DR. ROBERT DANIEL HOLDSAMBECK (NPI# 1295939726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295939726 |
| Entity Type | Individual |
| Full Name | DR. ROBERT DANIEL HOLDSAMBECK |
| Credential | ED.D. |
| Practice Address |
126 S H St Lompoc CA 93436-6821 |
| Practice Telephone | 8057355550 |
| Practice Fax Number | 8057355616 |
| Mailing Telephone | 8057355550 |
| Mailing Fax Number | 8057355616 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
PSY10120 | CA | Behavioral Health & Social Service Providers |
| Street Address |
126 S H ST |
| City | LOMPOC |
| State | CA |
| Zip Code | 93436-6821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063615169 | Julie Michelle Silva | Psychologist | 126 S H St, Lompoc, CA 93436-6821 | 2007-06-06 |
| 1801136916 | Kamela Marie Proulx | Behavioral Analyst | 126 S H St, Lompoc, CA 93436-6821 | 2013-02-26 |
| 1215273354 | Tamera Madeline Wong | Behavioral Analyst | 126 S H St, Lompoc, CA 93436-6821 | 2012-12-18 |
| 1083950182 | Brianah Carlin Winslow | Behavioral Analyst | 126 S H St, Lompoc, CA 93436-6821 | 2012-12-17 |
| 1154670453 | Ellen Jo Lewis | Behavioral Analyst | 126 S H St, Lompoc, CA 93436-6821 | 2012-08-31 |
| 1740484849 | Vickie Robberstad | Counselor | 126 S H St, Lompoc, CA 93436-6821 | 2007-06-13 |
| 1225232143 | Erendira Coronel | Counselor | 126 S H St, Lompoc, CA 93436-6821 | 2007-06-13 |
| 1710181185 | Namaz Habroun | Counselor | 126 S H St, Lompoc, CA 93436-6821 | 2007-06-12 |
| 1922201557 | Lorraine Janet Reza | Counselor | 126 S H St, Lompoc, CA 93436-6821 | 2007-06-10 |
| 1720281371 | Maria Rodes | Counselor | 126 S H St, Lompoc, CA 93436-6821 | 2007-06-08 |
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|---|---|---|---|---|
| 1225671498 | Bonnie O'brien | Technician | 4174 Sirius Avenue, Lompoc, CA 93436 | 2019-10-21 |
| 1043734056 | Stevens Life Chiropractic, PC | Chiropractor | 217-a West Central Ave, Lompoc, CA 93436 | 2017-08-01 |
| 1548621014 | Kimberly Gaynell Wiley | Home Health Aide | 610 East Pine St #34, Lompoc, CA 93436 | 2016-03-11 |
| 1386017960 | Marcos Paul Cline | Counselor | 117 North 'b' Street, Lompoc, CA 93436 | 2015-11-04 |
| 1487045324 | Angela Rose Robinson | Case Manager/Care Coordinator | 113 North H Street, Suite F, Lompoc, CA 93436 | 2015-02-13 |
| 1851795751 | Alina Staniger | Counselor | 604 W Ocean, Lompoc, CA 93436 | 2014-10-21 |
| 1154750560 | Lompoc Valley Medical Center | General Acute Care Hospital | 303 South C Street, Lompoc, CA 93436 | 2013-11-06 |
| 1598191488 | David Lewis Mcaninch Iv | Dentist | 1111 East Ocean Avenue, Suite 9, Lompoc, CA 93436 | 2013-09-24 |
| 1336407048 | Pamela Jordan | Counselor | 110 S. 'c' St. Ste. A, Family Service Agency, Lompoc, CA 93436 | 2012-05-01 |
| 1316220874 | Zillah J. Hodgkins | Counselor | 513 N G St, Lompoc, CA 93436 | 2011-09-21 |
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| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
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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.