KENDRICK DO (NPI# 1467088955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467088955 |
| Entity Type | Individual |
| Full Name | KENDRICK DO |
| Practice Address |
9400 N Name Uno Gilroy CA 95020-3528 |
| Mailing Address |
915 Bowen Ave San Jose CA 95123-5303 |
| Practice Telephone | 4088482000 |
| Mailing Telephone | 4083873021 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
95183835 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA BOARD OF REGISTERED NURSES | 95183835 | 01 |
| Street Address |
9400 N NAME UNO |
| City | GILROY |
| State | CA |
| Zip Code | 95020-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384129 | David Richard Carl | Pathology | 9400 N Name Uno, Gilroy, CA 95020-3528 | 2005-05-31 |
| 1356815559 | County of Santa Clara | General Acute Care Hospital | 9400 N Name Uno, Gilroy, CA 95020-3528 | 2019-01-22 |
| 1396219051 | Patricia Biddle | Nurse Practitioner | 9400 N Name Uno, Gilroy, CA 95020-3528 | 2019-01-16 |
| 1245707819 | Aileen Thai | Pharmacist | 9400 N Name Uno, Gilroy, CA 95020-3528 | 2018-10-31 |
| 1316412588 | Emergency Physicians Associates Gilroy PC | Emergency Medicine | 9400 N Name Uno, Gilroy, CA 95020-3528 | 2018-10-03 |
| 1619315595 | Andres Rojas | Physician Assistant | 9400 N Name Uno, Gilroy, CA 95020-3528 | 2013-06-12 |
| 1083983852 | Brent M. Wood | Physician Assistant | 9400 N Name Uno, Gilroy, CA 95020-3528 | 2011-12-22 |
| 1639406911 | David Nguyen | Anesthesiology | 9400 N Name Uno, Gilroy, CA 95020-3528 | 2009-11-07 |
| 1306089032 | Michael Elkins | Physician Assistant | 9400 N Name Uno, Gilroy, CA 95020-3528 | 2009-04-10 |
| 1730381799 | Deepa Rathi | Internal Medicine | 9400 N Name Uno, Gilroy, CA 95020-3528 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158105 | Benjamin Liupaogo | Case Manager/Care Coordinator | Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 | 2020-09-09 |
| 1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
| 1407498868 | Mehak Saini | Behavior Technician | 9360 Noname Uno, Gilroy, CA 95020 | 2019-10-16 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
| 1578116232 | Jose Enrique Cruz | Behavior Technician | 9360 Noname Uno #130, Gilroy, CA 95020 | 2019-07-22 |
| 1558925560 | Mauricio Hazael Procopio | Behavioral Analyst | 9360 Noname Uno Suite 130, Gilroy, CA 95020 | 2019-04-24 |
| 1689138893 | Gabriela Mendoza | Behavioral Analyst | 9395 Kern Ave, Gilroy, CA 95020 | 2019-01-22 |
| 1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
| 1407334626 | Katrina Davina Aguilera | Case Manager/Care Coordinator | 290 Loof Ave., Gilroy, CA 95020 | 2018-07-31 |
| Find all providers in zip 95020 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
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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.