MR. MARC JUN LANUZA (NPI# 1184840803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184840803 |
| Entity Type | Individual |
| Full Name | MR. MARC JUN LANUZA |
| Credential | PA-C |
| Practice Address |
2734 El Camino Real Santa Clara CA 95051-3007 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 4082413801 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2019-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA17362 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2734 EL CAMINO REAL |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95051-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891768826 | Saroja Dandamudi | Internal Medicine | 2734 El Camino Real, Santa Clara, CA 95051-3041 | 2006-02-09 |
| 1033611280 | Ja Young Kim | Nurse Practitioner | 2734 El Camino Real, Santa Clara, CA 95051-3007 | 2018-03-04 |
| 1447784400 | Kathleen Coquia | Family Medicine | 2734 El Camino Real, Santa Clara, CA 95051-3007 | 2017-04-17 |
| 1215488770 | Cecilia Leanor Wille | Nurse Practitioner | 2734 El Camino Real, Santa Clara, CA 95051-3007 | 2016-10-20 |
| 1417306366 | Yi-wen Chen | Internal Medicine | 2734 El Camino Real, Santa Clara, CA 95051-3007 | 2016-06-10 |
| 1508240375 | Katherine Kwong | Registered Nurse | 2734 El Camino Real, Santa Clara, CA 95051 | 2015-07-11 |
| 1568877934 | Sumant Ponnala | Family Medicine | 2734 El Camino Real, Santa Clara, CA 95051-3007 | 2014-06-24 |
| 1306284294 | Kerin Arora | Pediatrics | 2734 El Camino Real, Santa Clara, CA 95110-3007 | 2013-06-12 |
| 1972894707 | John Truong | Internal Medicine | 2734 El Camino Real, Santa Clara, CA 95051-3041 | 2011-04-27 |
| 1043517352 | Melissa Huck Nguyen | Family Medicine | 2734 El Camino Real, Santa Clara, CA 95051-3007 | 2011-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043773690 | Christian Hamm | Pharmacist | Kaiser Permanente Medical Center Santa Clara, Dept 362 (inpatient Pharmacy), 710 Lawrence Expressway, Santa Clara, CA 95051 | 2019-04-10 |
| 1053879692 | Jiaqi Weng | Acupuncturist | 2062 Walsh Ave Suite B2, San Clare, CA 95051 | 2019-03-02 |
| 1699293209 | Leslie Avalos | Massage Therapist | 3530 Lochnivar Ave, Santa Clara, CA 95051 | 2017-09-04 |
| 1831552843 | Miral Neel Patel | Physical Therapist | 2737 Walsh Avenue, Alliance Occupational Medicine, Santa Clara, CA 95051 | 2016-03-29 |
| 1861831117 | Alison Wong | Emergency Medicine | 700 Lawrence Expy Dept 100, Santa Clara, CA 95051 | 2013-06-20 |
| 1073889291 | Brittany Lee Bianchi | Speech-Language Pathologist | 3775 Flora Vista Ave, Apt. 501, Santa Clara, CA 95051 | 2012-04-02 |
| 1124390067 | Karo Isajan | Chiropractor | 5145 Stevens Creek Blvd Ste 130, Santa Clara, CA 95051 | 2012-02-08 |
| 1598054991 | David Phillip Guo | Urology | 710 Lawrence Expy Dept 448, Santa Clara, CA 95051 | 2011-04-06 |
| 1043528573 | Jennifer Hui Young | Chiropractor | 2342 Walsh Ave, Santa Clara, CA 95051 | 2010-09-17 |
| 1386961217 | Assefa Gebremichael | Pharmacist | 1000 Kiely Blvd, #91, Santa Clara, CA 95051 | 2010-05-03 |
| Find all providers in zip 95051 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275762445 | Patricia Louise Mcbride | Physician Assistant | Cowell Health Center Santa Clara University, 500 El Camino Real, Santa Clara, CA 95053-0001 | 2009-07-09 |
| 1285002840 | Marisa Leal | Physician Assistant | 3466 El Camino Real, Santa Clara, CA 95051-2809 | 2015-09-11 |
| 1467759357 | Evh Surgical Consultants Inc | Physician Assistant | 53 Cronin Dr, Santa Clara, CA 95051-6719 | 2011-02-11 |
| 1760667687 | Hoang T Dang | Physician Assistant | 1825 Civic Center Dr Ste 7, Santa Clara, CA 95050-7301 | 2008-01-09 |
| 1407902802 | Karen Marie Manitsas | Physician Assistant | 988 Walsh Ave, Santa Clara, CA 95050-2649 | 2007-01-26 |
| 1831255041 | Constance Louise Davis | Physician Assistant | 710 Lawrence Expy, Department 290, Santa Clara, CA 95051-5173 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CLARA |
| Zip Code | 95051 |
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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.