COURTNEY GRADL (NPI# 1154865236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154865236 |
| Entity Type | Individual |
| Full Name | COURTNEY GRADL |
| Practice Address |
121 Paul Dr Ste B San Rafael CA 94903-2047 |
| Mailing Address |
36 Monterey Blvd Ste A San Francisco CA 94131-3235 |
| Practice Telephone | 8772646747 |
| Practice Fax Number | 8775397730 |
| Mailing Telephone | 8772646747 |
| Mailing Fax Number | 8775397730 |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | RBT-16-21943 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
121 PAUL DR STE B |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053835603 | Tara Zomouse | Behavioral Analyst | 121 Paul Dr Ste B, San Rafael, CA 94903-2047 | 2017-07-26 |
| 1720511470 | Marysha Barney | Behavioral Analyst | 121 Paul Dr Ste B, San Rafael, CA 94903-2047 | 2017-04-10 |
| 1639617897 | Cristian Jaramillo | Technician, Other | 121 Paul Dr Ste B, San Rafael, CA 94903-2047 | 2017-02-08 |
| 1750827408 | Jennifer Daughrity | Technician, Other | 121 Paul Dr Ste B, San Rafael, CA 94903-2047 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639617897 | Cristian Jaramillo | Technician, Other | 121 Paul Dr Ste B, San Rafael, CA 94903-2047 | 2017-02-08 |
| 1750827408 | Jennifer Daughrity | Technician, Other | 121 Paul Dr Ste B, San Rafael, CA 94903-2047 | 2017-01-18 |
| 1336314640 | Shawna L Pharo | Technician, Other | 734 A St, San Rafael, CA 94901-3923 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265912 | Jenny Alicia Jimenez | Technician, Other | 20353 Guffy Ln, Wildomar, CA 92595-8797 | 2020-11-03 |
| 1093313579 | Victoria Espinoza | Technician, Other | 1111 Morrissey Blvd, Santa Cruz, CA 95065-1406 | 2020-10-15 |
| 1154928679 | Carina Lopez | Technician, Other | 3065 E Ramon Rd, Palm Springs, CA 92264 | 2020-10-07 |
| 1285241778 | Lice Clinics of America- Pleasanton | Technician, Other | 818 Main St Ste H, Pleasanton, CA 94566-6648 | 2020-09-28 |
| 1063028348 | Kendall Marie Avila | Technician, Other | 28 Pueblo Vista Rd, Santa Barbara, CA 93103-2159 | 2020-09-22 |
| 1215542808 | Kelsie Arballo | Technician, Other | 10440 Maya Linda Rd Apt E307, San Diego, CA 92126-5262 | 2020-09-10 |
| 1104439199 | Zahraa Al Karkhi | Technician, Other | 10884 Calle Verde Apt 102, La Mesa, CA 91941-8502 | 2020-08-28 |
| 1841803269 | Mayra A Valdivia | Technician, Other | 26701 Quail Crk Apt 280, Laguna Hills, CA 92656-3062 | 2020-08-25 |
| 1669082434 | Jerome Prudencio Jr. | Technician, Other | 8816 La Riviera Dr Unit D, Sacramento, CA 95826-2075 | 2020-08-05 |
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on COURTNEY GRADL.
| 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.