KEVIN GILBERT VIEIRA (NPI# 1164960860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164960860 |
| Entity Type | Individual |
| Full Name | KEVIN GILBERT VIEIRA |
| Credential | ATC |
| Practice Address |
5200 N Lake Rd Merced CA 95343-5001 |
| Practice Telephone | 2092282468 |
| Practice Fax Number | 2092282620 |
| Mailing Telephone | 2092282468 |
| Mailing Fax Number | 2092282620 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |
| 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 | Student, Health Care |
| Street Address |
5200 N LAKE RD |
| City | MERCED |
| State | CA |
| Zip Code | 95343-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013072057 | Christina Hicks | Physician Assistant | 5200 N Lake Rd, H. Rajender Reddy Health Center, Merced, CA 95343-5001 | 2006-12-27 |
| 1457889669 | Jeremy Bowen | Specialist/Technologist | 5200 N Lake Rd, Merced, CA 95343-5001 | 2017-06-01 |
| 1760843833 | Jason Roberts | Specialist/Technologist | 5200 N Lake Rd, Merced, CA 95343-5001 | 2016-03-16 |
| 1376868703 | University of California, Merced Student Health Services | Clinic/Center | 5200 N Lake Rd, H. Rajender Reddy Health Center, Merced, CA 95343-5001 | 2010-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487211678 | Tiffani Regacho | Specialist/Technologist | 5200 N Lake Rd Apt 5, Merced, CA 95343-5001 | 2019-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1316546211 | Irene Isabella Nunez | Behavior Technician | 2997 Hampshire Ct, Merced, CA 95340-2374 | 2020-10-21 |
| 1306445267 | Laurie Gonzalez | Behavior Technician | 368 E Yosemite Ave Ste 200g, Merced, CA 95340-9100 | 2020-10-21 |
| 1902403983 | Ellieanna M Ford | Behavior Technician | 368 E Yosemite Ave, Merced, CA 95340-9100 | 2020-10-02 |
| 1932712403 | Heather L Shoopman | Licensed Vocational Nurse | 300 E 15th St Ste D, Merced, CA 95341-6217 | 2020-08-25 |
| 1356953848 | Jaeson M Fetalvero | Licensed Practical Nurse | 3834 Colma Ave, Merced, CA 95348-8719 | 2020-08-18 |
| 1497367924 | Changing Lives In The Central Valley LLC | Chore Provider | 478 E Yosemite Ave Ste C, Merced, CA 95340-8467 | 2020-08-17 |
| 1336750025 | Harvey Soza | Case Manager/Care Coordinator | 2764 Madrid Ave, Merced, CA 95348-1337 | 2020-08-14 |
| 1255942520 | Samantha Canal | Counselor | 300 E 13th St Suite C, Merced, CA 95341 | 2020-08-11 |
| 1942819628 | Florence Wairimu Thomsen | Nurse Practitioner | 12 Aldrich Dr, Merced, CA 95348-8516 | 2020-07-28 |
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| 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 |
|---|---|---|---|---|
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1609439470 | Bobby Shan | Student in an Organized Health Care Education/Training Program | Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 | 2019-04-17 |
| 1073863452 | Lynett Maria Sterling | Student in an Organized Health Care Education/Training Program | 855 W 18th St, Merced, CA 95340-4604 | 2012-09-13 |
| 1083243554 | Ha Thi Bui | Student in an Organized Health Care Education/Training Program | 315 E 13th St, Merced, CA 95341-6211 | 2020-04-06 |
| 1336778844 | Chayce William Hartung | Student in an Organized Health Care Education/Training Program | 315 E 13th St, Merced, CA 95341-6211 | 2020-04-06 |
| 1265061774 | Carmin Jia Min Liang | Student in an Organized Health Care Education/Training Program | 315 E 13th St, Merced, CA 95341-6211 | 2020-04-06 |
| 1578192043 | Simrit Singh Dyal | Student in an Organized Health Care Education/Training Program | 315 E 13th St, Merced, CA 95341-6211 | 2020-04-06 |
| 1043849565 | Sonia Amy Neave | Student in an Organized Health Care Education/Training Program | 315 E 13th St, Merced, CA 95341-6211 | 2020-04-06 |
| 1659900298 | Karthika Vempati | Student in an Organized Health Care Education/Training Program | 315 E 13th St, Merced, CA 95341-6211 | 2020-04-06 |
| 1003445677 | Gessie Wompleh Lurlay | Student in an Organized Health Care Education/Training Program | 315 E 13th St, Merced, CA 95341-6211 | 2020-04-06 |
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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.