MAYA FAN PROTTER (NPI# 1629628037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629628037 |
| Entity Type | Individual |
| Full Name | MAYA FAN PROTTER |
| Credential | MSN, RN, FNP |
| Practice Address |
2023 Vale Rd San Pablo CA 94806-3834 |
| Mailing Address |
1440 9th Ave # 94122 San Francisco CA 94122-3607 |
| Practice Telephone | 5102159092 |
| Mailing Telephone | 6506692212 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 95137055 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95012567 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2023 VALE RD |
| City | SAN PABLO |
| State | CA |
| Zip Code | 94806-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447221809 | Lorna A Cogen | Surgery | 2023 Vale Rd, Suite 8, San Pablo, CA 94806-3834 | 2006-02-01 |
| 1346853520 | Angelina Maria Molina | Nurse Practitioner | 2023 Vale Rd, San Pablo, CA 94806-3834 | 2020-08-26 |
| 1609425461 | Jennifer Nicole Espinoza | Nurse Practitioner | 2023 Vale Rd, San Pablo, CA 94806-3834 | 2019-09-04 |
| 1154896215 | Audrey I Schaps | Family Medicine | 2023 Vale Rd, San Pablo, CA 94806-3834 | 2018-10-04 |
| 1518477108 | Wendy Zun-yed Wu | Dentist | 2023 Vale Rd, San Pablo, CA 94806 | 2017-10-09 |
| 1801306667 | Ashley Ro | Nurse Practitioner | 2023 Vale Rd, San Pablo, CA 94806-3834 | 2017-10-06 |
| 1871010793 | Laura Rebeca Mata Lopez | Nurse Practitioner | 2023 Vale Rd, San Pablo, CA 94806-3834 | 2017-08-23 |
| 1992236483 | Rehimat Momoh Mendy | Nurse Practitioner | 2023 Vale Rd, San Pablo, CA 94806-3834 | 2017-03-25 |
| 1366999088 | Christine Marie Salera | Registered Nurse | 2023 Vale Rd, San Pablo, CA 94806-3834 | 2016-09-10 |
| 1083062640 | Darcy Stanley | Registered Nurse | 2023 Vale Rd, San Pablo, CA 94806-3834 | 2016-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
| 1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
| 1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
| 1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
| 1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
| 1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
| 1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
| 1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
| Find all providers in zip 94806 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469525 | Catherine Esther Smally | Nurse Practitioner | 1601 Bayo Vista Ave, San Pablo, CA 94806-4110 | 2020-02-14 |
| 1730550930 | Nneka Geraldine Umeh | Nurse Practitioner | 631 Rock Rose Way, San Pablo, CA 94806-1856 | 2015-10-13 |
| 1346853520 | Angelina Maria Molina | Nurse Practitioner | 2023 Vale Rd, San Pablo, CA 94806-3834 | 2020-08-26 |
| 1609425461 | Jennifer Nicole Espinoza | Nurse Practitioner | 2023 Vale Rd, San Pablo, CA 94806-3834 | 2019-09-04 |
| 1801306667 | Ashley Ro | Nurse Practitioner | 2023 Vale Rd, San Pablo, CA 94806-3834 | 2017-10-06 |
| 1740592120 | Farhat S Surti | Nurse Practitioner | 2089 Vale Rd, Suite Number 31, San Pablo, CA 94806-3847 | 2010-07-13 |
| 1881802148 | Mitzi Carolina Fogg | Nurse Practitioner | 2089 Vale Rd, Suite 17, San Pablo, CA 94806-3847 | 2007-05-18 |
| 1093854598 | Pamela Roshelle Washington | Nurse Practitioner | Brookside Community Health Center, 2023 Vale Road, Suite 107, San Pablo, CA 94806-3834 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MAYA FAN PROTTER.
| 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.