ELIZABETH REN (NPI# 1255673299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255673299 |
Entity Type | Individual |
Full Name | ELIZABETH REN |
Credential | NP |
Practice Address |
3626 Balboa St San Francisco CA 94121-2604 |
Practice Telephone | 4156685955 |
Mailing Telephone | 4156685955 |
Enumeration Date | 2013-03-16 |
Last Update Date | 2014-11-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
825832 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3626 BALBOA ST |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94121-2604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063591972 | Kavoos Ghanebassiri | Marriage & Family Therapist | 3626 Balboa St, San Francisco, CA 94121-2604 | 2006-11-02 |
1336751072 | Rory Pettigrew | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2020-08-22 |
1811509631 | Lauren Glasgow | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2020-08-21 |
1083246375 | Elena Ionov | Counselor | 3626 Balboa St, San Francisco, CA 94121-2604 | 2020-02-05 |
1740827880 | Christina Haejin Yum | Counselor | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-12-09 |
1801443486 | Mayra Hernandez | Counselor | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-08-20 |
1548817182 | Harmony Martinez | Counselor | 3626 Balboa St, San Francisco, CA 94121 | 2019-08-19 |
1972159747 | Rachael Mary Perlman | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-08-16 |
1639725740 | Ridhi Shiv | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-08-14 |
1356997944 | Peter Barrett Reynolds | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-08-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316443815 | Joanne Mott | Community Health Worker | Richmond Area Multi Services, 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
1851897359 | Jeffrey Cheng | Community Health Worker | Richmond Area Multi Services 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
1245739283 | George Howard Herzog | Clinical Nurse Specialist | 4150 Clement St G1-111b1, San Francisco, CA 94121 | 2018-02-05 |
1063931228 | Dianna Welsh | Marriage & Family Therapist | 750 33rd Ave., San Francisco, CA 94121 | 2017-09-19 |
1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
1184027229 | Laura Weissberger | Social Worker | 6211 Geary Blvd, 2nd Floor, San Francisco, CA 94121 | 2014-10-03 |
1548676901 | Martha J Ignaszewski | Psychiatry & Neurology | 4150 Clement St Rm 19, San Francisco, CA 94121 | 2014-07-07 |
1912338195 | Katie Francesconi Peters | Physical Therapist | 1921 Lake St Apt 1, San Francisco, CA 94121 | 2013-12-12 |
1649601717 | William Hua | Psychologist | 4150 Clement St (116b), San Francisco, CA 94121 | 2013-11-27 |
1396182721 | Gregory Lariviere Judson | Student in an Organized Health Care Education/Training Program | 4150 Clement St. Box 111a, Vamc, San Francisco, CA 94121 | 2013-05-24 |
Find all providers in zip 94121 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
1760029847 | Manpreet Kaur Pannu | Nurse Practitioner | 900 Hyde St Ste 413, San Francisco, CA 94109-4806 | 2019-12-07 |
1134761711 | Christianne Burns | Nurse Practitioner | 507 Polk St Ste 410, San Francisco, CA 94102-3396 | 2019-10-15 |
1366953259 | Marjan Bazzazi | Nurse Practitioner | 505 Parnasus Avenue, San Francisco, CA 94143 | 2017-10-18 |
1841617347 | Kristen Akemi Sada | Nurse Practitioner | 2 Koret Way # N-319x, San Francisco, CA 94143-0602 | 2014-03-21 |
1578849980 | Charles Primich | Nurse Practitioner | 8 Bernice St, Unit 206, San Francisco, CA 94103-4348 | 2011-10-30 |
1659599983 | Karen Triandafyllis | Nurse Practitioner | 995 Potrero Ave, Ward 93, San Francisco General Hospital, Otop, San Francisco, CA 94110 | 2007-04-23 |
1538248927 | Rosalind Mc Niesh Delisser | Nurse Practitioner | 2 Koret Way Rm N505g, Box 0608, San Francisco, CA 94143-0608 | 2006-11-04 |
1508974791 | Melissa Anne Jethanandani | Nurse Practitioner | 245 11th St, San Francisco, CA 94103 | 2006-08-28 |
1508848714 | Mary Jocelyn Porquez | Nurse Practitioner | 760 Harrison St, San Francisco, CA 94107-1235 | 2005-11-15 |
Find all providers in SAN FRANCISCO |
City | SAN FRANCISCO |
Zip Code | 94121 |
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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.