DR. JERMAINE ROBERTSON (NPI# 1396356762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396356762 |
| Entity Type | Individual |
| Full Name | DR. JERMAINE ROBERTSON |
| Credential | MD |
| Practice Address |
1411 E 31st St Oakland CA 94602-1018 |
| Practice Telephone | 5104374800 |
| Mailing Telephone | 5104374800 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 505 Parnassus Ave, San Francisco, CA 941432204 | 4154761000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407144124 | Jermaine Tyron Robertson | Psychologist | 1512 Blountstown St, Tallahassee, FL 32304-1109 | 2011-07-14 |
| Street Address |
1411 E 31ST ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733135 | Andrea Elizabeth Williams | Family Medicine | 1411 E 31st St, Oakland, CA 94602-1018 | 2005-10-06 |
| 1972101186 | Jennifer Pham | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-12 |
| 1922606276 | Monica Mofidi | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-09 |
| 1639785223 | Mercedeh Nicole Vaez | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-09-18 |
| 1962015701 | Egbe Iyabo Omoregie | Nurse Practitioner | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-30 |
| 1275146672 | Jessica Labioda Sohn | Social Worker | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-25 |
| 1760093462 | Himalina Rajanakhan | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1092 | 2020-08-14 |
| 1316558018 | Lisa De La Cruz | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-14 |
| 1700496437 | Kathleen Puanani Hennessy | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-06 |
| 1013525484 | Kyle Rosales | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| 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 |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1316553290 | Yohannes Fesseha Gebrehiwet | Student in an Organized Health Care Education/Training Program | 2221 9th Ave, Oakland, CA 94606-2613 | 2020-09-16 |
| 1700490729 | Briauna J Taylor | Student in an Organized Health Care Education/Training Program | 1638 47th Ave, Oakland, CA 94601-5273 | 2020-09-08 |
| 1578174116 | Jenae Monasterial | Student in an Organized Health Care Education/Training Program | 1722 Clemens Rd, Oakland, CA 94602-1802 | 2020-08-16 |
| 1205447299 | Brendan Mulligan | Student in an Organized Health Care Education/Training Program | 530 24th St Apt 202, Oakland, CA 94612-1723 | 2020-08-12 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1043836778 | Ali Khavari | Student in an Organized Health Care Education/Training Program | 450 30th St Ste 2860, Oakland, CA 94609-3302 | 2020-06-18 |
| 1952925208 | Melodee Edith Au | Student in an Organized Health Care Education/Training Program | 2445 Telegraph Ave Apt 305, Oakland, CA 94612-2426 | 2020-06-02 |
| 1871116913 | Stew Ellington | Student in an Organized Health Care Education/Training Program | 420 Avon St, Oakland, CA 94618-1024 | 2020-05-23 |
| Find all providers in OAKLAND | ||||
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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.