MRS. NANETTE MATIC-CHAN (NPI# 1518903467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518903467 |
Entity Type | Individual |
Full Name | MRS. NANETTE MATIC-CHAN |
Credential | RN, PHN |
Practice Address |
150 Muir Rd Martinez CA 94553-4668 |
Mailing Address |
2008 Asilomar Dr Antioch CA 94509-8929 |
Practice Telephone | 9253722131 |
Practice Fax Number | 9253722017 |
Mailing Telephone | 9257783297 |
Enumeration Date | 2006-06-21 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
483018 | CA | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | RN NURSING LICENSE | 483018 | 01 |
Street Address |
150 MUIR RD |
City | MARTINEZ |
State | CA |
Zip Code | 94553-4668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740262872 | Christine Melanie Leyba | Psychiatry & Neurology | 150 Muir Rd, Martinez, CA 94553-4668 | 2005-11-15 |
1033728852 | Khai Nguyen | Pharmacist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-07-28 |
1043835226 | Melissa Nagel | Registered Nurse | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-06-12 |
1316560618 | Katie Chan | Pharmacist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-05-20 |
1477176782 | John Widenmann | Recreation Therapist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-05-20 |
1437787686 | Irwin Beltran Lorico | Nurse Practitioner | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-31 |
1689200016 | Sandy Lwi | Psychologist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-17 |
1346874120 | Adam Yumang | Registered Nurse | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-02 |
1972135119 | Marisol Jackson | Nurse Practitioner | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-02-05 |
1336770312 | Morayo Olatunbosun | Nurse Practitioner | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-01-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
Find all providers in zip 94553 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831495878 | Alexia Christina Kapiniaris-jimenez | Registered Nurse | 597 Center Ave Ste 200-a, Martinez, CA 94553-4640 | 2011-02-09 |
1073821724 | Lauren L. Pak | Registered Nurse | 597 Center Ave, Suite 150, Martinez, CA 94553-4640 | 2010-09-15 |
1558530717 | Elise Judy | Registered Nurse | 597 Center Ave, Suite 200-a, Martinez, CA 94553-4640 | 2008-02-21 |
1033392733 | Paul E Cardinet | Registered Nurse | 597 Center Ave, Suite 200-a, Martinez, CA 94553-4640 | 2007-12-17 |
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1144846080 | Paloma Beope Soriano | Registered Nurse | 4302 Valeta St, San Diego, CA 92107-1510 | 2020-06-16 |
1942822747 | Holly Sears Chisholm | Registered Nurse | 9619 Cuyamaca St # 19428, Santee, CA 92071-2674 | 2020-05-14 |
1952937658 | Mariam Gbaty Soumahoro | Registered Nurse | 3800 Silver Spur Way, Sacramento, CA 95841-4411 | 2020-03-14 |
1194350967 | Letisha Kathleen Kingsbury | Registered Nurse | 724 Granada Dr, Vista, CA 92083-4731 | 2020-03-11 |
1215576236 | Jocelyn Raquel Raedeker-freitas | Registered Nurse | 3165 B St, San Diego, CA 92102-2359 | 2019-12-23 |
1861030710 | Michelle Galang | Registered Nurse | 658 Rainbow Dr, Chula Vista, CA 91911-6844 | 2019-12-11 |
1023655172 | David Delgado | Registered Nurse | 27425 Bolandra Ct, Temecula, CA 92591-6123 | 2019-12-09 |
1104473297 | Shokoufeh Shokri | Registered Nurse | 2951 Mainway Dr, Los Alamitos, CA 90720-4646 | 2019-08-22 |
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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.