CORINA SHORTALL (NPI# 1417377789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417377789 |
| Entity Type | Individual |
| Full Name | CORINA SHORTALL |
| Practice Address |
550 Quarry Road Belmont CA 94002 |
| Mailing Address |
225 W 39th Ave San Mateo CA 94403-4361 |
| Practice Telephone | 6505732037 |
| Mailing Telephone | 6505732037 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
550 QUARRY ROAD |
| City | BELMONT |
| State | CA |
| Zip Code | 94002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728740 | Simon Hirschl | Pathology | 9 Kittie Lane, Belmont, CA 94002 | 2017-02-09 |
| 1902251028 | Emma Yan Hiu Lee Chou | Occupational Therapist | 2410 Carlmont Dr, Belmont, CA 94002 | 2016-04-26 |
| 1740578087 | The Latino Commisson | Substance Abuse Rehabilitation Facility | 401 Briarfield Way, Belmont, CA 94002 | 2011-07-20 |
| 1053624189 | Pragya Jain | Internal Medicine | 1301 Shoreway Rd., Ste. 100, Belmont, CA 94002 | 2010-07-18 |
| 1194956425 | Lilia Patricia Gallegos | Marriage & Family Therapist | 1 Davis Drive, Belmont, CA 94002 | 2009-08-04 |
| 1407099088 | Dharmesh Patel | Radiology | 513 Seagate Way, Belmont, CA 94002 | 2009-04-13 |
| 1376688044 | Paul M. Takla | Dentist | 2130 Ralston Ave, Suite 1e, Belmont, CA 94002 | 2007-02-21 |
| 1487799987 | Mark Joseph Mcmahon | Physical Therapist | 549 Ralson Avenue, Suite B, Belmont, CA 94002 | 2007-02-21 |
| 1639216112 | Patricia Mary Wieser | Nurse Practitioner | 1541 Harbor Blvd, Belmont, CA 94002 | 2007-01-31 |
| 1063575157 | Peninsula Specialty Care | Dentist | 562 Ralston Ave, Belmont, CA 94002 | 2006-12-19 |
| Find all providers in zip 94002 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669749719 | David Murrieta | Counselor | 400 Harbor Blvd, Building E, Belmont, CA 94002-4047 | 2011-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774708 | High Tech High | Counselor | 2861 Womble Rd, San Diego, CA 92106-6025 | 2020-09-14 |
| 1275146979 | Ki Morgan Spurr-gaines | Counselor | 115 1st Ave, Daly City, CA 94014-2643 | 2020-08-24 |
| 1649810029 | Kathleen Patrice Gulley | Counselor | 8413 Honeycomb Way, Sacramento, CA 95828-6660 | 2020-01-13 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1720551328 | Nicole Marie Beilstein | Counselor | 1115 E Hoffer St, Banning, CA 92220-2723 | 2019-01-07 |
| 1043788136 | Kellye D Mckinna | Counselor | 28990 Pacific Coast Hwy Ste 217, Malibu, CA 90265-3944 | 2018-11-06 |
| 1477038677 | Oscar Soltero | Counselor | 717 S Oak Knoll Ave, Pasadena, CA 91106-3809 | 2018-10-03 |
| 1649754953 | Kate Sullivan | Counselor | 1440 E Broadway, Glendale, CA 91205-1503 | 2018-09-21 |
| 1548748064 | Jessica H Yang | Counselor | 4931 Caspar St, Union City, CA 94587-5533 | 2018-08-06 |
| 1811475742 | Michelle Tehrani Hartounian | Counselor | 460 Oak St Apt 317, Glendale, CA 91204-1268 | 2018-08-02 |
| Find all providers with the same taxonomy | ||||
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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.