STEFANY MENJIVAR (NPI# 1205329802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205329802 |
| Entity Type | Individual |
| Full Name | STEFANY MENJIVAR |
| Practice Address |
3908 International Blvd Oakland CA 94601 |
| Practice Telephone | 5103759050 |
| Mailing Telephone | 5103759050 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Gender Code | F |
| 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 |
3908 INTERNATIONAL BLVD |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| 1619384351 | Joely Pritzker | Nurse Practitioner | 1515 Fruitvale Ave., Oakland, CA 94601 | 2014-07-15 |
| Find all providers in zip 94601 | ||||
| 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 |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1316553290 | Yohannes Fesseha Gebrehiwet | Student in an Organized Health Care Education/Training Program | 2221 9th Ave, Oakland, CA 94606-2613 | 2020-09-16 |
| 1700490729 | Briauna J Taylor | Student in an Organized Health Care Education/Training Program | 1638 47th Ave, Oakland, CA 94601-5273 | 2020-09-08 |
| 1578174116 | Jenae Monasterial | Student in an Organized Health Care Education/Training Program | 1722 Clemens Rd, Oakland, CA 94602-1802 | 2020-08-16 |
| 1205447299 | Brendan Mulligan | Student in an Organized Health Care Education/Training Program | 530 24th St Apt 202, Oakland, CA 94612-1723 | 2020-08-12 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1043836778 | Ali Khavari | Student in an Organized Health Care Education/Training Program | 450 30th St Ste 2860, Oakland, CA 94609-3302 | 2020-06-18 |
| 1952925208 | Melodee Edith Au | Student in an Organized Health Care Education/Training Program | 2445 Telegraph Ave Apt 305, Oakland, CA 94612-2426 | 2020-06-02 |
| 1871116913 | Stew Ellington | Student in an Organized Health Care Education/Training Program | 420 Avon St, Oakland, CA 94618-1024 | 2020-05-23 |
| Find all providers in OAKLAND | ||||
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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.