JEANNINE DANNENBAUM (NPI# 1417253550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417253550 |
| Entity Type | Individual |
| Full Name | JEANNINE DANNENBAUM |
| Credential | NP |
| Practice Address |
1100 Paseo Camarillo Camarillo CA 93010 |
| Mailing Address |
Po Box 5457 San Luis Obispo CA 93403-5457 |
| Practice Telephone | 8054848558 |
| Mailing Telephone | 8055978386 |
| Mailing Fax Number | 8055978353 |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95003911 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
95003911 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LICENSE | 26NO10153900 | 01 |
| Street Address |
1100 PASEO CAMARILLO |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043207459 | Ryan Hisashi Nakasone | Chiropractor | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2005-09-30 |
| 1043648132 | Carlos Miguel Leal | Physician Assistant | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2013-10-28 |
| 1205195732 | Spanish Hills Interventional Pain Specialists Inc A Medical Corp | Pain Medicine | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2012-05-03 |
| 1275828568 | Patrick Dennis Buchanan | Pain Medicine | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2011-06-14 |
| 1083878227 | Antulio Benjamin Aroche Jr. | Orthopaedic Surgery | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2008-07-16 |
| 1376745497 | Central Pacific Pain Management | Specialist | 1100 Paseo Camarillo, Camarillo, CA 93010 | 2007-06-01 |
| 1023138625 | David M Davis | Physician Assistant | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2007-03-29 |
| 1316067069 | Stefany D. Wolfsohn | Anesthesiology | 1100 Paseo Camarillo, Camarillo, CA 93010 | 2007-03-29 |
| 1285665224 | Alireza Katouzian | Anesthesiology | 1100 Paseo Camarillo, Camarillo, CA 93010 | 2006-07-06 |
| 1386675049 | Alireza Katouzian, Md Inc. | Anesthesiology | 1100 Paseo Camarillo, Camarillo, CA 93010 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780085779 | Anya Berenshteyn | Nurse Practitioner | 751 E Daily Dr, Suite 120, Camarillo, CA 93010-6076 | 2014-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
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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.