LEO HELMUTH SADDAM (NPI# 1306906474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306906474 |
| Entity Type | Individual |
| Full Name | LEO HELMUTH SADDAM |
| Credential | RN |
| Practice Address |
2101 Courage Dr Fairfield CA 94533-6717 |
| Mailing Address |
4447 Moffitt Dr Napa CA 94558-1740 |
| Practice Telephone | 7077842101 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WC1500X |
Registered Nurse Specialization: Community Health |
591999 | CA | Nursing Service Providers |
| X | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
591999 | CA | Nursing Service Providers |
| Street Address |
2101 COURAGE DR |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-6717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736732 | Sarah Jane Bolger | Nurse Practitioner | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2005-11-03 |
| 1235754706 | Armina Roseanna Delacruz | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-06-10 |
| 1043834955 | Rodney Ralls | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-06-05 |
| 1740800531 | Cleveland Anthony Thibodeaux IIi | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-04-21 |
| 1477173672 | Lauren Elayna Lopez | Case Manager/Care Coordinator | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-04-17 |
| 1497388763 | Edward Lusung Mendoza | Licensed Vocational Nurse | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-02-14 |
| 1598397655 | Pamela Monterrosa | Student in an Organized Health Care Education/Training Program | 2101 Courage Dr, Fairfield, CA 94533 | 2020-02-06 |
| 1205476801 | Lemuel Francis Constantino | Registered Nurse | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-01-10 |
| 1285273490 | Simone Lenore Adkins | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-01-06 |
| 1376182857 | Sean Michael Maher | Registered Nurse | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2019-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770636318 | Angelina Fidel Hill | Registered Nurse | 275 Beck Ave # Msc -240, Fairfield, CA 94533-6804 | 2007-01-18 |
| 1366599425 | Stacey Allison Souza | Registered Nurse | 275 Beck Ave Ms 5240, Fairfield, CA 94533-6804 | 2007-01-04 |
| 1861559239 | Mariejoy B Supapo | Registered Nurse | 275 Beck Avenue Ms 5-240, Fairfield, CA 94533-6804 | 2007-01-03 |
| 1205993037 | Linda Marie Russum | Registered Nurse | 2206 Morrison Ln, Fairfield, CA 94534-9725 | 2007-01-02 |
| 1417416140 | Sheka Jones Espy | Registered Nurse | 275 Beck Ave, Fairfield, CA 94533-6804 | 2019-03-12 |
| 1649752031 | Sheri Colleen Buckley | Registered Nurse | 275 Beck Ave, Fairfield, CA 94533-6804 | 2018-08-31 |
| 1871074575 | Kay Shirley Brown | Registered Nurse | 275 Beck Ave, Fairfield, CA 94533-6804 | 2018-08-22 |
| 1780172510 | Rodney Darrell Butterfield | Registered Nurse | 275 Beck Ave # Ms 5-240, Fairfield, CA 94533-6804 | 2018-04-26 |
| 1194190827 | Johnalice Waters | Registered Nurse | 275 Beck Ave, Fairfield, CA 94533-6804 | 2015-12-07 |
| 1386800399 | Cayetone M Francis | Registered Nurse | 275 Beck Ave, Fairfield, CA 94533-6804 | 2008-07-30 |
| Find all providers in FAIRFIELD | ||||
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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.