PHAIK-JUNE GANT (NPI# 1235494154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235494154 |
| Entity Type | Individual |
| Full Name | PHAIK-JUNE GANT |
| Credential | RD |
| Practice Address |
222 W 39th Ave San Mateo CA 94403-4364 |
| Mailing Address |
115 W Hillsdale Blvd San Mateo CA 94403-4279 |
| Practice Telephone | 6505732686 |
| Mailing Telephone | 6505732686 |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 985348 | CA | Dietary & Nutritional Service Providers |
| Street Address |
222 W 39TH AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683789 | Diana V Jao | Internal Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2005-07-20 |
| 1306465125 | Rennie Burke | Student in an Organized Health Care Education/Training Program | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-04-11 |
| 1447887856 | Michelle Wong | Physical Therapist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-03-25 |
| 1508406398 | Alexandria Vanessa Perez | Counselor | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-01-09 |
| 1275197899 | Connie Chen | General Practice | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2019-04-29 |
| 1063075596 | Jiaochen Ke | General Practice | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2019-04-19 |
| 1952877524 | Asmi Mehta | Physical Therapist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-10-22 |
| 1649753427 | Ariane Beck | Emergency Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-09-08 |
| 1114408176 | Matthew Tyler Sachs | Registered Nurse | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-08-27 |
| 1679066047 | Niloofar Zabihi | Pharmacist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| Find all providers in zip 94403 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595632 | Mayble L Jiang | Dietitian, Registered | 1650 S Amphlett Blvd Ste 115, San Mateo, CA 94402-2514 | 2019-05-31 |
| 1114489952 | Anna Helena Markus | Dietitian, Registered | 636 Amesbury Ave, San Mateo, CA 94402-1905 | 2019-04-02 |
| 1811474570 | Erin Jordan Pettygrove | Dietitian, Registered | 1533 Lago St, San Mateo, CA 94403-2007 | 2018-07-25 |
| 1952765398 | Deborah Kurzrock | Dietitian, Registered | 100 S San Mateo Dr Ste 400, San Mateo, CA 94401-3805 | 2016-04-12 |
| 1356710164 | Jennifer Lee Stimson | Dietitian, Registered | 30 S Grant St, #4, San Mateo, CA 94401-2942 | 2015-09-22 |
| 1174618649 | Sara Sanner Weaver | Dietitian, Registered | 111 Aragon Blvd, San Mateo, CA 94402 | 2006-10-03 |
| 1710506142 | Stephanie Chen | Dietitian, Registered | 1650 S Amphlett Blvd Ste 115, San Mateo, CA 94402-2514 | 2020-04-15 |
| 1760028278 | Viveca Taylor | Dietitian, Registered | 1650 S Amphlett Blvd Ste 115, San Mateo, CA 94402-2514 | 2019-11-19 |
| 1194361618 | Rebecca Marie Lee | Dietitian, Registered | 1650 S Amphlett Blvd Ste 115, San Mateo, CA 94402-2514 | 2019-11-19 |
| 1437701042 | Amy Chen | Dietitian, Registered | 1650 S Amphlett Blvd Ste 115, San Mateo, CA 94402-2514 | 2019-07-13 |
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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.