MARISSA BURTON (NPI# 1215536206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215536206 |
| Entity Type | Individual |
| Full Name | MARISSA BURTON |
| Practice Address |
1759 Queenstown Dr San Jose CA 95132-1755 |
| Practice Telephone | 4089309622 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
1759 QUEENSTOWN DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95132-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902300304 | Pamela Judith Reyes | Technician, Other | 2716 Longford Drive, San Jose, CA 95132 | 2018-03-20 |
| 1972990778 | David Thai | Dentist | 2861 Donizetti Ct., San Jose, CA 95132 | 2015-04-20 |
| 1174964092 | Brandi Marche Brooks | Psychologist | 1866 Half Pence Way, San Jose, CA 95132 | 2013-07-08 |
| 1023314325 | Al R Abad Dental Corporation | Dentist | 2664 Berryessa Road, Suite 212, San Jose, CA 95132 | 2011-02-03 |
| 1134355530 | Hang Thuy Tran | Student in an Organized Health Care Education/Training Program | 3314 Hostetter Road, San Jose, CA 95132 | 2009-06-01 |
| 1144408121 | Ruth Elaine Bristol | Marriage & Family Therapist | 3435 Birchwood, San Jose, CA 95132 | 2008-02-01 |
| 1033328398 | Victoria Bethina Andrada | Dentist | 2542 Berryessa Road, San Jose, CA 95132 | 2007-05-22 |
| 1417179540 | Albert G Seid Dds & Hubert G Seid Dds A Professional Corpation | Dentist | 1239 Piedmont Road, San Jose, CA 95132 | 2007-05-02 |
| 1336269554 | Fernando T Vilale | Dentist | 1333 Piedmont Rd#103, San Jose, CA 95132 | 2007-03-30 |
| 1669513172 | Roberto V Espejo Jr Dds Inc | Dentist | 3278 Noble Ave, San Jose, CA 95132 | 2007-02-08 |
| Find all providers in zip 95132 | ||||
| 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 |
|---|---|---|---|---|
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1750992152 | Jolene Thu Tran | Student in an Organized Health Care Education/Training Program | 2811 Glauser Dr, San Jose, CA 95133-1410 | 2020-08-11 |
| 1588273270 | Kimberly Ngoc Nguyen | Student in an Organized Health Care Education/Training Program | 3094 Seafield Ct, San Jose, CA 95148-4044 | 2020-07-28 |
| 1699393884 | Nancy Tang | Student in an Organized Health Care Education/Training Program | 3130 Brightwood Ct, San Jose, CA 95148-2649 | 2020-07-14 |
| 1548884125 | Chelsea Lorraine Barnes | Student in an Organized Health Care Education/Training Program | 1045 Lincoln Ct, San Jose, CA 95125-2638 | 2020-05-30 |
| 1891318705 | Magdalena Cachu-enciso | Student in an Organized Health Care Education/Training Program | 1624 June Ave, San Jose, CA 95122-2211 | 2020-05-26 |
| 1104448729 | Veerali Juthani | Student in an Organized Health Care Education/Training Program | 3920 Braeburn Ct, San Jose, CA 95130-1206 | 2020-05-18 |
| 1811518020 | Thomas Vo | Student in an Organized Health Care Education/Training Program | 3205 San Rivas Dr, San Jose, CA 95148-2037 | 2020-04-28 |
| 1831727130 | Brent Carmona | Student in an Organized Health Care Education/Training Program | 3791 Heppner Ln, San Jose, CA 95136-1506 | 2020-03-31 |
| 1265069009 | Jessica Raye Carr | Student in an Organized Health Care Education/Training Program | 6620 Via Del Oro Fl 2, San Jose, CA 95119-1392 | 2020-03-23 |
| 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.