KATIE VASCONEZ (NPI# 1609389550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609389550 |
| Entity Type | Individual |
| Full Name | KATIE VASCONEZ |
| Credential | NP |
| Practice Address |
6380 Clark Ave Dublin CA 94568-3036 |
| Practice Telephone | 9255801691 |
| Practice Fax Number | 9258750826 |
| Mailing Telephone | 9255801691 |
| Mailing Fax Number | 9258750826 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95007173 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6380 CLARK AVE |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922071844 | Carl Craig Van Wey | Radiology | 6380 Clark Ave, Dublin, CA 94568-3036 | 2006-02-10 |
| 1508408899 | Eunsun Kim | Nurse Practitioner | 6380 Clark Ave, Dublin, CA 94568-3036 | 2019-10-08 |
| 1164897070 | Gia Thornburg | Nurse Practitioner | 6380 Clark Ave, Dublin, CA 94568-3036 | 2015-12-03 |
| 1184981029 | Vivian Le-tran | Surgery | 6380 Clark Ave, Dublin, CA 94568-3036 | 2012-04-17 |
| 1003127390 | Bay Imaging Consultants Medical Group | Radiology | 6380 Clark Ave, Dublin, CA 94568-3036 | 2010-07-01 |
| 1033349485 | Bao Duy Dao | Internal Medicine | 6380 Clark Ave, Dublin, CA 94568-3036 | 2009-07-20 |
| 1720225808 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 6380 Clark Ave, Dublin, CA 94568-3036 | 2009-01-12 |
| 1962679753 | Amanpreet Buttar | Internal Medicine | 6380 Clark Ave, Dublin, CA 94568-3036 | 2008-05-12 |
| 1275755621 | Gautam Prasad | Radiology | 6380 Clark Ave, Dublin, CA 94568-3036 | 2007-05-03 |
| 1700859352 | Michael Richard Forrest | Radiology | 6380 Clark Ave, Dublin, CA 94568-3036 | 2006-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242224 | Lisa Marie Casey | Case Manager/Care Coordinator | 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 | 2020-07-06 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1134637697 | Justin Yun | Physical Therapist | 3100 Dublin Medical Offices, Dublin, CA 94568 | 2018-01-18 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1619407368 | Lzl Health Center | Acupuncturist | 7241 Regional St, Dublin, CA 94568 | 2017-06-15 |
| 1578010120 | Yang Yang | Technician, Other | 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 | 2016-09-01 |
| Find all providers in zip 94568 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915142 | Patricia Lynn Luneke-mckelvey | Nurse Practitioner | 5361 Aryshire Dr, Dublin, OH 43017-8676 | 2020-09-03 |
| 1144839531 | Meghan Miller | Nurse Practitioner | 4700 Tassajara Rd Apt 3408, Dublin, CA 94568-4536 | 2020-07-30 |
| 1639717028 | Sheneka Williams Odom | Nurse Practitioner | 110 Cedar Creek Dr, Dublin, GA 31021-4200 | 2019-12-16 |
| 1245877315 | Shailendra Acharya | Nurse Practitioner | 5010 Haven Pl Apt 112, Dublin, CA 94568-7920 | 2019-12-07 |
| 1952957631 | Jesse Wade Vandyne | Nurse Practitioner | 6275 Emerald Pkwy, Dublin, OH 43016-3241 | 2019-08-17 |
| 1407400708 | Kimberly Rhae Hyatt | Nurse Practitioner | 6750 Avery Muirfield Dr Ste A1, Dublin, OH 43017-1228 | 2019-07-25 |
| 1073084877 | Charisse Holmes | Nurse Practitioner | 2400 Bellevue Rd Ste 2, Dublin, GA 31021-2885 | 2018-12-06 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1104328343 | Allen D Frye | Nurse Practitioner | 5324 Sunlight Ct, Dublin, OH 43016-8366 | 2018-03-04 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| Find all providers in DUBLIN | ||||
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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.