MATTHEW A STAKER (NPI# 1770095234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770095234 |
| Entity Type | Individual |
| Full Name | MATTHEW A STAKER |
| Practice Address |
250 Bon Air Rd Greenbrae CA 94904-1702 |
| Practice Telephone | 4154736666 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2019-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 N San Pedro Rd Ste 2021, San Rafael, CA 949034158 | 8318181015 |
| Street Address |
250 BON AIR RD |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021738 | Marin Community Clinic | Clinic/Center | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2005-05-27 |
| 1588270474 | Jonathan Nguyen Trinh | Pharmacist | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-09-16 |
| 1437768082 | Maritza Saucedo Rosas | Registered Nurse | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-07-29 |
| 1093323669 | Caroline Kent | Social Worker | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-07-20 |
| 1275152415 | Lokyan Yu | Registered Nurse | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-04-08 |
| 1144852591 | Lana Mccutchan | Registered Nurse | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-02-04 |
| 1295381747 | Melissa Bermudez Rivers | Rehabilitation Practitioner | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2019-08-12 |
| 1245884873 | William Horton IIi | Counselor | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2019-07-31 |
| 1336705540 | Maneesha Priya Deo | Pharmacist | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2019-05-13 |
| 1922564624 | Signy Marie Toquinto | Nurse Practitioner | 250 Bon Air Rd, Greenbrae, CA 94904-1784 | 2019-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588211809 | Dawn Muriel Mcgee | Student in an Organized Health Care Education/Training Program | 250 Bon Air Rd Unit B, Greenbrae, CA 94904-1702 | 2019-08-21 |
| 1679057962 | Thao Thi Thanh Le | Student in an Organized Health Care Education/Training Program | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2018-09-21 |
| 1306390893 | Victoria M Baptiste | Student in an Organized Health Care Education/Training Program | 250 Bon Air Rd, Marin County Health and Human Services - Bhrs, Greenbrae, CA 94904-1702 | 2016-08-12 |
| 1679026520 | Amanda Mathias | Student in an Organized Health Care Education/Training Program | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2016-07-27 |
| 1205236106 | Lamson Bui | Student in an Organized Health Care Education/Training Program | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2014-08-27 |
| 1952735136 | Ana Isabel Plasencia | Student in an Organized Health Care Education/Training Program | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2013-08-24 |
| 1548518558 | Sarah Michelle Snow | Student in an Organized Health Care Education/Training Program | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2012-08-22 |
| 1376836502 | Heather Dawn | Student in an Organized Health Care Education/Training Program | 1251 S Eliseo Dr, Greenbrae, CA 94904-2005 | 2011-05-20 |
| 1194058248 | Sam Kane Harary | Student in an Organized Health Care Education/Training Program | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2009-09-08 |
| 1891921151 | Bria Nicole Milicevic | Student in an Organized Health Care Education/Training Program | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2009-06-01 |
| Find all providers in GREENBRAE | ||||
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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.