AMBER HUIZENGA (NPI# 1366960882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366960882 |
| Entity Type | Individual |
| Full Name | AMBER HUIZENGA |
| Practice Address |
628 Montezuma Street Rio Vista CA 94571 |
| Mailing Address |
2324 Peyton Drive Oakley CA 94561 |
| Practice Telephone | 7073745243 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
628 MONTEZUMA STREET |
| City | RIO VISTA |
| State | CA |
| Zip Code | 94571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060087 | Kenneth Alan Wudel | Pharmacist | 407 Main St. Delta Pharmacy, Rio Vista, CA 94571 | 2018-10-25 |
| 1598195315 | Paul Willem Bolle | Marriage & Family Therapist | 125 Sacramento Street, Rio Vista, CA 94571 | 2013-11-14 |
| 1023294410 | Gwen Cotter | Counselor | 393 Del Monte Drive, Rio Vista, CA 94571 | 2008-01-15 |
| 1891758629 | Raymond Wayne Donovan Jr. | Family Medicine | 417 Eagle Crest Way, Rio Vista, CA 94571 | 2006-04-11 |
| 1598277923 | Cynthia Ann Keith | Pharmacist | 407 Main St, Rio Vista, CA 94571 | 2017-10-25 |
| 1740898808 | Maribel Torres | Pharmacist | 310 Chardonnay Way, Rio Vista, CA 94571-1108 | 2020-07-15 |
| 1730390105 | Healthy Partnerships | Community/Behavioral Health | 1105 Airport Rd Ste A, Rio Vista, CA 94571-1267 | 2007-05-25 |
| 1033636287 | Briana Soladay | Psychologist | 501 Elm Way, Rio Vista, CA 94571-1303 | 2017-08-28 |
| 1649312174 | Delta Drug Company Inc | Pharmacy | 407 Main St, Rio Vista, CA 94571-1616 | 2007-02-12 |
| 1063637262 | Thomas Eugene Gong | Dentist | 533 Main St, Rio Vista, CA 94571-1618 | 2007-04-16 |
| Find all providers in zip 94571 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
| 1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
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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.