STEPHANIE PHUNG (NPI# 1760966410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760966410 |
| Entity Type | Individual |
| Full Name | STEPHANIE PHUNG |
| Practice Address |
10700 Macarthur Blvd Oakland CA 94605-5298 |
| Practice Telephone | 5109814100 |
| Practice Fax Number | 5105634360 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA55916 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312276 | Stephanie Hue Phung | Pharmacist | 1060 E Cypress Ave, Redding, CA 96002-1114 | 2020-09-30 |
| Street Address |
10700 MACARTHUR BLVD |
| City | OAKLAND |
| State | CA |
| Zip Code | 94605-5298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154327138 | Lifelong Medical Care | Family Medicine | 10700 Macarthur Blvd, Ste 14b, Oakland, CA 94605-5260 | 2005-06-23 |
| 1972104875 | Taylor Cuffaro | Nurse Practitioner | 10700 Macarthur Blvd, Oakland, CA 94605-5298 | 2020-11-05 |
| 1134731318 | Jimmy Allen Huang | Pharmacist | 10700 Macarthur Blvd, Oakland, CA 94605-5298 | 2020-08-19 |
| 1972134294 | Marl Ayson | Pharmacist | 10700 Macarthur Blvd, Oakland, CA 94605-5298 | 2020-01-27 |
| 1790296556 | Michael Sweeney | Nurse Practitioner | 10700 Macarthur Blvd, Oakland, CA 94605-5298 | 2017-10-19 |
| 1881121663 | Rochelle Lynn Allen | Respiratory Therapist, Certified | 10700 Macarthur Blvd, Oakland, CA 94605-5298 | 2017-05-11 |
| 1124563309 | Alexandra Gray | Nurse Practitioner | 10700 Macarthur Blvd, #14b, Oakland, CA 94605-5298 | 2016-12-27 |
| 1811346075 | Carrie Miller | Registered Nurse | 10700 Macarthur Blvd, Suite 14b, Oakland, CA 94605-5298 | 2016-06-08 |
| 1598114753 | David Greenberg | Registered Nurse | 10700 Macarthur Blvd, 14b, Oakland, CA 94605-5298 | 2016-06-08 |
| 1780032128 | Lifelong Medical Care | Clinic/Center | 10700 Macarthur Blvd, Suite 14 B, Oakland, CA 94605-5298 | 2016-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| 1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
| 1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
| 1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
| Find all providers in zip 94605 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1245855527 | Susan Solar Pers | Physician Assistant | 5818 Clover Dr, Oakland, CA 94618-1623 | 2020-06-11 |
| 1790322253 | Reta Samimi | Physician Assistant | 47 Anair Way, Oakland, CA 94605-4873 | 2019-12-04 |
| 1316408453 | Henry Chhiv | Physician Assistant | 928 Franklin St Apt 535, Oakland, CA 94607-4207 | 2019-03-29 |
| 1427523893 | Sarah Jean Backer | Physician Assistant | 1 Lakeside Dr Apt 701, Oakland, CA 94612-4647 | 2018-10-11 |
| 1558845891 | Abigail Romero | Physician Assistant | 47 Agnes St, Oakland, CA 94618-2522 | 2018-09-22 |
| 1932604428 | Meegan Ann Mccullagh | Physician Assistant | 9 Pleasant St., Oakland, ME 04963 | 2018-03-27 |
| 1164937884 | Erin Shea Hays | Physician Assistant | 1411 E 31st St # K7, Oakland, CA 94602-1018 | 2017-12-04 |
| 1407369689 | Kristinalisa Maka | Physician Assistant | 363 41st St, Oakland, CA 94609-2632 | 2017-11-10 |
| Find all providers in OAKLAND | ||||
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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.