DR. CARL R VIESTI JR. (NPI# 1467494104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467494104 |
| Entity Type | Individual |
| Full Name | DR. CARL R VIESTI JR. |
| Credential | PHD |
| Practice Address |
3720 Sunset Ln Ste D Antioch CA 94509-6124 |
| Practice Telephone | 9257781444 |
| Practice Fax Number | 9257789014 |
| Mailing Telephone | 9257781444 |
| Mailing Fax Number | 9257789014 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY6785 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3720 SUNSET LN STE D |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-6124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699332965 | Alejandra Gomez-vasquez | Student in an Organized Health Care Education/Training Program | 3720 Sunset Ln, Antioch, CA 94509-6133 | 2019-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922155530 | Clair L. Howard | Psychologist | 2926 Lone Tree Way, Antioch, CA 94509-4924 | 2007-01-04 |
| 1861549008 | Dona Carol Zimmerman | Psychologist | 2213 Buchanan Road, Suite 203, Antioch, CA 94509 | 2007-01-03 |
| 1235220369 | Kathleen V Shea | Psychologist | 42258 N Crawford Rd, A-1, Antioch, IL 60002-9570 | 2006-09-27 |
| 1376142497 | Hope Springs Psychotherapy and Consulting | Psychologist | 3700 Delta Fair Blvd Ste 210, Antioch, CA 94509-4074 | 2020-10-20 |
| 1134778012 | Olayinka Rahman | Psychologist | 3454 Hillcrest Ave, Antioch, CA 94531-4263 | 2019-09-04 |
| 1306498027 | Kalana Rene' Greer | Psychologist | 3454 Hillcrest Ave, Antioch, CA 94531-4263 | 2019-07-12 |
| 1265094130 | Lauren Elizabeth Madlock | Psychologist | 3454 Hillcrest Ave, Antioch, CA 94531-8238 | 2019-07-01 |
| 1316455926 | Jenny Elizabeth Imberi | Psychologist | 3454 Hillcrest Ave, Antioch, CA 94531-8238 | 2018-01-17 |
| 1558762716 | Marines M Novoa | Psychologist | 3454 Hillcrest Ave, Antioch, CA 94531-8238 | 2014-09-08 |
| 1649539503 | Arwin Angelae I. Cotas-girard | Psychologist | 3454 Hillcrest Ave, Antioch, CA 94531-4263 | 2012-05-14 |
| Find all providers in ANTIOCH | ||||
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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.