CAROLAIN SUZUKI PEREGRINO (NPI# 1740639301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740639301 |
| Entity Type | Individual |
| Full Name | CAROLAIN SUZUKI PEREGRINO |
| Practice Address |
2542 S Bascom Ave Ste 110 Campbell CA 95008-5526 |
| Mailing Address |
2542 S Bascom Ave Suite 110 Campbell CA 95008-5526 |
| Practice Telephone | 4085593403 |
| Practice Fax Number | 4085593158 |
| Mailing Telephone | 4085593403 |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2016-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95004196 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2542 S BASCOM AVE STE 110 |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-5526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649253204 | Philip Richard Kavanaugh | Psychiatry & Neurology | 2542 S Bascom Ave, Suite 207, Campbell, CA 95008-5526 | 2005-11-28 |
| 1588083992 | Wk Medical Group | Psychiatry & Neurology | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5526 | 2014-04-14 |
| 1659713329 | Jeweleeh Hanh Yu | Physician Assistant | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5526 | 2013-07-23 |
| 1124141031 | David Frederick Dahl | Clinical Neuropsychologist | 2542 S Bascom Ave, Ste 265, Campbell, CA 95008-5565 | 2007-04-06 |
| 1073645701 | Archana Narayan Kulkarni | Social Worker | 2542 S Bascom Ave, Suite 255, Campbell, CA 95008-5526 | 2007-03-09 |
| 1871620542 | Sally Ann Sharrock | Marriage & Family Therapist | 2542 S Bascom Ave, 255, Campbell, CA 95008-5526 | 2007-02-28 |
| 1629104617 | Bruce Melvin Wermuth | Psychiatry & Neurology | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5526 | 2007-02-26 |
| 1194766113 | Maria Virginia Castelli | Registered Nurse | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5541 | 2006-06-09 |
| 1063478964 | Diann Garcia | Nurse Practitioner | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5526 | 2006-04-21 |
| 1902866049 | George D Guido IIi | Physician Assistant | 2542 S Bascom Ave, Ste 110, Campbell, CA 95008-5541 | 2006-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
| Find all providers in zip 95008 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003454240 | Sarah Berberich | Nurse Practitioner | 2542 S Bascom Ave Ste 100, Campbell, CA 95008-5541 | 2019-12-18 |
| 1477199420 | Sridevi Banka | Nurse Practitioner | 2542 S Bascom Ave Ste 100, Campbell, CA 95008-5541 | 2019-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
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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.