DEBORA DENISE MANDELBAUM (NPI# 1306005913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306005913 |
| Entity Type | Individual |
| Full Name | DEBORA DENISE MANDELBAUM |
| Practice Address |
1333 Meridian Ave San Jose CA 95125-5212 |
| Practice Telephone | 4084453400 |
| Practice Fax Number | 4082691952 |
| Mailing Telephone | 4084453400 |
| Mailing Fax Number | 4082691952 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | FHC11833F | 01 |
| Street Address |
1333 MERIDIAN AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95125-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588621577 | Beahwa Yeoh | Nurse Practitioner | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2006-04-26 |
| 1346720109 | Pamela Gayle Ghareeb Gudino | Nurse Practitioner | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2018-08-20 |
| 1639681513 | Tammy S. Hwang | Nurse Practitioner | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2017-10-31 |
| 1255859872 | Vinh Buu Cai | Nurse Practitioner | 1333 Meridian Ave, San Jose, CA 95125 | 2017-09-04 |
| 1053841338 | Elle Dinh | Dentist | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2017-06-19 |
| 1952839110 | Christopher Solis | Nurse Practitioner | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2017-05-31 |
| 1225496946 | Hoaihuong Nguyen | Dentist | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2016-02-09 |
| 1598141384 | Prisila Gonzalez | Nurse Practitioner | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2015-08-04 |
| 1871992065 | Mala Gopal | Dentist | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2014-08-14 |
| 1265877948 | Saira Muhammed | Dentist | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2013-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
| 1659809259 | Edward Escoto | Assistant Behavior Analyst | 2075 Lincoln Ave Ste D, San Jose, CA 95125 | 2017-05-25 |
| 1104288422 | Kristin Ann Dessau | Counselor | 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 | 2016-03-25 |
| 1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
| 1598042905 | Walgreens | Exclusive Provider Organization | 2585 Almaden Road, San Jose, CA 95125 | 2011-11-14 |
| 1881981488 | Kevin Jia-chian Yen | Dentist | 1660 Willow St Ste 5, San Jose, CA 95125 | 2011-07-02 |
| 1699093724 | Lokahi Acupuncture, Inc. | Acupuncturist | 1688 Willow Street, Suite B, San Jose, CA 95125 | 2010-05-13 |
| 1538482468 | Mark Lucius Yoslow | Psychologist | 970 Minnesota Avenue, San Jose, CA 95125 | 2010-03-06 |
| Find all providers in zip 95125 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1700491800 | Sean Garcia | Counselor | 2959 Carrington Ct, San Jose, CA 95125-4882 | 2020-09-15 |
| 1659985240 | Meng Chang Licensed Marriage and Family Therapist | Counselor | 1174 Lincoln Ave Ste 8, San Jose, CA 95125-3029 | 2020-09-02 |
| 1932721115 | Ellen C Gagne | Counselor | 290 N 2nd St Ste 202, San Jose, CA 95112-4143 | 2020-05-11 |
| 1215566773 | Michelle L. Powers | Counselor | 2 N Market St Ste 500, San Jose, CA 95113-1211 | 2020-04-06 |
| 1841823069 | Ana Gabriella Marquez | Counselor | 298 Bernal Rd # A, San Jose, CA 95119-1809 | 2020-02-17 |
| 1063044741 | Alyssa N Thompson | Counselor | 423 Los Arboles St, San Jose, CA 95111-2344 | 2020-02-10 |
| 1336770288 | Genevieve Altwer | Counselor | 3150 Almaden Expy Ste 223, San Jose, CA 95118-1253 | 2020-01-29 |
| 1477183705 | Benjamin C Jensen | Counselor | 1366 Petal Way, San Jose, CA 95129-4722 | 2020-01-26 |
| 1659910529 | Fred Finch Youth Center | Counselor | 2625 Zanker Rd Ste 122, San Jose, CA 95134-2130 | 2019-12-24 |
| Find all providers in SAN JOSE | ||||
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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.