WILBERT TIRTADINATA


Address: 1947 35th Ave, San Francisco, CA 94116-1111
Phone: 6505155707

WILBERT TIRTADINATA (NPI# 1578177630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578177630
Entity Type Individual
Full Name WILBERT TIRTADINATA
Practice Address 1947 35th Ave
San Francisco
CA 94116-1111
Practice Telephone 6505155707
Mailing Telephone 6505155707
Enumeration Date 2020-09-04
Last Update Date 2020-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
838581 CA Nursing Service Providers

Office Location

Street Address 1947 35TH AVE
City SAN FRANCISCO
State CA
Zip Code 94116-1111

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386275972 Eric Lee Behavior Technician 2000 43rd Ave, San Francisco, CA 94116 2020-01-31
1376103176 Young-in Kim Physical Therapist 3401 Taraval St, San Francisco, CA 94116 2019-06-14
1952806408 Ramirez & Xia Dental Corp. Dentist 2409 Taraval St., San Francisco, CA 94116 2018-03-27
1043739337 Cindi Lam Community Health Worker 375 Laguna Honda Blvd., B200, San Francisco, CA 94116 2017-09-18
1043735442 Tammy Marie Buhler Community Health Worker 1990 41st Avenue, San Francisco, CA 94116 2017-08-07
1457875015 Janet Bilafer-steiner Nurse Practitioner 2935 Travel Street, San Francisco, CA 94116 2017-07-26
1790225811 Christopher Valles-martinez Counselor 1801 Vicente St, San Francisco, CA 94116 2017-03-08
1033659578 Emiko Perez Technician, Other 2235 31st Ave, San Francisco, CA 94116 2017-03-02
1982070249 Elizabeth Ancker Counselor 1800 Vicente Street, San Francisco, CA 94116 2015-08-20
1922432608 Toby Wai Chang Pharmacist 2354 32nd Ave, San Francisco, CA 94116 2013-08-29
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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225640261 Yuko Murakami Registered Nurse 1528 Hampshire St, San Francisco, CA 94110-4827 2020-08-20
1457908808 Robert David Cromley Jr. Registered Nurse 786 Panorama Dr, San Francisco, CA 94131-1127 2019-08-21
1255534681 Julie Ann Bushnell Registered Nurse 513 Parnassus Ave # S549, San Francisco, CA 94143-2205 2007-06-05
1407465008 Brian Tang Registered Nurse 1101 Van Ness Ave, San Francisco, CA 94109-6919 2020-07-29
1881217008 Ashley Renee Johnson Registered Nurse 505 Parnassus Ave, San Francisco, CA 94143-2204 2020-05-21
1417576695 Kelly Moore Registered Nurse 1101 Van Ness Ave, San Francisco, CA 94109-6919 2020-04-08
1174178933 Michael James Leininger Jr. Registered Nurse 900 Hyde St, San Francisco, CA 94109-4899 2019-08-07
1063764744 Ryan James Beckwith Registered Nurse 521 Parnassus Ave, San Francisco, CA 94143-2206 2012-10-05
1194952218 Sam Ustrzynski Registered Nurse 4150 Clement St, San Francisco, CA 94120 2009-06-16
1184747172 Julie Ann Mccorkle Registered Nurse 3700 California St, San Francisco, CA 94118-1618 2007-04-06
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Competitor

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City SAN FRANCISCO
Zip Code 94116

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Dataset Information

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.

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