ETHAN ROBERTS (NPI# 1497193585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497193585 |
| Entity Type | Individual |
| Full Name | ETHAN ROBERTS |
| Practice Address |
722 Norvell St El Cerrito CA 94530-3246 |
| Practice Telephone | 5106479836 |
| Mailing Telephone | 5106479836 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447666037 | Ethan Roberts | Specialist/Technologist | 1916 Haughton Ave Apt 1, North Mankato, MN 56003-1440 | 2014-07-03 |
| 1578647517 | Ethan Roberts | Physical Therapist | 11110 Medical Campus Rd, 201, Hagerstown, MD 21742-6700 | 2006-10-25 |
| Street Address |
722 NORVELL ST |
| City | EL CERRITO |
| State | CA |
| Zip Code | 94530-3246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659034 | Laura Penna Firme | Acupuncturist | 10329 San Pablo Ave, El Cerrito, CA 94530 | 2019-10-01 |
| 1306490941 | Caroline Danielle Storer | Social Worker | 11175 San Pablo Avenue, El Cerrito, CA 94530 | 2019-08-01 |
| 1063987519 | Ellen Sue Friedman | Marriage & Family Therapist | 139 Ashbury Ave., El Cerrito, CA 94530 | 2018-10-11 |
| 1568947653 | Melissa Azzolino | Behavioral Analyst | 320 Ashbury Avenue, El Cerrito, CA 94530 | 2018-09-25 |
| 1427548429 | Seneca Family of Agencies | Community/Behavioral Health | 7150 Portola Drive, El Cerrito, CA 94530 | 2018-05-15 |
| 1619413887 | Georgia B Cardwell | Counselor | 3319 Carlson Blvd, El Cerrito, CA 94530 | 2017-01-12 |
| 1477924959 | Amrit Kaur Khalsa | Registered Nurse | 2218 Lawrence St, El Cerrito, CA 94530 | 2015-10-09 |
| 1003209933 | Leticia Mariana Gonzalez | Nurse Practitioner | Planned Parenthood El Cerrito Health Center, 320 El Cerrito Plaza, El Cerrito, CA 94530 | 2015-03-17 |
| 1740505262 | Planned Parenthood Shasta Diablo Inc | Clinic/Center | 320 El Cerrito Plaza, El Cerrito, CA 94530 | 2010-03-29 |
| 1770705444 | John D. Ford, Dds & Vincent J. Ford, Dds, Inc. | Dentist | 7001 Stockton Ave., El Cerrito, CA 94530 | 2007-05-03 |
| Find all providers in zip 94530 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922436567 | Kaho Liu | Student in an Organized Health Care Education/Training Program | 1705 Walnut St, El Cerrito, CA 94530-1918 | 2013-10-16 |
| 1366764201 | Shiloh Marie Martin | Student in an Organized Health Care Education/Training Program | 6374 Fairmount Ave, El Cerrito, CA 94530-5730 | 2010-02-19 |
| 1780870915 | Leslie Jane Nance | Student in an Organized Health Care Education/Training Program | 11760 San Pablo Ave Apt 105, El Cerrito, CA 94530-1777 | 2007-09-20 |
| 1730732090 | Melanie Darling | Student in an Organized Health Care Education/Training Program | 11175 San Pablo Ave, El Cerrito, CA 94530-2157 | 2019-07-16 |
| 1770143117 | Ivy Smyth | Student in an Organized Health Care Education/Training Program | 11175 San Pablo Ave, El Cerrito, CA 94530-2157 | 2019-06-18 |
| 1982263497 | Jessica Azer | Student in an Organized Health Care Education/Training Program | 11175 San Pablo Ave, El Cerrito, CA 94530-2157 | 2019-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
| 1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | EL CERRITO |
| Zip Code | 94530 |
Please comment or provide details below to improve the information on ETHAN ROBERTS.
| 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.