DIANA AZELTINE (NPI# 1730567413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730567413 |
Entity Type | Individual |
Full Name | DIANA AZELTINE |
Credential | REGISTERED NURSE |
Practice Address |
1617 Broadway St Vallejo CA 94590-2406 |
Mailing Address |
2078 Marazzani Dr Martinez CA 94553-4378 |
Practice Telephone | 7075563855 |
Mailing Telephone | 7074954703 |
Enumeration Date | 2015-05-13 |
Last Update Date | 2015-05-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
639229 | CA | Nursing Service Providers |
Street Address |
1617 BROADWAY ST |
City | VALLEJO |
State | CA |
Zip Code | 94590-2406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912083650 | Michael Richard Vallo | General Practice | 1617 Broadway St, Vallejo, CA 94590-2406 | 2006-10-27 |
1992127013 | Lorene Clark Lacayo | Health Educator | 1617 Broadway St, Vallejo, CA 94590-2406 | 2014-01-08 |
1225466188 | Dena Marie Phillips | Social Worker | 1617 Broadway St, Vallejo, CA 94590-2406 | 2013-10-30 |
1255767075 | Sylvie Nalezny | Health Educator | 1617 Broadway St, Vallejo, CA 94590-2406 | 2013-09-25 |
1306272125 | Courtney Ann Farris | Health Educator | 1617 Broadway St, Vallejo, CA 94590-2406 | 2013-09-25 |
1265783732 | Kaiser Permanente | Clinic/Center | 1617 Broadway St, Vallejo, CA 94590-2406 | 2012-09-25 |
1972879294 | Nicole Florez | Health Educator | 1617 Broadway St, Vallejo, CA 94590-2406 | 2012-03-30 |
1790051035 | Kaiser Permanente | Health Educator | 1617 Broadway St, Vallejo, CA 94590-2406 | 2012-03-30 |
1841520483 | Matthew Collins | Health Educator | 1617 Broadway St, Vallejo, CA 94590-2406 | 2010-01-04 |
1013104009 | Joseph Ignatius Azalde | Internal Medicine | 1617 Broadway St, Vallejo, CA 94590-2406 | 2007-10-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
Find all providers in zip 94590 |
Taxonomy Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174935258 | Robin Taylor-boyd | Registered Nurse | 445 Redwood St, 247, Vallejo, CA 94590-2985 | 2014-05-23 |
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1083211080 | Amy Elizabeth Smith | Registered Nurse | 783 Augusta Dr, Moraga, CA 94556-1007 | 2020-10-03 |
1164039012 | Alese Marie Hernandez | Registered Nurse | 24239 Park St, Torrance, CA 90505-6554 | 2020-09-24 |
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1750994372 | Rosalyn Lee | Registered Nurse | 410 Crother Rd, Meadow Vista, CA 95722-9431 | 2020-08-24 |
1154939163 | Gabriela Carrico | Registered Nurse | 2340 Blue Ridge Ave, Brentwood, CA 94513-4159 | 2020-07-15 |
1801412812 | Sylvia Dee Weingarden | Registered Nurse | 22178 Bauhinia Ct, Woodland Hills, CA 91367-7202 | 2020-06-25 |
1457976938 | Jerrick Ky Xang Padilla-phu | Registered Nurse | 1510 S Central Ave Ste 240, Glendale, CA 91204-2570 | 2020-06-10 |
1952924144 | Teresa Zuzalek | Registered Nurse | 5163 Via Valverde, Santa Barbara, CA 93111-2917 | 2020-05-21 |
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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.