ROLANDO REYES (NPI# 1578924205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578924205 |
| Entity Type | Individual |
| Full Name | ROLANDO REYES |
| Practice Address |
280 17th St Oakland CA 94612-4124 |
| Practice Telephone | 5102385020 |
| Practice Fax Number | 5103529981 |
| Mailing Telephone | 5102385020 |
| Mailing Fax Number | 5103529981 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN269056 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EMPLOYER IDENTIFICATION NUMBER | 1411033663 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467757914 | Rolando Giovanni Reyes | Dentist | 3450 Wayne Ave, Apt. 12e, Bronx, NY 10467-2510 | 2011-01-13 |
| Street Address |
280 17TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598852741 | Telecare Corporation | Clinic/Center | 280 17th St, Oakland, CA 94612-4124 | 2006-10-09 |
| 1497356208 | Katarzyna Modzelewska | Case Manager/Care Coordinator | 280 17th St, Oakland, CA 94612-4124 | 2020-11-06 |
| 1477166593 | Jonathan Setiawan | Case Manager/Care Coordinator | 280 17th St, Oakland, CA 94612-4124 | 2020-08-28 |
| 1780208850 | Savannah Varela | Social Worker | 280 17th St, Oakland, CA 94612-4124 | 2020-06-03 |
| 1245866631 | Princess At Wesseh | Registered Nurse | 280 17th St, Oakland, CA 94612-4124 | 2020-03-17 |
| 1578100103 | Donald Raymond Hiers | Counselor | 280 17th St, Oakland, CA 94612-4124 | 2019-12-02 |
| 1265079099 | Paris Watson | Case Manager/Care Coordinator | 280 17th St, Oakland, CA 94612-4124 | 2019-11-27 |
| 1538705363 | Camille A Woods | Counselor | 280 17th St, Oakland, CA 94612-4124 | 2019-11-27 |
| 1104462175 | Ladarien Jarey Gillins | Social Worker | 280 17th St, Oakland, CA 94612-4124 | 2019-11-25 |
| 1699317628 | Tameka R Purnell | Licensed Psychiatric Technician | 280 17th St, Oakland, CA 94612-4124 | 2019-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396267985 | Tracy L Dickson | Licensed Vocational Nurse | 219 Bergedo Dr, Oakland, CA 94603-3509 | 2017-07-14 |
| 1477960441 | Myra Francine Stewart | Licensed Vocational Nurse | 1611 92nd Ave, A, Oakland, CA 94603-1509 | 2014-07-22 |
| 1356754436 | Dorothy Lawson | Licensed Vocational Nurse | 1658 74th Ave, Oakland, CA 94621-2826 | 2014-06-06 |
| 1821350307 | Georgia Carole Daggs | Licensed Vocational Nurse | 3133 38th Ave, Oakland, CA 94619-1259 | 2012-06-11 |
| 1043599111 | Roshontae Henley | Licensed Vocational Nurse | 280 Park View Ter, Oakland, CA 94610-4570 | 2011-08-08 |
| 1912140393 | Jennifer Miller | Licensed Vocational Nurse | 949 45th St, Oakland, CA 94608-3413 | 2009-04-14 |
| 1790979854 | Cynthia Ann Starks | Licensed Vocational Nurse | 2433 65th Ave, Oakland, CA 94605-1906 | 2007-08-31 |
| 1306445911 | Kamilah Aisha Puckett | Licensed Vocational Nurse | 390 40th St, Oakland, CA 94609-2633 | 2020-10-23 |
| 1134740038 | Tiffany Yvette Paul | Licensed Vocational Nurse | 516 31st St, Oakland, CA 94609-3204 | 2020-05-01 |
| 1073148565 | Ashley Grace Fisher | Licensed Vocational Nurse | 390 40th St, Oakland, CA 94609-2633 | 2020-03-05 |
| Find all providers in OAKLAND | ||||
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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.