DIANA AZELTINE


Address: 1617 Broadway St, Vallejo, CA 94590-2406
Phone: 7075563855

DIANA AZELTINE (NPI# 1730567413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
639229 CA Nursing Service Providers

Office Location

Street Address 1617 BROADWAY ST
City VALLEJO
State CA
Zip Code 94590-2406

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174935258 Robin Taylor-boyd Registered Nurse 445 Redwood St, 247, Vallejo, CA 94590-2985 2014-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619575123 St Francis Hospice Inc Registered Nurse 14545 Friar St # 298, Van Nuys, CA 91411-2397 2020-10-16
1275130759 Johanna Solorzano Registered Nurse 233 Bennington St, San Francisco, CA 94110-5513 2020-10-07
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
1124632138 Sarah Anne Boyce Registered Nurse 82 N Greenwood Ave, Pasadena, CA 91107-3514 2020-09-08
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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Competitor

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City VALLEJO
Zip Code 94590

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Dataset Information

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.

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