MARINA KOFMAN


Address: 751 S Bascom Ave, San Jose, CA 95128-2604
Phone: 4082053090

MARINA KOFMAN (NPI# 1427596618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427596618
Entity Type Individual
Full Name MARINA KOFMAN
Practice Address 751 S Bascom Ave
San Jose
CA 95128-2604
Practice Telephone 4082053090
Mailing Telephone 4082053090
Enumeration Date 2017-02-07
Last Update Date 2017-02-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
95005337 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 751 S BASCOM AVE
City SAN JOSE
State CA
Zip Code 95128-2604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396743217 Ellen Perez Travis Nurse Practitioner 751 S Bascom Ave, San Jose, CA 95128-2604 2005-07-13
1235738691 Alina Bogdanovich Registered Nurse 751 S Bascom Ave, San Jose, CA 95128-2699 2020-10-17
1255946380 Kimberly Red Soria Nurse Practitioner 751 S Bascom Ave, San Jose, CA 95128-2604 2020-09-15
1568072403 Emily Win Hou Pharmacist 751 S Bascom Ave, San Jose, CA 95128-2604 2020-08-05
1649880063 Katherine Ann Trescott Speech-Language Pathologist 751 S Bascom Ave, San Jose, CA 95128-2604 2020-08-01
1992320386 Gino Dizon Legaspi Physical Therapy Assistant 751 S Bascom Ave, San Jose, CA 95128-2604 2020-06-11
1215552732 Emily Louise Masad Physician Assistant 751 S Bascom Ave, San Jose, CA 95128-2699 2020-06-10
1790300341 Laura Muzzatti Physical Therapist 751 S Bascom Ave, San Jose, CA 95128-2604 2020-06-09
1679195085 Raymond Chao Pharmacist 751 S Bascom Ave, San Jose, CA 95128-2604 2020-05-08
1407476765 Yoo Jung Kim Student in an Organized Health Care Education/Training Program 751 S Bascom Ave, San Jose, CA 95128-2604 2020-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982227138 Ruth Larsen Social Worker 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 2020-05-22
1265067185 Of Two Minds Psychotherapy Marriage & Family Therapist 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 2020-03-11
1982244166 Cindy Pantoja Escobar Behavior Technician 100 O'connor Drive, Suites 21, San Jose, CA 95128 2020-01-15
1104460591 Katherine Alexandra Misogas Pharmacist 777 Turner Dr # 330, San Jose, CA 95128 2019-10-29
1942842216 Jodie Pierce Marriage & Family Therapist 871 Enborg Lane, San Jose, CA 95128 2019-10-08
1003466434 Dong Mi Cha Pharmacist 777 Turner Dr Ste 330, San Jose, CA 95128 2019-09-17
1114571759 Sleep Well Acupuncture, Inc Acupuncturist 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 2019-08-01
1083277677 Wellocity, Inc Health Educator 334 Santana Row, 318, San Jose, CA 95128 2019-04-18
1518428812 Alexander Diaz Radiology 75 South Bascom Ave, San Jose, CA 95128 2019-03-28
1720542103 Nanci R Price Inc Chiropractor 100 O'connor Dr., Ste 27, San Jose, CA 95128 2019-01-30
Find all providers in zip 95128

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518151216 Frances Susan Combe Nurse Practitioner 1855 Lucretia Ave Rm 112, San Jose, CA 95122-3730 2007-09-05
1588878177 Ruth Koppel Rosenblum Nurse Practitioner 1521 Estelle Ave, San Jose, CA 95118-1325 2007-05-10
1043825235 Kyla Rockland-miller Nurse Practitioner 2039 Forest Ave, San Jose, CA 95128-4817 2020-09-14
1821602541 Holly Maureen Milligan Nurse Practitioner 2105 Forest Ave, San Jose, CA 95128-1425 2020-09-01
1184262305 Mia Willingham Maclean Vernic Nurse Practitioner 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 2019-12-18
1568965069 Kara Alita Ramos Nurse Practitioner 1835 Cunningham Ave, San Jose, CA 95122-1712 2018-03-12
1306365366 Nicole Puanani Ines Nurse Practitioner 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 2017-09-11
1568909315 Mary Le Nurse Practitioner 751 South Bascom Avenue, Nicu, San Jose, CA 95128-2604 2017-01-31
1144686056 Jessica Lee West Nurse Practitioner 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 2016-01-07
1942605282 Semhar Hailemicael Nurse Practitioner 750 S Bascom Ave, San Jose, CA 95128-2603 2014-10-29
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95128

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Dataset Information

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.

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