MR. ADRIAN GUDINO (NPI# 1225585862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225585862 |
| Entity Type | Individual |
| Full Name | MR. ADRIAN GUDINO |
| Practice Address |
5151 Pacific Ave Stockton CA 95207-6304 |
| Mailing Address |
6430 Verner Ave Apt 184 Sacramento CA 95841 |
| Practice Telephone | 6236926736 |
| Mailing Telephone | (623) 692-6736 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | 136210 | CA | Pharmacy Service Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Street Address |
5151 PACIFIC AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-6304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508194366 | Kevin Anderson | Specialist/Technologist | 5151 Pacific Ave, Stockton, CA 95207-6370 | 2009-12-05 |
| 1407460751 | Community Medical Centers Inc | Clinic/Center | 5151 Pacific Ave, Lock Center Room 126 & 128, Stockton, CA 95207-6304 | 2020-09-03 |
| 1255989380 | Tessa Christine Dahl | Specialist/Technologist, Other | 5151 Pacific Ave, Stockton, CA 95207-6304 | 2019-09-02 |
| 1558764274 | Jamie Marie Derollo | Specialist/Technologist | 5151 Pacific Ave, Stockton, CA 95207-6304 | 2014-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| 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 |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1083223317 | Simone A Stevens | Student in an Organized Health Care Education/Training Program | 2041 Grey Stone Dr, Stockton, CA 95206-4652 | 2020-07-22 |
| 1497381453 | Carrie Elaine Guidry | Student in an Organized Health Care Education/Training Program | 4415 N Pershing Ave Apt 4, Stockton, CA 95207-6955 | 2020-03-20 |
| 1740820786 | Brandon Jay Baccam | Student in an Organized Health Care Education/Training Program | 3302 Rutherford Dr, Stockton, CA 95212-3425 | 2020-01-07 |
| 1144886375 | Linda Voeuth Kong | Student in an Organized Health Care Education/Training Program | 3830 Alvarado Ave Apt 225, Stockton, CA 95204-2324 | 2019-05-13 |
| 1518439173 | Heidi Lee | Student in an Organized Health Care Education/Training Program | 3591 Quail Lakes Dr Apt 33, Stockton, CA 95207-5253 | 2018-12-20 |
| 1396220331 | Evangelina Dori Olson | Student in an Organized Health Care Education/Training Program | 1803 W March Ln Ste C&d, Stockton, CA 95207-6414 | 2018-09-25 |
| 1548741176 | Diep Phan | Student in an Organized Health Care Education/Training Program | 7720 Lorraine Ave Ste 102, Stockton, CA 95210-4203 | 2018-08-22 |
| 1457885279 | Angud Mehdi | Student in an Organized Health Care Education/Training Program | 6351 Saint Andrews Dr, Stockton, CA 95219-1861 | 2017-04-18 |
| 1477929453 | Manjot Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 5405 N Pershing Ave Ste C1, Stockton, CA 95207-5451 | 2015-08-13 |
| Find all providers in STOCKTON | ||||
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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.