NINVEH OMLIN (NPI# 1245526326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245526326 |
| Entity Type | Individual |
| Full Name | NINVEH OMLIN |
| Credential | D.P.M. |
| Practice Address |
975 Sereno Dr. Vallejo CA 94589-2485 |
| Practice Telephone | 7076515033 |
| Practice Fax Number | 7076513685 |
| Mailing Telephone | 7076515033 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2014-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5107 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
975 SERENO DR. |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588715288 | Larry Darnell Banks | Optometrist | 975 Sereno Dr., Vallejo, CA 94589-2485 | 2007-01-16 |
| 1952896466 | Natalie Alexandra Coriaty | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr., Podiatry Department, Vallejo, CA 94589 | 2018-06-27 |
| 1669755583 | Alexandra Eleni Hilts Horeczko | Pharmacist | 975 Sereno Dr., Vallejo, CA 94589 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467845065 | Vallejo Foot & Ankle Clinic | Podiatrist | 480 Redwood St Ste 10, Vallejo, CA 94590-2958 | 2015-03-06 |
| 1588126288 | Caroline J Ko | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2019-04-02 |
| 1669836763 | Stephanie Mita | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2016-04-05 |
| 1235511627 | Stephen Haynam | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2015-06-23 |
| 1346657327 | Nicholas Gan Tan | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2014-07-22 |
| 1467868885 | Kyle Willson | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2014-07-07 |
| 1174949226 | Napa Solano Foot and Ankle | Podiatrist | 1460 N Camino Alto, Suite 101, Vallejo, CA 94589-2567 | 2014-03-13 |
| 1902117575 | Daphne Shienmei Yen-douangmala | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2010-06-28 |
| 1609187392 | Ryan Christian Thomas | Podiatrist | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 | 2010-06-28 |
| 1730350422 | Paul David Weiner | Podiatrist | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 | 2008-03-20 |
| Find all providers in VALLEJO | ||||
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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.