DEBORAH GAYLE THEISEN (NPI# 1699843169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699843169 |
| Entity Type | Individual |
| Full Name | DEBORAH GAYLE THEISEN |
| Credential | NP |
| Practice Address |
975 Sereno Dr Vallejo CA 94589-2441 |
| Practice Telephone | 7076511031 |
| Mailing Telephone | 7076511031 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | RN276380 | CA | Hospitals |
| Street Address |
975 SERENO DR |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940620 | James A Carolan | Specialist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2005-05-31 |
| 1386243483 | Chrismichael C Caniaveral | Pulmonary Function Technologist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-10-20 |
| 1598376188 | Justin Parungao Vallarta | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-08-16 |
| 1083232524 | Jeremy Cobb Mutter | Respiratory Therapist, Certified | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-07-10 |
| 1083230361 | Rabeea Abbas | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-06-22 |
| 1518588490 | Claudia S Vanover | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-05-01 |
| 1013536937 | Nicole Anne Madrilejo | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-10 |
| 1457970527 | Sean N Ryan | Physical Therapist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-09 |
| 1528687787 | Natalie Sukie White | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-08 |
| 1801423223 | Jacqueline Yu | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366686248 | Sutter Valley Hospitals | General Acute Care Hospital | 300 Hospital Drive, Vallejo, CA 94589-2574 | 2009-04-23 |
| 1316014913 | Sutter Solano Tcu | General Acute Care Hospital | 100 Hospital Dr, Vallejo, CA 94589-2578 | 2006-11-29 |
| 1366513509 | Kaiser Foundation Hospitals | General Acute Care Hospital | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-10 |
| 1801983150 | Kaiser Permanente Vallejo | General Acute Care Hospital | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-10-06 |
| 1831177203 | Sutter Solano Medical Center | General Acute Care Hospital | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2006-01-05 |
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| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
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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.