MS. LAURA R GANNON (NPI# 1255482014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255482014 |
| Entity Type | Individual |
| Full Name | MS. LAURA R GANNON |
| Credential | L.AC., |
| Practice Address |
975 Sereno Dr Vallejo CA 94589-2441 |
| Practice Telephone | 7076514150 |
| Mailing Telephone | 7076514150 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC5569 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505049 | Laura Gannon | Social Worker | 235 Main St Ste 520, White Plains, NY 10601-2421 | 2019-12-16 |
| 1427613090 | Laura Emily Gannon | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Avenue Suite 447, Memphis, TN 38163-0001 | 2019-05-08 |
| Street Address |
975 SERENO DR |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940620 | James A Carolan | Specialist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2005-05-31 |
| 1386243483 | Chrismichael C Caniaveral | Pulmonary Function Technologist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-10-20 |
| 1598376188 | Justin Parungao Vallarta | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-08-16 |
| 1083232524 | Jeremy Cobb Mutter | Respiratory Therapist, Certified | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-07-10 |
| 1083230361 | Rabeea Abbas | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-06-22 |
| 1518588490 | Claudia S Vanover | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-05-01 |
| 1013536937 | Nicole Anne Madrilejo | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-10 |
| 1457970527 | Sean N Ryan | Physical Therapist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-09 |
| 1528687787 | Natalie Sukie White | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-08 |
| 1801423223 | Jacqueline Yu | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-03-25 |
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| 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 | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578636676 | Joan Chi-chi Chang | Acupuncturist | 1416 Tennessee St Ste 5, Vallejo, CA 94590-4647 | 2006-11-16 |
| 1073093472 | Pivot Acupuncture & Integrative Health Inc | Acupuncturist | 480 Redwood St Ste 14, Vallejo, CA 94590-2958 | 2018-08-16 |
| 1861852691 | Seek Optimal Health, A Professional Organization | Acupuncturist | 805 Tuolumne St, Vallejo, CA 94590-4638 | 2016-03-07 |
| 1619340205 | Shawne Jabonero Lopes | Acupuncturist | 127 Hospital Dr, #203a, Vallejo, CA 94589-2500 | 2015-11-04 |
| 1386020220 | Novella Leimberg | Acupuncturist | 526 Tennessee St, Vallejo, CA 94590-4431 | 2015-08-03 |
| 1194135723 | Ritual Acupuncture Inc | Acupuncturist | 127 Hospital Dr, Suite #203a, Vallejo, CA 94589-2500 | 2014-05-05 |
| 1467898536 | Joel De Vera Moncada | Acupuncturist | 127 Hospital Dr, Suite #203a, Vallejo, CA 94589 | 2013-05-16 |
| 1437213436 | Michael Sutherland Clauson | Acupuncturist | 975 Sereno Dr, Bayview South, Vallejo, CA 94589-2441 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497557 | Golden Yung | Acupuncturist | 155 E 5th Ave, San Mateo, CA 94401-4108 | 2020-11-07 |
| 1316548951 | Sooyeon Yoon | Acupuncturist | 18765 Colima Rd, Rowland Heights, CA 91748-2949 | 2020-11-02 |
| 1497356083 | Pyung Doo Nam | Acupuncturist | 7097 Alvern St Apt D212, Los Angeles, CA 90045-1867 | 2020-11-02 |
| 1114528742 | Tao of Medicine Inc. | Acupuncturist | 2901 Wilshire Blvd Ste 335, Santa Monica, CA 90403-4930 | 2020-11-02 |
| 1518567643 | Jewel In The Lotus Healing | Acupuncturist | 1828 Felton St, San Diego, CA 92102-1230 | 2020-10-28 |
| 1700486784 | Srotas | Acupuncturist | 14758 Beach Blvd, La Mirada, CA 90638-4250 | 2020-10-28 |
| 1134728603 | Philip Reh | Acupuncturist | 451 Indian Springs Rd., Novato, CA 94947-4238 | 2020-10-25 |
| 1417556051 | Sharon Chen | Acupuncturist | 2440 S Hacienda Blvd Ste 231, Hacienda Heights, CA 91745-4774 | 2020-10-24 |
| 1609475078 | Marysa Kavalec | Acupuncturist | 2302 Oak St Apt 3, Santa Monica, CA 90405-5130 | 2020-10-18 |
| 1336747344 | Xiao Yan Liu | Acupuncturist | 16790 Ventry Way, San Lorenzo, CA 94580-1244 | 2020-10-12 |
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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.