THERESA PANKOWSKI (NPI# 1518224377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518224377 |
| Entity Type | Individual |
| Full Name | THERESA PANKOWSKI |
| Credential | NP |
| Practice Address |
2425 Samaritan Dr San Jose CA 95124-3908 |
| Mailing Address |
5652 Morton Way San Jose CA 95123-2962 |
| Practice Telephone | 4085592011 |
| Mailing Telephone | 4088911892 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
639497 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2425 SAMARITAN DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356319347 | Brita Hellman | Physical Therapist | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2006-03-08 |
| 1194326835 | Elika F Leitch | Respiratory Therapist, Registered | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2020-11-07 |
| 1346847548 | Ravi K Aggusher Md Inc | Internal Medicine | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2020-10-01 |
| 1437700200 | Nicole Leann Dominguez | Social Worker | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2019-09-24 |
| 1003396474 | Harramanjoyt Hans-brar | Dietitian, Registered | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2018-08-15 |
| 1760972491 | Jillian Alexandra Wesselman | Registered Nurse | 2425 Samaritan Dr, San Jose, CA 95124 | 2018-05-17 |
| 1720580160 | Dana Janine Schroeder | Nurse Practitioner | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2018-03-01 |
| 1689192833 | Cep America - Anesthesia PC | Anesthesiology | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2017-09-07 |
| 1336678143 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2017-06-06 |
| 1306398482 | Rekha Dharmaji Md Inc | Internal Medicine | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2016-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1689064479 | Jo Ann Scott | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2015-01-30 |
| 1255673703 | Stacy Marie Fairley | Nurse Practitioner | 250 Hospital Pkwy, San Jose, CA 95119-1103 | 2013-03-22 |
| 1013192228 | Thu Lan T Pham | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2008-01-07 |
| 1326140880 | Corinne Lee Griffith | Nurse Practitioner | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2006-09-03 |
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| 1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
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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.