PHILLIP HENRY LOLONIS (NPI# 1770845869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770845869 |
Entity Type | Individual |
Full Name | PHILLIP HENRY LOLONIS |
Practice Address |
2045 Fairmont Dr San Leandro CA 94578-1088 |
Practice Telephone | 5106673913 |
Practice Fax Number | 5106677711 |
Mailing Telephone | 5106673913 |
Mailing Fax Number | 5106677711 |
Enumeration Date | 2012-06-13 |
Last Update Date | 2012-06-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
Street Address |
2045 FAIRMONT DR |
City | SAN LEANDRO |
State | CA |
Zip Code | 94578-1088 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295713386 | Luisito M Roxas | Psychiatry & Neurology | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2006-01-09 |
1356999668 | Berna Palavra | Student in an Organized Health Care Education/Training Program | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2019-08-29 |
1346898657 | Yessenia Valencia | Student in an Organized Health Care Education/Training Program | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2019-08-29 |
1003335514 | Jacqueline M Schiano | Rehabilitation Counselor | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2017-09-15 |
1336663574 | Madelaine S Alejandro | Student in an Organized Health Care Education/Training Program | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2017-07-31 |
1740630037 | Ashantai Ellington | Student in an Organized Health Care Education/Training Program | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2016-06-16 |
1801242243 | Christina Cox | Student in an Organized Health Care Education/Training Program | 2045 Fairmont Dr, Eden Csc, San Leandro, CA 94578-1088 | 2016-05-04 |
1467828863 | Emily Nicole Daniel | Counselor | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2015-08-19 |
1366821464 | Ashley King | Registered Nurse | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2015-05-21 |
1184018442 | Lydia Idella Apple | Student in an Organized Health Care Education/Training Program | 2045 Fairmont Dr, Eden Csc, San Leandro, CA 94578-1088 | 2015-03-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
Find all providers in zip 94578 |
Taxonomy Code | 1041S0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851810428 | Charles Salem | Social Worker | 13050 Aurora Dr, San Leandro, CA 94577-3159 | 2017-09-15 |
1588159610 | Emma Marie Enav | Social Worker | 1000 San Leandro Blvd Ste 300, San Leandro, CA 94577-1675 | 2018-07-01 |
1831618420 | Sarah Kim Seitz | Social Worker | 1000 San Leandro Blvd Ste 300, San Leandro, CA 94577-1675 | 2017-09-14 |
1184141038 | Lacy Canton | Social Worker | 1150 Bancroft Ave, San Leandro, CA 94577 | 2017-08-22 |
1750817615 | Corina Resendez Rojo | Social Worker | 1000 San Leandro Blvd Ste 300, San Leandro, CA 94577-1675 | 2017-05-11 |
1770988032 | Jordan Daniel Haar | Social Worker | 1000 San Leandro Blvd, Suite 300, San Leandro, CA 94577-1598 | 2014-10-29 |
1437565686 | Peter Y Lee | Social Worker | 1000 San Leandro Blvd Ste 300, San Leandro, CA 94577-1675 | 2014-07-09 |
1427480854 | Olga Gutierrez | Social Worker | 1000 San Leandro Blvd Ste 300, San Leandro, CA 94577-1675 | 2013-08-08 |
1497192744 | Kathleen T Graves | Social Worker | 1000 San Leandro Blvd Ste 300, San Leandro, CA 94577-1675 | 2013-05-28 |
1093098626 | Allyson Fritz | Social Worker | 1000 San Leandro Blvd Ste 300, San Leandro, CA 94577-1675 | 2011-09-20 |
Find all providers in SAN LEANDRO |
City | SAN LEANDRO |
Zip Code | 94578 |
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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.