FORREST ROBERT HAMLIN SR. (NPI# 1225558349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225558349 |
| Entity Type | Individual |
| Full Name | FORREST ROBERT HAMLIN SR. |
| Credential | DO |
| Practice Address |
415 E Taylor St San Jose CA 95112 |
| Practice Telephone | 5302249144 |
| Mailing Telephone | 5302249144 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2019-05-20 |
| NPI Deactivation Date | 03/27/2019 |
| NPI Reactivation Date | 2019-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 17023 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
415 E TAYLOR ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811334741 | Thanh Nguyet T Mehlert | General Practice | 1097 Foxhurst Way, San Jose, CA 95120-4226 | 2013-06-01 |
| 1881866812 | Harry David Friedman | General Practice | 3097 Moorpark Ave, Suite 102, San Jose, CA 95128-2543 | 2008-03-31 |
| 1346446481 | Dai Tu Pham | General Practice | 10 S 14th St, San Jose, CA 95112-2015 | 2007-06-25 |
| 1952529497 | James Stephen Dyer | General Practice | 6052 Montgomery Bnd, San Jose, CA 95135-1429 | 2007-04-22 |
| 1659408292 | Youssef Shakib Fahimi | General Practice | 1754 Dalton Pl, San Jose, CA 95124-5701 | 2007-02-28 |
| 1134228752 | Albert A Gomez | General Practice | 1644 Alum Rock Ave, San Jose, CA 95116-2429 | 2006-09-21 |
| 1467550608 | Them Huynh | General Practice | 1855 Alum Rock Ave Ste C, San Jose, CA 95116-1398 | 2006-09-20 |
| 1427153808 | Henry R Gan | General Practice | 1685 Westwood Dr, #3, San Jose, CA 95125 | 2006-09-13 |
| 1396848230 | Robert K.c. Lin | General Practice | 888 N Winchester Blvd, San Jose, CA 95128-1353 | 2006-09-06 |
| 1417067380 | Jose Adura Miranda | General Practice | 244 N Jackson Ave Ste 110, San Jose, CA 95116-1604 | 2006-08-30 |
| 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.