WILBERT TIRTADINATA (NPI# 1578177630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
838581 | CA | Nursing Service Providers |
Street Address |
1947 35TH AVE |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94116-1111 |
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 |
Find all providers in zip 94116 |
Taxonomy Code | 163WC0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Critical Care Medicine |
Definition to come... |
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 |
Find all providers in SAN FRANCISCO |
City | SAN FRANCISCO |
Zip Code | 94116 |
Please comment or provide details below to improve the information on WILBERT TIRTADINATA.
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.