DR. JOHN COMPAGNO (NPI# 1134125578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134125578 |
| Entity Type | Individual |
| Full Name | DR. JOHN COMPAGNO |
| Other Name | DR. JOHN COMPAGNO |
| Practice Address |
712 Alfred Nobel Dr Hercules CA 94547-1805 |
| Practice Telephone | 5106625200 |
| Mailing Telephone | 5106625200 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G38126 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G381261 | 05 |
| Street Address |
712 ALFRED NOBEL DR |
| City | HERCULES |
| State | CA |
| Zip Code | 94547-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781110 | West Coast Pathology Laboratory Inc | Clinical Medical Laboratory | 712 Alfred Nobel Dr, Hercules, CA 94547-1805 | 2005-06-21 |
| 1730642208 | Promolecular Diagnostics, LLC | Pathology | 712 Alfred Nobel Dr, Hercules, CA 94547-1805 | 2019-04-10 |
| 1710322441 | West Coast Pathology Laboratory of Az | Clinical Medical Laboratory | 712 Alfred Nobel Dr, Hercules, CA 94547-1805 | 2013-05-08 |
| 1033322649 | John Compagno Md, Inc | Clinical Medical Laboratory | 712 Alfred Nobel Dr, Hercules, CA 94547-1805 | 2007-05-08 |
| 1528111598 | Wayne Lee Garrett | Pathology | 712 Alfred Nobel Dr, Hercules, CA 94547-1805 | 2007-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768286 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4080 San Pablo Ave, Hercules, CA 94547 | 2020-01-06 |
| 1407415144 | Julita Chinyere Agwumezie | Pharmacist | 1590 Sycamore Avenue, Hercules, CA 94547 | 2019-06-06 |
| 1730545666 | Evelyn Gomez | Behavioral Analyst | 115 Starling Way, Hercules, CA 94547 | 2016-01-07 |
| 1730572264 | Laith Anwar Yacoub | Pharmacist | 530 Silver Maple Dr., Hercules, CA 94547 | 2015-03-09 |
| 1396171526 | Yeun Joo Kim | Dentist | 9 Arete Court, Hercules, CA 94547 | 2013-09-19 |
| 1568751527 | Sophie Chen | Dentist | 500 Alfred Nobel Drive, Suite 130, Hercules, CA 94547 | 2011-03-30 |
| 1962654517 | Jason M. Hataye | Student in an Organized Health Care Education/Training Program | 572 Turquoise Drive, Hercules, CA 94547 | 2008-10-15 |
| 1649454802 | Lovely C. Manlapaz | Dentist | 844 Willow Avenue, Suite - A6, Hercules, CA 94547 | 2007-12-24 |
| 1386823805 | Vincent T Chen | Dentist | 500 Alfred Nobel Dr., Ste. 280, Hercules, CA 94547 | 2007-11-01 |
| 1902950132 | Leonard Alexander Newman | Ophthalmology | 500 Alfred Noble Dr, Ste 225, Hercules, CA 94547 | 2007-01-23 |
| Find all providers in zip 94547 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871027136 | Mike Wai Lin | Specialist | 411 Turquoise Dr, Hercules, CA 94547-1740 | 2017-04-13 |
| 1548342934 | Jennifer Krasnoff | Specialist | 500 Alfred Nobel Dr, Suite 245, Hercules, CA 94547-1838 | 2006-10-19 |
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|---|---|---|---|---|
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| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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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.