TARA MANJUNATH ROUS (NPI# 1205498474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205498474 |
| Entity Type | Individual |
| Full Name | TARA MANJUNATH ROUS |
| Credential | FNP-C |
| Practice Address |
7600 Old Dominion Ct Aptos CA 95003-3821 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 8314586200 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95012107 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7600 OLD DOMINION CT |
| City | APTOS |
| State | CA |
| Zip Code | 95003-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780664565 | Victoria Kaufmann | Internal Medicine | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2006-01-18 |
| 1437691946 | Kayla Monique Hernandez | Nurse Practitioner | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2016-11-15 |
| 1770951113 | Marisela Marinez Lima | Physician Assistant | 7600 Old Dominion Ct, Aptos, CA 95003 | 2015-09-02 |
| 1275957078 | Melinda Orbach | Nurse Practitioner | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2014-02-13 |
| 1235573460 | Robert Clark | Family Medicine | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2013-04-18 |
| 1669790317 | Kenneth Andrews | Family Medicine | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2010-05-05 |
| 1053574806 | Santa Cruz Medical Foundation Palo Alto Medical Foundation | Non-Pharmacy Dispensing Site | 7600 Old Dominion Ct, 1st, Aptos, CA 95003-3821 | 2008-07-02 |
| 1881892685 | Allison Marie Helms | Family Medicine | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2007-07-03 |
| 1043309354 | Suzy Nassralla | Internal Medicine | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2006-10-12 |
| 1114038064 | Nathan Atkinson | Family Medicine | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730664962 | Karinn Lane Pearson | Occupational Therapist | 240 Ranchitos Del Sol, Aptos, CA 95003 | 2018-10-03 |
| 1104280494 | Mary Alice Charboneau | Pharmacist | 80 Ranch Del Mar, Aptos, CA 95003 | 2016-04-12 |
| 1447643507 | Lorrine Carrara | Marriage & Family Therapist | 3060 Valencia Ave Ste 7, Aptos, CA 95003 | 2015-03-13 |
| 1417372277 | Maribel Madrigal | Counselor | 9057 Soquel Dr. C, Suite A, Aptos, CA 95003 | 2014-03-03 |
| 1740556604 | Teela Williams | Counselor | 105 Post Ofiice Dr, Suite F, Aptos, CA 95003 | 2012-03-26 |
| 1730452228 | Lisa Dopfel | Speech-Language Pathologist | 116 Glen Drive, Aptos, CA 95003 | 2012-02-15 |
| 1417279506 | Kristen Claassen | Counselor | 3060 Valencia Ave Suite 7, Aptos, CA 95003 | 2010-02-17 |
| 1699904003 | Bridgete H Clark | Dentist | 6500 Soquel Drive, Aptos, CA 95003 | 2009-07-07 |
| 1164658316 | Families Together | Community/Behavioral Health | 9057 Soquel Drive C Ste A, Aptos, CA 95003 | 2009-06-02 |
| 1720237647 | Rebecca Ann Golden | Marriage & Family Therapist | 124 Rancho Del Mar, Aptos, CA 95003 | 2008-09-16 |
| Find all providers in zip 95003 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255538971 | Christine Ann Rada | Nurse Practitioner | 3113 Corte Cabrillo, Aptos, CA 95003-3162 | 2007-06-27 |
| 1114015872 | Mary K Dowling | Nurse Practitioner | 6500 Soquel Dr, Cabrillo College Student Health Services, Aptos, CA 95003-3119 | 2006-10-10 |
| 1437691946 | Kayla Monique Hernandez | Nurse Practitioner | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2016-11-15 |
| 1710382239 | Aphrodite Roberts | Nurse Practitioner | 26 Rancho Del Mar, Aptos, CA 95003-3973 | 2014-10-27 |
| 1275957078 | Melinda Orbach | Nurse Practitioner | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2014-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
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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.