CLARISSA FAGO (NPI# 1477747707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477747707 |
| Entity Type | Individual |
| Full Name | CLARISSA FAGO |
| Other Name | CLARISSA CARINO |
| Credential | FNP |
| Practice Address |
2878 Ygnacio Valley Rd Walnut Creek CA 94598 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 9252787555 |
| Mailing Telephone | 9252787555 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95006787 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4439 Stoneridge Dr Ste 110, Pleasanton, CA 945888339 | 9254612840 | |
| 4527 Mission St, San Francisco, CA 941122603 | 4153374800 | |
| 576 E El Camino Real, Sunnyvale, CA 94087 | 4087394620 |
| Street Address |
2878 YGNACIO VALLEY RD |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336701853 | Elise Janine Lee | Nurse Practitioner | 355 Lennon Ln Ste 150, Walnut Creek, CA 94598-2475 | 2019-07-04 |
| 1922667500 | Holly Elizabeth Bennett | Nurse Practitioner | 1400 Treat Blvd, Walnut Creek, CA 94597-2142 | 2019-06-07 |
| 1427502004 | Katasha Taylor | Nurse Practitioner | 2123 Ygnacio Valley Rd # 200, Walnut Creek, CA 94598-3395 | 2016-08-11 |
| 1184055295 | Benjamin Moret | Nurse Practitioner | 2123 Ygnacio Valley Rd Ste 200, Walnut Creek, CA 94598-3395 | 2013-11-29 |
| 1700135365 | Douglas Bradwell Connor | Nurse Practitioner | 400 Mayhew Way, Walnut Creek, CA 94598-1046 | 2012-08-29 |
| 1669616587 | Desiree Elizabeth Allyn | Nurse Practitioner | 572 Churchill Downs Ct, Walnut Creek, CA 94597-7600 | 2009-04-22 |
| 1124206453 | Myhanh Pham Nguyen | Nurse Practitioner | 122 La Casa Via Ste 120, Walnut Creek, CA 94598-3019 | 2008-02-08 |
| 1205922630 | Cheri L Arbizu | Nurse Practitioner | 1776 Ygnacio Valley Rd 201, Walnut Creek, CA 94598-3125 | 2006-10-05 |
| 1982680864 | Janice Dolan | Nurse Practitioner | 1881 Stratton Cir, Walnut Creek, CA 94598-2273 | 2005-12-21 |
| 1477179018 | Anna Franchesca Rosello Jensen | Nurse Practitioner | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598-5906 | 2020-06-19 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on CLARISSA FAGO.
| 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.