MRS. EUNICE O BALOGUN (NPI# 1215116678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215116678 |
| Entity Type | Individual |
| Full Name | MRS. EUNICE O BALOGUN |
| Credential | CCP |
| Practice Address |
130 Descanso Dr Apt # 189 San Jose CA 95134-1890 |
| Practice Telephone | 4086232950 |
| Practice Fax Number | 6506159995 |
| Mailing Telephone | 4086232950 |
| Mailing Fax Number | 6506159995 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | 991199 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
130 DESCANSO DR APT # 189 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95134-1890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972995413 | Matthew Thomas Mccormack | Chiropractor | 130 Descanso Dr, #152, San Jose, CA 95134-1890 | 2015-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013433945 | Jessica Roberson | Speech-Language Pathologist | 330 Crescent Village Circle, San Jose, CA 95134 | 2017-08-22 |
| 1407221948 | Bay Area Behavioral Group | Community/Behavioral Health | 4423 Fortran Court, #136, San Jose, CA 95134 | 2015-12-09 |
| 1891114500 | Adriane Jones | Occupational Therapist | 640 Epic Way, Apartment #271, San Jose, CA 95134 | 2014-04-09 |
| 1255758165 | Adam Moreno | Counselor | 2625 Zanker Rd., San Jose, CA 95134 | 2014-03-28 |
| 1972938801 | Claudine Lott | Family Medicine | 145 Nicholson Ln, San Jose, CA 95134 | 2013-09-11 |
| 1659611556 | 360 Degree Customer Inc | Early Intervention Provider Agency | 4423 Fortran Drive, # 114, San Jose, CA 95134 | 2013-03-01 |
| 1629392022 | Harrison James Kornfield | Surgery | 455 Navaro Way, #108, San Jose, CA 95134 | 2010-03-15 |
| 1538348008 | Roxanne F Ubana | Counselor | 4423 Fortran Ct Ste 136, San Jose, CA 95134 | 2007-10-31 |
| 1538351044 | William Lopez Robles | Counselor | 2625 Zanker Road, San Jose, CA 95134 | 2007-08-17 |
| 1881717296 | Chloe Chu | Dentist | 3720 N. First Street, Suite C, San Jose, CA 95134 | 2007-04-09 |
| Find all providers in zip 95134 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574599 | Jonathan Persa | Perfusionist | 500 Race St Apt 4204, San Jose, CA 95126-5155 | 2020-09-24 |
| 1942695002 | Jesse Lobodinsky | Perfusionist | 4231 Norwalk Dr Apt 310, San Jose, CA 95129-1773 | 2015-04-04 |
| 1528405503 | Joshua Seth Philp | Perfusionist | 1695 Merrill Dr, San Jose, CA 95124-5919 | 2013-05-30 |
| 1811252018 | Joseph Michael Craft | Perfusionist | 1556 Foxworthy Ave, San Jose, CA 95118-1032 | 2012-07-12 |
| 1821201302 | Daniel Aaron Jacques | Perfusionist | 2093 Bel Air Ave, San Jose, CA 95128-1410 | 2007-05-08 |
| 1184746356 | Jonah Leon | Perfusionist | 333 Santana Row, Suite 313, San Jose, CA 95128-2000 | 2007-04-06 |
| 1821565755 | Thuy Nhu Tran | Perfusionist | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-10-29 |
| 1013492685 | Ryan Kar | Perfusionist | 2105 Forest Ave, San Jose, CA 95128-1471 | 2018-09-30 |
| 1396264131 | Allison Whitney Young | Perfusionist | 2105 Forest Ave, San Jose, CA 95128-1425 | 2017-09-13 |
| 1548789340 | Rohit Jaiswal | Perfusionist | 2105 Forest Ave, San Jose, CA 95128-1425 | 2017-09-12 |
| Find all providers in SAN JOSE | ||||
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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.