MR. RONALD MARK KORWALD (NPI# 1275769879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275769879 |
| Entity Type | Individual |
| Full Name | MR. RONALD MARK KORWALD |
| Credential | ADDICTIONOLOGIST |
| Practice Address |
400 Harbor Blvd Building C Belmont CA 94002-4047 |
| Practice Telephone | 6508026429 |
| Practice Fax Number | 6508026440 |
| Mailing Telephone | 6508026429 |
| Mailing Fax Number | 6508026440 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
400 HARBOR BLVD BUILDING C |
| City | BELMONT |
| State | CA |
| Zip Code | 94002-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437302072 | Ericka Elizabeth Perez | Counselor | 400 Harbor Blvd, Belmont, CA 94002-4047 | 2008-10-28 |
| 1295159747 | Joseph Atteberry Gutierez | Counselor | 400 Harbor Blvd, Belmont, CA 94002-4047 | 2014-02-04 |
| 1073860987 | Isabelle Valderrama | Behavioral Analyst | 400 Harbor Blvd, Building E, Belmont, CA 94002-4047 | 2012-08-09 |
| 1609123777 | Diana Hill | Counselor | 400 Harbor Blvd, Building E, Belmont, CA 94002-4047 | 2012-08-08 |
| 1558617597 | Diana C Gomez | Community/Behavioral Health | 400 Harbor Blvd, Suite E, Belmont, CA 94002-4047 | 2012-07-27 |
| 1093061186 | Denise Mosely | Behavioral Analyst | 400 Harbor Blvd, Building E, Belmont, CA 94002-4047 | 2012-07-26 |
| 1558617647 | Adrianna Eunice Muckel | Behavioral Analyst | 400 Harbor Blvd, Building E, Belmont, CA 94002-4047 | 2012-07-26 |
| 1528314606 | Yadhira Christensen | Behavioral Analyst | 400 Harbor Blvd, Belmont, CA 94002-4047 | 2012-07-26 |
| 1669749719 | David Murrieta | Counselor | 400 Harbor Blvd, Building E, Belmont, CA 94002-4047 | 2011-11-17 |
| 1043591621 | Elisabeth Ann Meister | Student in an Organized Health Care Education/Training Program | 400 Harbor Blvd, Belmont, CA 94002-4047 | 2011-09-08 |
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| 1053624189 | Pragya Jain | Internal Medicine | 1301 Shoreway Rd., Ste. 100, Belmont, CA 94002 | 2010-07-18 |
| 1194956425 | Lilia Patricia Gallegos | Marriage & Family Therapist | 1 Davis Drive, Belmont, CA 94002 | 2009-08-04 |
| 1407099088 | Dharmesh Patel | Radiology | 513 Seagate Way, Belmont, CA 94002 | 2009-04-13 |
| 1376688044 | Paul M. Takla | Dentist | 2130 Ralston Ave, Suite 1e, Belmont, CA 94002 | 2007-02-21 |
| 1487799987 | Mark Joseph Mcmahon | Physical Therapist | 549 Ralson Avenue, Suite B, Belmont, CA 94002 | 2007-02-21 |
| 1639216112 | Patricia Mary Wieser | Nurse Practitioner | 1541 Harbor Blvd, Belmont, CA 94002 | 2007-01-31 |
| 1063575157 | Peninsula Specialty Care | Dentist | 562 Ralston Ave, Belmont, CA 94002 | 2006-12-19 |
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| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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| 1295082543 | Rogelio Salinas Jr. | Counselor | 2151 Carlmont Dr, #206, Belmont, CA 94002-3453 | 2012-08-06 |
| 1588932248 | Desirae Perouz Miller | Counselor | 310 Harbor Blvd Bldg E, Belmont, CA 94002-4018 | 2011-12-09 |
| 1710263918 | Nicole Lynne Siegel | Counselor | 27 Hermon St, Belmont, MA 02478-2624 | 2011-11-01 |
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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.