MELANIE MARUSCZAK (NPI# 1679944169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679944169 |
| Entity Type | Individual |
| Full Name | MELANIE MARUSCZAK |
| Credential | NP |
| Practice Address |
3075 Adeline St Ste 280 Berkeley CA 94703-2576 |
| Practice Telephone | 5109814100 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95003257 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3075 ADELINE ST STE 280 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94703-2576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730211368 | Linda K. Frankel | Psychiatry & Neurology | 3075 Adeline St, Suite 280, Berkeley, CA 94703-2576 | 2007-03-09 |
| 1972021095 | Gabriella Rochelle Ruzin | Student in an Organized Health Care Education/Training Program | 3075 Adeline St, Berkeley, CA 94703-2576 | 2017-09-08 |
| 1568996106 | Robin Ann Weber | Social Worker | 3075 Adeline St, 120, Berkeley, CA 94703-2576 | 2017-04-19 |
| 1326590688 | Alysha Swaim Aziz | Registered Nurse | 3075 Adeline St, St #280, Berkeley, CA 94703-2576 | 2016-11-02 |
| 1790234466 | Marco Antonio Gomez | Student in an Organized Health Care Education/Training Program | 3075 Adeline St, Suite 120, Berkeley, CA 94703-2576 | 2016-09-22 |
| 1376911123 | Theresia Anderson | Student in an Organized Health Care Education/Training Program | 3075 Adeline St, Ste 120, Berkeley, CA 94703-2576 | 2015-09-10 |
| 1659749422 | Lori Lee | Student in an Organized Health Care Education/Training Program | 3075 Adeline St, Suite 120, Berkeley, CA 94703-2576 | 2015-09-09 |
| 1316372501 | Kaeonadda Mindy Jitmanowan | Student in an Organized Health Care Education/Training Program | 3075 Adeline St, Suite 120, Berkeley, CA 94703-2576 | 2013-09-06 |
| 1144655614 | Kuldip Raju | Student in an Organized Health Care Education/Training Program | 3075 Adeline St, Suite 120, Berkeley, CA 94703-2576 | 2013-09-03 |
| 1841623196 | Ashley Boyer | Student in an Organized Health Care Education/Training Program | 3075 Adeline St, Ste 120, Berkeley, CA 94703-2576 | 2013-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1619427549 | Sigal Gafni | Occupational Therapist | 1622 Parker St. Apt. 1, Berkeley, CA 94703 | 2016-10-04 |
| 1750741138 | Ane Becker | Community Health Worker | 2026 Woolsey St, Berkeley, CA 94703 | 2016-02-29 |
| 1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
| 1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
| 1962885988 | Caro Grosvenor | Marriage & Family Therapist | 1511 Ada Street, Berkeley, CA 94703 | 2015-07-08 |
| 1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
| 1013340223 | Denise Daniel | Acupuncturist | 6222 La Salle Ave Suite B, Oakland, CA 94703 | 2013-08-12 |
| 1104126200 | Iramis Kouromenos | Dental Hygienist | 1721 University Ave Apt#209, Berkeley, CA 94703 | 2010-10-25 |
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| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
| 1790048767 | Yonis Ahmed Mudey | Nurse Practitioner | 2288 Fulton St Ste 309, Berkeley, CA 94704-1490 | 2012-06-24 |
| 1770764987 | Kevin L Joiner | Nurse Practitioner | 2001 Dwight Way # 1388, Berkeley, CA 94704-2608 | 2007-11-15 |
| 1043760705 | Denise Scholz | Nurse Practitioner | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2016-10-06 |
| 1154708956 | Susan Broadway | Nurse Practitioner | 1 Cyclotron Rd, Ms26r0143, Berkeley, CA 94720-8099 | 2015-04-30 |
| 1013316488 | Maki Matsumura | Nurse Practitioner | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2014-08-21 |
| 1851669386 | Helen Horvath | Nurse Practitioner | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2011-12-12 |
| 1700029105 | Quan Thai | Nurse Practitioner | 2001 Dwight Way, Alta Bates Comprehensive Cancer Center, Berkeley, CA 94704-2608 | 2009-04-14 |
| 1487860987 | Kathleen Ann Ruel | Nurse Practitioner | 1497 Alcatraz Ave, Berkeley, CA 94702-2710 | 2007-05-14 |
| 1023130622 | Laurel Jean Olslund | Nurse Practitioner | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2007-04-04 |
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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.