MR. JAMES EASLEY JR. (NPI# 1689076846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689076846 |
| Entity Type | Individual |
| Full Name | MR. JAMES EASLEY JR. |
| Practice Address |
4150 Clement St San Francisco CA 94121-1545 |
| Mailing Address |
1395 N Lincoln St Apt 913 Dixon CA 95620-9248 |
| Practice Telephone | 4152214810 |
| Mailing Telephone | 7078531072 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588020184 | James Easley | Licensed Practical Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2016-01-12 |
| 1902868599 | James Easley | Anesthesiology | 1515 N Harvard Ave, Suite E, Tulsa, OK 74115-4957 | 2006-04-06 |
| Street Address |
4150 CLEMENT ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94121-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850910 | Jeffrey Michael Zimmet | Internal Medicine | 4150 Clement St, San Francisco Va Medical Center, San Francisco, CA 94121-1545 | 2005-06-13 |
| 1386243954 | Jennifer Malcolm | Social Worker | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-10-23 |
| 1952908915 | Edmund Frank Lee | Social Worker | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-10-02 |
| 1982210332 | Nitya Simon | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-09-21 |
| 1063028959 | Man Lung Wu | Nurse Practitioner | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-09-16 |
| 1477167450 | Harold Hubert Burns IIi | Nurse Practitioner | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-09-07 |
| 1023621356 | Tishzly Rea Resuello | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-08-26 |
| 1740891530 | Shirley Shan | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-08-14 |
| 1790396448 | Nancy Kong | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-08-14 |
| 1972114833 | Theora Canonica | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316443815 | Joanne Mott | Community Health Worker | Richmond Area Multi Services, 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1851897359 | Jeffrey Cheng | Community Health Worker | Richmond Area Multi Services 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1245739283 | George Howard Herzog | Clinical Nurse Specialist | 4150 Clement St G1-111b1, San Francisco, CA 94121 | 2018-02-05 |
| 1063931228 | Dianna Welsh | Marriage & Family Therapist | 750 33rd Ave., San Francisco, CA 94121 | 2017-09-19 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| 1184027229 | Laura Weissberger | Social Worker | 6211 Geary Blvd, 2nd Floor, San Francisco, CA 94121 | 2014-10-03 |
| 1548676901 | Martha J Ignaszewski | Psychiatry & Neurology | 4150 Clement St Rm 19, San Francisco, CA 94121 | 2014-07-07 |
| 1912338195 | Katie Francesconi Peters | Physical Therapist | 1921 Lake St Apt 1, San Francisco, CA 94121 | 2013-12-12 |
| 1649601717 | William Hua | Psychologist | 4150 Clement St (116b), San Francisco, CA 94121 | 2013-11-27 |
| 1396182721 | Gregory Lariviere Judson | Student in an Organized Health Care Education/Training Program | 4150 Clement St. Box 111a, Vamc, San Francisco, CA 94121 | 2013-05-24 |
| Find all providers in zip 94121 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051294 | Ryan Allan Arriaga | Military Health Care Provider | 1000 Allison Dr, Vacaville, CA 95687-4975 | 2020-07-27 |
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1558911024 | Christopher Andersen | Military Health Care Provider | 1000 Allison Dr Apt 183, Vacaville, CA 95687-4988 | 2019-09-17 |
| 1558873968 | Giovanni Oddo | Military Health Care Provider | 25051 Mawson Dr, Laguna Hills, CA 92653-5263 | 2017-10-26 |
| 1730606658 | Jeffrey Rodriguez | Military Health Care Provider | 975 Carl Cir, Edwards, CA 93523-1906 | 2017-08-23 |
| 1154847960 | James Edward Schafer | Military Health Care Provider | 883 Covey Ct, Hollister, CA 95023-8906 | 2017-08-15 |
| 1437551702 | Jonathan Saplan | Military Health Care Provider | 1411 Pelican Way, Suisun City, CA 94585-2330 | 2014-09-18 |
| 1093124398 | Benjamin Ryan Foy | Military Health Care Provider | 2784 Hornet Way, San Diego, CA 92106-6421 | 2014-08-12 |
| 1598182214 | Matthew Wheaton Burns | Military Health Care Provider | 105 Colorado St, Travis Afb, CA 94535-1255 | 2014-03-19 |
| 1508282658 | April Summers | Military Health Care Provider | 2205 Farrell Ave Apt 204, Redondo Beach, CA 90278-1846 | 2014-03-13 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94121 |
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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.