JESSICA PAGE (NPI# 1306365614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306365614 |
| Entity Type | Individual |
| Full Name | JESSICA PAGE |
| Practice Address |
1340 Tully Rd San Jose CA 95122-3055 |
| Mailing Address |
1340 Tully Rd Ste 304 San Jose CA 95122-3055 |
| Practice Telephone | 4082713900 |
| Mailing Telephone | 4082713900 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079283 | Jessica Adele Page | Student in an Organized Health Care Education/Training Program | 420 Broken Arrow Dr Unit A, Grand Junction, CO 81504-7635 | 2020-09-27 |
| 1548667439 | Jessica Christine Page | Dietitian, Registered | 1908 Meadow Ln, Edwardsville, IL 62025-5519 | 2014-11-20 |
| 1427485960 | Jessica T Page | Nurse Practitioner | Dumc 3921, 201 Trent Drive, Durham, NC 27710-0001 | 2013-09-30 |
| 1609321371 | Jessica Page | Health Educator | 2100 38th St Nw, Canton, OH 44709-2312 | 2016-08-23 |
| 1053658708 | Jessica Marie Page | Obstetrics & Gynecology | 50 N Medical Dr, Salt Lake City, UT 84132-3011 | 2013-01-14 |
| 1902179690 | Jessica R Page | Counselor | 125 Penfield Rd, Fairfield, CT 06824-6611 | 2012-02-11 |
| 1821368663 | Jessica Lynne Page | Nurse Practitioner | 2872 Turnpike St, Susquehanna, PA 18847-2771 | 2012-01-11 |
| 1609031152 | Jessica Joyce Page | Marriage & Family Therapist | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2008-07-24 |
| Street Address |
1340 TULLY RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95122-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831104470 | Prescription Headquarters Inc | Pharmacy | 1340 Tully Rd, Ste 312, San Jose, CA 95122-3055 | 2006-07-30 |
| 1114561875 | Eufrosina A Gates | Counselor | 1340 Tully Rd, San Jose, CA 95122-3055 | 2019-11-05 |
| 1902371008 | Bryan Yukiu Leung | Student in an Organized Health Care Education/Training Program | 1340 Tully Rd, San Jose, CA 95122-3055 | 2018-10-04 |
| 1639688682 | Jacqueline Sarellano-moreno | Counselor | 1340 Tully Rd, Suite 301, San Jose, CA 95122 | 2017-09-21 |
| 1508318890 | Jie Yu | Counselor | 1340 Tully Rd, San Jose, CA 95122-3055 | 2016-11-02 |
| 1306397393 | Shaochen Chang | Counselor | 1340 Tully Rd, San Jose, CA 95122-3055 | 2016-10-14 |
| 1255782041 | Sarina Huerta | Counselor | 1340 Tully Rd, San Jose, CA 95122 | 2016-06-23 |
| 1851750269 | Brittany Simons | Counselor | 1340 Tully Rd, San Jose, CA 95122-3055 | 2016-02-12 |
| 1669846028 | Sinh Le | Counselor | 1340 Tully Rd, Suite 304, San Jose, CA 95122-3055 | 2015-11-23 |
| 1801265335 | Jenny Le | Counselor | 1340 Tully Rd, Ste 304, San Jose, CA 95122-3055 | 2015-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1346894524 | Amy Le Tran | Counselor | Mekong Community Center, 2203 Tully Road, San Jose, CA 95122 | 2019-07-26 |
| 1164980439 | Tri Starr Home Care, LLC | PACE Provider Organization | 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 | 2019-03-06 |
| 1740761196 | Aileen Phu | Acupuncturist | 1271 Story Rd Ste 50, San Jose, CA 95122 | 2018-08-23 |
| 1740775816 | Urgent Care Clinic of Northern Ca Inc | Clinic/Center | 999 Story Road, Suite 9021, San Jose, CA 95122 | 2018-06-29 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1497113153 | Jamealle Spain | Case Manager/Care Coordinator | 2070 Lucretia Ave #310, San Jose, CA 95122 | 2016-02-09 |
| 1770915035 | Thinh Tran | Dentist | 919 Story Rd Unit 1128, San Jose, CA 95122 | 2013-08-08 |
| 1356591333 | Asian American Recovery Services | Counselor | 1340 Tully Rd., San Jose, CA 95122 | 2008-09-25 |
| 1821246505 | Samara Rachel Stone | Marriage & Family Therapist | 1340 Tully Road, Suite 304, San Jose, CA 95122 | 2008-09-05 |
| Find all providers in zip 95122 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1609412469 | Cathy Logie | Counselor | 2682 Coit Dr, San Jose, CA 95124-1611 | 2019-11-26 |
| 1831692722 | Nicholas Jordon Thompson | Counselor | 2218 North First Street, San Jose, CA 95131 | 2018-03-16 |
| 1376045591 | Michael Li | Counselor | 2202 N 1st St, San Jose, CA 95131-2007 | 2018-03-03 |
| 1104338805 | Sydney Louise Tai | Counselor | 1370 Tully Rd Ste 301, San Jose, CA 95122-3056 | 2017-11-02 |
| 1932624871 | Linh Tuyet Vong | Counselor | 760 Pelleas Ln, San Jose, CA 95127-1030 | 2017-08-12 |
| 1760907273 | Marina Marie Mendonca | Counselor | 650 S. Bascom Ave, San Jose, CA 95128 | 2017-08-04 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1386171221 | Mia Yvone Jaurigue | Counselor | 151 W Mission St # A1, San Jose, CA 95110-1713 | 2017-05-22 |
| 1396296307 | Andres Lujan Jr. | Counselor | 1867 Senter Rd, San Jose, CA 95112-2527 | 2016-10-14 |
| 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.