NAMUUN CLIFFORD (NPI# 1639439193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639439193 |
| Entity Type | Individual |
| Full Name | NAMUUN CLIFFORD |
| Credential | FNP |
| Practice Address |
630 Drake Ave Sausalito CA 94965-1107 |
| Practice Telephone | 4153398813 |
| Practice Fax Number | 4153398814 |
| Mailing Telephone | 4153398813 |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2018-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95007572 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
630 DRAKE AVE |
| City | SAUSALITO |
| State | CA |
| Zip Code | 94965-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609807049 | Shannon Wozniak | Nurse Practitioner | 630 Drake Ave, Sausalito, CA 94965-1107 | 2006-07-05 |
| 1396215943 | Paula Moreno | Licensed Practical Nurse | 630 Drake Ave, Sausalito, CA 94965-1107 | 2018-11-27 |
| 1831616994 | Jacob Brown | Student in an Organized Health Care Education/Training Program | 630 Drake Ave, Sausalito, CA 94965-1107 | 2017-08-29 |
| 1932629334 | Marin City Health and Wellness Center | Clinic/Center | 630 Drake Ave, Sausalito, CA 94965-1107 | 2017-06-27 |
| 1891171971 | Lisa Robertson Veyssiere | Counselor | 630 Drake Ave, Sausalito, CA 94965-1107 | 2015-07-30 |
| 1184037541 | Reuben Burke | Marriage & Family Therapist | 630 Drake Ave, Sausalito, CA 94965-1107 | 2014-06-03 |
| 1780015693 | Clay Campbell | Dentist | 630 Drake Ave, Sausalito, CA 94965-1107 | 2013-12-02 |
| 1013346154 | Sophie Lartilleux-suberville | Marriage & Family Therapist | 630 Drake Ave, Sausalito, CA 94965-1107 | 2013-11-08 |
| 1720425341 | Melissa Anne Rapp | Counselor | 630 Drake Ave, Sausalito, CA 94965-1107 | 2013-05-23 |
| 1730522475 | Colin Spake | Registered Nurse | 630 Drake Ave, Sausalito, CA 94965-1107 | 2013-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093369423 | Claire Myers | Counselor | 630 Drake Avenue, Csd Building, Marin City, CA 94965 | 2019-07-24 |
| 1750624797 | 10 Minute Fitness Inc. | Durable Medical Equipment & Medical Supplies | 3 Harbor Dr. #112, Sausalito, CA 94965 | 2013-03-28 |
| 1548590169 | Jeffrey James Kacirk | Chiropractor | 80 Harrison Ave, #6, Sausalito, CA 94965 | 2010-01-04 |
| 1922213305 | Patrick Hammill Lee | Dentist | 107 Caledonia Street, Suite I, Sausalito, CA 94965 | 2007-05-11 |
| 1811020688 | Parvaneh Bairami | Registered Nurse | 2400 Bridgeway, Suite 200, Sasaulito, CA 94965 | 2007-03-13 |
| 1518027671 | Helen Chandler | Registered Nurse | 13 Braun Court, Sausalito, CA 94965 | 2006-12-11 |
| 1407916224 | Marcus H Small | Marriage & Family Therapist | 639 Drake Ave., Marin City, CA 94965 | 2006-12-11 |
| 1710068085 | Aida C Miles | Dietitian, Registered | 7 Cloudview Trail, Sausalito, CA 94965 | 2006-10-17 |
| 1942308515 | Nancy S. Hollis | Chiropractor | 3a Gate 5 Road, Sausalito, CA 94965 | 2006-09-20 |
| 1205947702 | Edwin J Zinman | Dentist | 220 Bush St, 1600, San Francisco, CA 94965 | 2006-08-31 |
| Find all providers in zip 94965 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774320 | Ulyses Radam Reamico | Nurse Practitioner | 3 Harbor Dr, Sausalito, CA 94965-1454 | 2020-06-16 |
| 1316015381 | Moira Opalka | Nurse Practitioner | 3 Harbor Dr, Suite 115, Sausalito, CA 94965-1454 | 2006-11-30 |
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|---|---|---|---|---|
| 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 |
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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.