SEAN TRAYNOR (NPI# 1275011637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275011637 |
| Entity Type | Individual |
| Full Name | SEAN TRAYNOR |
| Practice Address |
251 Georgia St Vallejo CA 94590-5905 |
| Practice Telephone | 9258254700 |
| Mailing Telephone | 9258254700 |
| Enumeration Date | 2018-07-29 |
| Last Update Date | 2018-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194741439 | Sean J Traynor | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-07-13 |
| Street Address |
251 GEORGIA ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-5905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982847059 | Carla Smith | Psychologist | 251 Georgia St, Vallejo, CA 94590-5905 | 2009-04-20 |
| 1699246603 | Kathie Anne Pongrace | Social Worker | 251 Georgia St, Vallejo, CA 94590-5905 | 2018-12-17 |
| 1275010613 | Joann Martinez | Counselor | 251 Georgia St, Vallejo, CA 94590 | 2018-07-27 |
| 1467939017 | Alexandra Miguel | Counselor | 251 Georgia St, Vallejo, CA 94590-5905 | 2018-07-26 |
| 1336626811 | Daryl Tilghman | Counselor | 251 Georgia St, Vallejo, CA 94590-5905 | 2018-07-26 |
| 1437636081 | Daniel Snyder | Counselor | 251 Georgia St, Vallejo, CA 94590-5905 | 2018-07-26 |
| 1457838005 | Mary Adekale | Counselor | 251 Georgia St, Vallejo, CA 94590-5905 | 2018-07-26 |
| 1760907026 | Cora Leung | Counselor | 251 Georgia St, Vallejo, CA 94590-5905 | 2017-08-08 |
| 1477078731 | Katelin Filipps | Counselor | 251 Georgia St, Vallejo, CA 94590-5905 | 2017-08-08 |
| 1013452838 | Sureli K Patel | Counselor | 251 Georgia St, Vallejo, CA 94590-5905 | 2017-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023486586 | Anthonys Stithz | Substance Abuse Rehabilitation Facility | 2000 Ascot Pkwy, Vallejo, CA 94591-7009 | 2015-09-14 |
| 1417324872 | Rose Mendiola | Substance Abuse Rehabilitation Facility | 130 Stanford Dr, Vallejo, CA 94589-1746 | 2015-09-01 |
| 1043625346 | Locklind and Associates, LLC | Substance Abuse Rehabilitation Facility | 4749 Georgia St, Vallejo, CA 94591-6854 | 2014-06-25 |
| 1326352188 | House of Acts | Substance Abuse Rehabilitation Facility | 627 Grant St, Vallejo, CA 94590-7228 | 2010-08-03 |
| 1114127388 | Bi-bett | Substance Abuse Rehabilitation Facility | 126 Ohio St, Vallejo, CA 94590-5049 | 2007-07-24 |
| 1831265495 | Genesis House, Inc | Substance Abuse Rehabilitation Facility | 1149 Warren Ave, Vallejo, CA 94591-7512 | 2006-11-27 |
| 1679019152 | Edna Marie White | Substance Abuse Rehabilitation Facility | 126 Ohio St, Vallejo, CA 94590-5049 | 2017-01-09 |
| 1629510557 | Jblockshin & Associates LLC | Substance Abuse Rehabilitation Facility | 4749 Georgia St, Vallejo, CA 94591-6854 | 2016-11-09 |
| 1922420298 | Shamia Recovery Center | Substance Abuse Rehabilitation Facility | 126 Ohio St, Vallejo, CA 94590-5049 | 2014-01-06 |
| 1326212051 | Bi-bett | Substance Abuse Rehabilitation Facility | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2008-04-14 |
| 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.