MISS KAMILLE SERRANZANA MERCADO (NPI# 1245779883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245779883 |
Entity Type | Individual |
Full Name | MISS KAMILLE SERRANZANA MERCADO |
Practice Address |
55 E Julian St San Jose CA 95112-4007 |
Mailing Address |
4289 Callan Blvd Daly City CA 94015-4433 |
Practice Telephone | 4089182600 |
Mailing Telephone | 6503031324 |
Enumeration Date | 2017-02-15 |
Last Update Date | 2017-02-15 |
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 |
55 E JULIAN ST |
City | SAN JOSE |
State | CA |
Zip Code | 95112-4007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093718678 | Hsin-pei Liu | Obstetrics & Gynecology | 55 E Julian St, San Jose, CA 95112-4007 | 2005-05-27 |
1194344325 | Esteban Gallegos | Student in an Organized Health Care Education/Training Program | 55 E Julian St, San Jose, CA 95112-4007 | 2020-04-08 |
1174157028 | Ashley Ortiz | Student in an Organized Health Care Education/Training Program | 55 E Julian St, San Jose, CA 95112-4007 | 2020-03-01 |
1083116214 | Victoria Lai | Dentist | 55 E Julian St, San Jose, CA 95112-4007 | 2018-03-04 |
1720527393 | Thu Le | Student in an Organized Health Care Education/Training Program | 55 E Julian St, San Jose, CA 95112-4007 | 2017-02-15 |
1164880662 | Janice Lee | Student in an Organized Health Care Education/Training Program | 55 E Julian St, San Jose, CA 95112-4007 | 2016-01-29 |
1063830958 | Shuzing Tsung | Nurse Practitioner | 55 E Julian St, San Jose, CA 95112-4007 | 2014-03-28 |
1164701298 | Monika Dahiya | Dentist | 55 E Julian St, St. James Clinic, San Jose, CA 95112-4007 | 2011-08-07 |
1467753855 | Lily Feng | Optometrist | 55 E Julian St, San Jose, CA 95112-4007 | 2010-11-16 |
1023347861 | Cecilia K Imamura | Optometrist | 55 E Julian St, San Jose, CA 95112-4007 | 2009-12-07 |
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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 |
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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 |
---|---|---|---|---|
1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
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 |
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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.