28 |
| 1447805049 | Anna Lynn Poggensee | Speech-Language Pathologist | 770 E Calaveras Blvd, Milpitas, CA 95035-5491 | 2019-08-09 |
| 1417481888 | Quan Le | Pharmacist | 770 E Calaveras Blvd, Milpitas, CA 95035-5491 | 2017-04-12 |
| 1770015695 | Jonathan Bradley Shimizu | Pharmacist | 770 E Calaveras Blvd, Milpitas, CA 95035-5491 | 2017-03-30 |
| 1548792641 | Nancy Hamamoto | Pharmacist | 770 E Calaveras Blvd, Milpitas, CA 95035-5491 | 2017-03-29 |
| 1003348194 | Anne Chu | Pharmacist | 770 E Calaveras Blvd, Milpitas, CA 95035-5491 | 2017-03-29 |
| 1578095899 | Linne Tran | Pharmacist | 770 E Calaveras Blvd, Milpitas, CA 95035-5491 | 2017-03-28 |
| 1609308808 | Sarah Kim | Pharmacist | 770 E Calaveras Blvd, Milpitas, CA 95035-5491 | 2017-03-28 |
| 1649702838 | Nu Nguyen | Pharmacist | 770 E Calaveras Blvd, Milpitas, CA 95035-5491 | 2017-03-28 |
| 1851822290 | Danvi Patel | Pharmacist | 770 E Calaveras Blvd, Milpitas, CA 95035-5491 | 2017-03-27 |
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| 1245700863 | Deisy Partida Aguilar | Behavior Technician | 1401 Parkmoor Ave Suite 208, San Jose, CA 95035 | 2018-11-26 |
| 1114410669 | Yi Zhou | Acupuncturist | 226 Greentree Way, Milpitas, CA 95035 | 2018-06-10 |
| 1275031734 | Forever Health | Chiropractor | 1611a S Main St, Milpitas, CA 95035 | 2018-01-30 |
| 1285155523 | Pearl Wellness LLC | Acupuncturist | 182 S. Main St., Milpitas, CA 95035 | 2017-06-27 |
| 1639609258 | Jane Kenneth Estoesta Zarate | Dentist | 1547 Kennedy Drive, Milpitas, CA 95035 | 2017-06-15 |
| 1033648498 | Emily Nguyen | Assistant Behavior Analyst | 1603a S. Main Street, Milpitas, CA 95035 | 2017-06-08 |
| 1548663255 | Long Tuan Ngo | Pharmacist | 342 W. Calaveras Blvd, Milpitas, CA 95035 | 2014-10-08 |
| 1417357930 | Maichi Nguyen Sr. | Pharmacist | 301 Ranch Dr., Milpitas, CA 95035 | 2014-09-03 |
| 1447650551 | Abode Services | Case Management | 481 Valley Way, Milpitas, CA 95035 | 2014-08-26 |
| 1104257484 | Bruce Joseph Chester | Chiropractor | 545 Los Coches St Ste 104, Milpitas, CA 95035 | 2013-12-11 |
| Find all providers in zip 95035 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013089838 | Metty B. Albert | Psychiatry & Neurology | 770 E Calaveras Blvd, Milpitas, CA 95035-5491 | 2006-11-15 |
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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.