PROF. ERIC TUBAT (NPI# 1336536960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336536960 |
| Entity Type | Individual |
| Full Name | PROF. ERIC TUBAT |
| Credential | DNP, PMHNP |
| Practice Address |
10329 W Montebello Ave Glendale AZ 85307-4313 |
| Practice Telephone | 7144676281 |
| Practice Fax Number | 6027867796 |
| Mailing Telephone | 7144676281 |
| Mailing Fax Number | 6027867796 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95010580 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP10517 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10329 W Montebello Ave, Glendale, AZ 853074313 | (714) 467-6281 | |
| 1437 W Auto Dr, Tempe, AZ 852841016 | 6023622983 | 8558898024 |
| 9808 Venice Blvd, Ste. 505, Culver City, CA 902322732 | 3109453350 | 3109453356 |
| Street Address |
10329 W MONTEBELLO AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85307-4313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019818 | American Mobile Psychiatric Services Pllc | Nurse Practitioner | 10329 W Montebello Ave, Glendale, AZ 85307-4313 | 2019-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154635761 | Aeroptics LLC | Optometrist | 7071 N 138th Av, Bldg 1540, Glendale, AZ 85307 | 2010-08-06 |
| 1902894579 | Daniela Nicosia | Optometrist | 7071 N 138th Ave, Luke Afb, AZ 85307 | 2005-10-07 |
| 1144633157 | Sharan Kaur Knott | Pharmacist | 10945 W Vista Ln, Glendale, AZ 85307-1645 | 2014-06-06 |
| 1841813961 | Yoshica Mitchell | Behavior Technician | 12923 W Lawrence Ct, Glendale, AZ 85307-1900 | 2020-05-22 |
| 1700328556 | Tonya Brown | Social Worker | 12912 W Mclellan Rd, Glendale, AZ 85307-1917 | 2016-11-10 |
| 1447806997 | Tamarra Kalamchi | Dentist | 7071 N 138th Ave Bldg 1540, Glendale, AZ 85307-2006 | 2019-08-12 |
| 1043623648 | Dr Larsen Eye Care Inc | Optometrist | 7071 N 138th Ave # 1552, Luke Afb, AZ 85307-2006 | 2014-06-11 |
| 1619519840 | Platinum Venture Group LLC | Durable Medical Equipment & Medical Supplies | 7071 N 138th Ave Bldg 1540, Glendale, AZ 85307-2006 | 2019-10-09 |
| 1710255989 | Optical Center | Technician/Technologist | 7071 N 138th Ave, Glendale, AZ 85307-2006 | 2011-12-02 |
| 1386088128 | Clifton Jamar Premo | Respiratory Therapist, Registered | 13517 W Glendale Ave, Apt 1135, Glendale, AZ 85307-2010 | 2013-04-23 |
| Find all providers in zip 85307 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1245870799 | Logan Wellness Advanced Nursing Practice Corp | Nurse Practitioner | 655 N Central Ave # 1754, Glendale, CA 91203-1422 | 2020-01-13 |
| 1164901161 | Jesus Alexie Romero | Nurse Practitioner | 6266 W Blackhawk Dr, Glendale, AZ 85308-6798 | 2018-08-09 |
| 1194226928 | Adina Ramona Boros | Nurse Practitioner | 5625 W Bell Rd # 100, Glendale, AZ 85308-3878 | 2018-02-27 |
| 1780107433 | Mark Alan Logan | Nurse Practitioner | 107 1/2 N Columbus Ave, Glendale, CA 91203-2504 | 2017-07-24 |
| 1740702901 | Barbara Browder | Nurse Practitioner | 17505 N Glendale Ave, Glendale, AZ 85308 | 2017-07-10 |
| 1710413208 | Jhaurel Johnson White | Nurse Practitioner | 1510 S Central Ave Ste 600, Glendale, CA 91204-2548 | 2017-05-03 |
| 1508227687 | Lydia Christine Veratti | Nurse Practitioner | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2016-03-16 |
| 1760775837 | Susan E Harrell | Nurse Practitioner | 10270 N 67 Ave, Suite 106, Glendale, AZ 85302-1005 | 2011-05-24 |
| 1427355593 | Zita Schiller | Nurse Practitioner | 15621 N 57th Ave, Glendale, AZ 85306-3009 | 2011-02-24 |
| Find all providers in GLENDALE | ||||
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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.