VA PALO ALTOHEALTH CARE SYSTEMS FACILITY (NPI# 1578781043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578781043 |
| Entity Type | Organization |
| Organization Name | VA PALO ALTOHEALTH CARE SYSTEMS FACILITY |
| Other Organization Name | VA LIVERMORE DIVISION |
| Practice Address |
1355 Audrey St Tracy CA 95376 |
| Mailing Address |
1355 Audrey Dr Tracy CA 95376-3332 |
| Practice Telephone | 2098398464 |
| Mailing Telephone | 2098398464 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SHARON ELISE HARRIS (REGISTERED DENTAL ASSISTANT) |
| Authorized Official Telephone | 9254496439 |
| Authorized Official Credential | RDA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | RDA1422 | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| VA Livermore Division | Other Name - Individual/Organization |
| Street Address |
1355 AUDREY ST |
| City | TRACY |
| State | CA |
| Zip Code | 95376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757150 | James Burgess Angel | Technician, Other | 455 W. Eaton Ave., Tracy, CA 95376 | 2019-08-30 |
| 1477079655 | Cassandra Sierra | Specialist/Technologist | 632 W 11th St Ste 119, Tracy, CA 95376 | 2017-08-18 |
| 1922465491 | Jasmeer Kaur Uppal | Registered Nurse | 1411 N. Tracy Bl., Tracy, CA 95376 | 2016-01-28 |
| 1679957773 | Amy Forester | Physical Therapy Assistant | 1752 Schantz Way, Tracy, CA 95376 | 2015-07-17 |
| 1477966265 | Sarah Ojeda | Marriage & Family Therapist | 19 East 6th Street, Tracy, CA 95376 | 2014-06-09 |
| 1356761209 | Lucille Nowakowski | Registered Nurse | 95 West 11 Th St, Tracy, CA 95376 | 2014-04-18 |
| 1821417718 | Ricardo Echon | Nurse Practitioner | 644 W 12th Street, Tracy, CA 95376 | 2014-04-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1790034056 | Amy Powers | Counselor | 902 N Central Ave Ste 308, Tracy, CA 95376 | 2012-09-02 |
| 1982951554 | Gurpreet Singh Dhaliwal Md Inc. | Anesthesiology | 1530 Bessie Ave Ste 104, Tracy, CA 95376 | 2012-08-13 |
| Find all providers in zip 95376 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508477258 | Micol Paul Zabala | Military Hospital | 3675 Lofberg St, San Diego, CA 92124-3221 | 2020-08-14 |
| 1801333992 | Us Navy | Military Hospital | 1752 Trellis Way, Chula Vista, CA 91915 | 2017-01-26 |
| 1245785179 | Va Medical Center | Military Hospital | 5939 Cedros Ave Apt A, Van Nuys, CA 91411-3104 | 2016-08-21 |
| 1831563535 | Dfas-cl/jflp | Military Hospital | Mpmd 01c, Box 555191, Camp Pendleton, CA 92055-5191 | 2015-11-18 |
| 1851707418 | Hand of Passion | Military Hospital | 2112 Century Park Ln Unit 218, Century City, CA 90067-3314 | 2014-07-03 |
| 1396156527 | Jonathan Kawi | Military Hospital | 8848 Corvus Pl, San Diego, CA 92126-1921 | 2014-05-09 |
| 1427302017 | Department of Va | Military Hospital | 1585 Trailwood Ave, Chula Vista, CA 91913-2994 | 2012-11-03 |
| 1790056372 | U. S. Navy | Military Hospital | 3423 Guadalcanal Rd, Bldg 401 2nd Deck, San Diego, CA 92155-5000 | 2012-01-13 |
| 1962770990 | Alma Irene Blackman | Military Hospital | 9119 Jamacha Rd, 149, Spring Valley, CA 91977-4162 | 2011-12-05 |
| 1841596301 | Va San Diego Healthcare System | Military Hospital | 4260 Porte De Palmas Unit 60, San Diego, CA 92122-5159 | 2011-02-01 |
| Find all providers with the same taxonomy | ||||
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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.