MARY JUDE GABRIELSON (NPI# 1356331573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356331573 |
Entity Type | Individual |
Full Name | MARY JUDE GABRIELSON |
Credential | CFNP |
Practice Address |
200 Porter Drive Suite 300 San Ramon CA 94583-1524 |
Practice Telephone | 9258386500 |
Practice Fax Number | 9258386542 |
Mailing Telephone | 9258386511 |
Mailing Fax Number | 9258386544 |
Enumeration Date | 2005-10-27 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NPF7083 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609886316 | Mary H Gabrielson | Anesthesiology | 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001-1479 | 2006-08-08 |
Street Address |
200 PORTER DRIVE SUITE 300 |
City | SAN RAMON |
State | CA |
Zip Code | 94583-1524 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255332953 | Kushal Chhabra | Specialist | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2005-08-03 |
1467999813 | Webster Surgery Center, Lp | Clinic/Center | 200 Porter Drive, Suite 100, San Ramon, CA 94583 | 2017-01-24 |
1295893550 | Planned Parenthood | Clinic/Center | 200 Porter Drive, San Ramon, CA 94583-1529 | 2006-12-05 |
1265522346 | Praise Tsan En Shang | Family Medicine | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2006-10-13 |
1821187881 | Marjan Naraghi-arani | Family Medicine | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2006-10-11 |
1407835432 | Janice M Lee | Internal Medicine | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2006-01-10 |
1801887930 | Thomas Francis Long | Pediatrics | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2005-10-28 |
1992795124 | Colleen Mary Hogan | Pediatrics | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2005-10-27 |
1417947649 | Tracy Lee Trotter | Pediatrics | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2005-10-27 |
1508856725 | Tracy Thomas Trujillo | Pediatrics | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2005-10-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
Find all providers in zip 94583 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285005074 | Claudine Cho | Nurse Practitioner | 200 Porter Dr, Suite 300, San Ramon, CA 94583 | 2015-10-19 |
1508856741 | Kate Elise Ratto | Nurse Practitioner | 200 Porter Dr, Suite 300, San Ramon, CA 94583-1587 | 2005-10-27 |
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---|---|---|---|---|
1528668167 | Amber Briana Curry | Nurse Practitioner | 1336 6th Ave, San Francisco, CA 94122-2504 | 2020-10-30 |
1194325092 | Caitlin Pirruccello | Nurse Practitioner | 5400 Balboa Blvd Ste 210, Encino, CA 91316-5208 | 2020-10-29 |
1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
1184221798 | Larae Jean Hansen | Nurse Practitioner | 7805 Redondo St, Ventura, CA 93004-3814 | 2020-10-06 |
1497361612 | Brandon Philip Obero Vinzon | Nurse Practitioner | 155 E 4th St Apt 206, Long Beach, CA 90802-2498 | 2020-09-22 |
1538774070 | Emily Ruth Schoen | Nurse Practitioner | 110 Calle Balboa, San Clemente, CA 92672-3132 | 2020-09-11 |
1831715770 | Veronica Munoz-rivera I | Nurse Practitioner | 1327 Leopard Ct, Palmdale, CA 93551-4360 | 2020-06-16 |
1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
1053949214 | Gina Louise James | Nurse Practitioner | 124 Stoney Hill Dr, Folsom, CA 95630-4614 | 2020-03-31 |
1831723519 | Patrinella Gonzales | Nurse Practitioner | 81833 Dr Carreon Blvd Ste 6, Indio, CA 92201-5590 | 2020-03-03 |
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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.