GREGORY RICHARD LARSON (NPI# 1174730618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174730618 |
| Entity Type | Individual |
| Full Name | GREGORY RICHARD LARSON |
| Credential | PH.D. |
| Practice Address |
333 Estudillo Ave #207 San Leandro CA 94577-4717 |
| Mailing Address |
785 Bates Ave El Cerrito CA 94530-2706 |
| Practice Telephone | 5105412983 |
| Mailing Telephone | 5105412983 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY11781 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578536892 | Gregory Allen Larson | Nurse Practitioner | 1233 N Main St, Ste 1a, San Luis, AZ 85349 | 2006-02-08 |
| 1144775297 | Gregory Larson | Behavioral Analyst | 5803 W Craig Rd, 105, Las Vegas, NV 89130-2536 | 2016-08-18 |
| 1134577448 | Gregory Larson | Physician Assistant | 550 E Colorado Blvd, Spearfish, SD 57783-2776 | 2016-05-26 |
| 1790974764 | Gregory Thomas Larson | Community Health Worker | 167 Ne Kamiaken St, (mezzanine), Pullman, WA 99163-2611 | 2007-10-16 |
| 1295793875 | Gregory Larson | Spec/Tech, Pathology | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-03 |
| 1629036645 | Gregory R. Larson | Family Medicine | 511 14th Ave Ne, Watertown, SD 57201-6811 | 2006-05-01 |
| Street Address |
333 ESTUDILLO AVE #207 |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94577-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992785042 | Michael Samuel Gelbart | Social Worker | 333 Estudillo Ave, Suite#206, San Leandro, CA 94577-4717 | 2006-01-17 |
| 1104329960 | Edwin Valadez | Behavior Technician | 333 Estudillo Ave, San Leandro, CA 94577-4717 | 2018-03-16 |
| 1962904045 | Christopher De Jesus Vazquez | Behavior Technician | 333 Estudillo Ave, San Leandro, CA 94577-4717 | 2018-03-05 |
| 1093263709 | Victoria Mattimore | Behavioral Analyst | 333 Estudillo Ave, Suite 204, San Leandro, CA 94577-4717 | 2016-09-12 |
| 1750731568 | Theresa Ann Cruz | Behavioral Analyst | 333 Estudillo Ave, San Leandro, CA 94577-4717 | 2016-06-13 |
| 1457715997 | Noemi Gomez | Behavioral Analyst | 333 Estudillo Ave, Suite 204, San Leandro, CA 94577-4717 | 2016-04-11 |
| 1972785996 | Vincent Lemmuel Baldwin | General Practice | 333 Estudillo Ave, Suite 103, San Leandro, CA 94577-4717 | 2007-11-30 |
| 1306040571 | Monica Michelle Brown | Marriage & Family Therapist | 333 Estudillo Ave, Suite A, San Leandro, CA 94577-4717 | 2007-06-12 |
| 1316149404 | Margaret Jones | Psychologist | 333 Estudillo Ave, Suite 201, San Leandro, CA 94577-4717 | 2007-06-01 |
| 1750501821 | Elizabeth Villafuerte Jones | Marriage & Family Therapist | 333 Estudillo Ave, Suite 207, San Leandro, CA 94577 | 2007-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
| 1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
| 1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
| 1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
| 1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
| 1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
| Find all providers in zip 94577 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861747552 | Jaseon S. Outlaw | Psychologist | 13847 E 14th St Ste 202, San Leandro, CA 94578-2626 | 2012-07-18 |
| 1831380146 | Mary Marth | Psychologist | 2500 Fairmont Drive, Guidance Clinic, San Leandro, CA 94578 | 2007-08-05 |
| 1982803169 | Kambiz Sakhai | Psychologist | 303 W Joaquin Ave Ste 100, San Leandro, CA 94577-3667 | 2007-07-17 |
| 1457559569 | Wana Shirgul Salehi | Psychologist | 2418 Fairway Dr, San Leandro, CA 94577-5411 | 2007-07-10 |
| 1932304052 | Myron John Gulseth | Psychologist | 13851 East 14th Street, Suite 203, San Leandro, CA 94578 | 2007-06-19 |
| 1114130978 | Erica Wandner | Psychologist | 13666 East 14th St, San Leandro, CA 94578 | 2007-05-08 |
| 1538204847 | Lori Ann Spampinato | Psychologist | 15250 Hesperian Blvd Ste 100, San Leandro, CA 94578-3962 | 2007-02-21 |
| 1649336793 | Rosemarie Ratto | Psychologist | 345 Estudillo Ave Ste 207, San Leandro, CA 94577-4727 | 2006-12-30 |
| 1578633491 | Joanna L Zygmont | Psychologist | 400 Estudillo Ave Ste 201, San Leandro, CA 94577-4900 | 2006-11-08 |
| 1922023241 | Ida M. Roberts | Psychologist | 433 Callan Ave, Ste 203, San Leandro, CA 94577-4643 | 2006-07-13 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94577 |
Please comment or provide details below to improve the information on GREGORY RICHARD LARSON.
| 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.