JOHN ALAN PUCCINI (NPI# 1528351814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528351814 |
Entity Type | Individual |
Full Name | JOHN ALAN PUCCINI |
Credential | PA-C |
Practice Address |
106 La Casa Via Ste 140 Walnut Creek CA 94598-3084 |
Practice Telephone | 9252742860 |
Mailing Telephone | 9252742860 |
Enumeration Date | 2011-05-19 |
Last Update Date | 2011-05-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA21529 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
106 LA CASA VIA STE 140 |
City | WALNUT CREEK |
State | CA |
Zip Code | 94598-3084 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467425439 | Ryan Alan Brown | Internal Medicine | 106 La Casa Via Ste 140, Walnut Creek, CA 94598-3084 | 2006-02-09 |
1417446717 | Jordan Hauer-laurencin | Physician Assistant | 106 La Casa Via Ste 140, Walnut Creek, CA 94598-3084 | 2018-05-02 |
1942706569 | University Healthcare Alliance | Internal Medicine | 106 La Casa Via Ste 140, Walnut Creek, CA 94598-3084 | 2018-04-03 |
1255520623 | Anurag Gupta | Internal Medicine | 106 La Casa Via Ste 140, Walnut Creek, CA 94598-3084 | 2007-10-22 |
1902936115 | Stephanie Chin | Physician Assistant | 106 La Casa Via Ste 140, Walnut Creek, CA 94598-3084 | 2007-03-06 |
1609952597 | Faizul Haque | Internal Medicine | 106 La Casa Via Ste 140, Walnut Creek, CA 94598-3084 | 2006-10-31 |
1124050216 | John D. Vu | Internal Medicine | 106 La Casa Via Ste 140, Walnut Creek, CA 94598-3084 | 2006-07-07 |
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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841666443 | Salam Hasan | Physician Assistant | 2255 Ygnacio Valley Rd Ste N, Walnut Creek, CA 94598-3347 | 2015-08-18 |
1285720409 | Elizabeth Cannon Davis | Physician Assistant | 1450 Treat Blvd Ste 160, Walnut Creek, CA 94597-2168 | 2006-10-05 |
1386687945 | Angelica M Meza | Physician Assistant | 108 La Casa Via Ste 100, Walnut Creek, CA 94598-3013 | 2006-06-13 |
1851352355 | Hope Sharon Rubin | Physician Assistant | 110 Tampico Ste 210, Walnut Creek, CA 94598-2962 | 2006-04-01 |
1447677141 | Erin Walker | Physician Assistant | 106 La Casa Via, Suite 140, Walnut Creek, CA 94598-3086 | 2014-03-20 |
1023434065 | Maryam Husain | Physician Assistant | 370 N Wiget Ln, #125, Walnut Creek, CA 94598-2488 | 2014-03-14 |
1033542592 | Allison Jean De Young | Physician Assistant | 106 La Casa Via Ste 240, Walnut Creek, CA 94598-3012 | 2013-08-19 |
1871853200 | Jessamy Meu Lambert | Physician Assistant | 1450 Treat Blvd # 160, Walnut Creek, CA 94597 | 2012-05-18 |
1710250865 | Bridget Garrehy | Physician Assistant | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2012-02-21 |
1730417403 | Ceasar Sedeno Relevante | Physician Assistant | 112 La Casa Via, Suite 135, Walnut Creek, CA 94598-3091 | 2009-11-18 |
Find all providers in WALNUT CREEK |
City | WALNUT CREEK |
Zip Code | 94598 |
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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.