JEFFERSON P DORMAN (NPI# 1770960551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770960551 |
| Entity Type | Individual |
| Full Name | JEFFERSON P DORMAN |
| Practice Address |
2620 26th Ave Oakland CA 94601-1907 |
| Practice Telephone | 5104372363 |
| Practice Fax Number | 5104372366 |
| Mailing Telephone | 5104372363 |
| Mailing Fax Number | 5104372366 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 633609 | CA | Nursing Service Providers |
| Street Address |
2620 26TH AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629154786 | Telecare Corporation | Clinic/Center | 2620 26th Ave, Oakland, CA 94601 | 2006-10-31 |
| 1801493887 | Chidozie Ephrem Ibe | Nurse Practitioner | 2620 26th Ave, Oakland, CA 94601-1907 | 2020-10-02 |
| 1346863032 | Rachel Alison Thompson-ray | Counselor | 2620 26th Ave, Oakland, CA 94601-1907 | 2020-05-28 |
| 1730701467 | Anna Michelle Guha | Counselor | 2620 26th Ave, Oakland, CA 94601-1907 | 2020-05-15 |
| 1508496647 | Kendall Testa | Peer Specialist | 2620 26th Ave, Oakland, CA 94601-1907 | 2020-01-16 |
| 1942788724 | Tali E Felson | Case Manager/Care Coordinator | 2620 26th Ave, Oakland, CA 94601-1907 | 2018-08-02 |
| 1861987885 | Emily Regal | Marriage & Family Therapist | 2620 26th Ave, Oakland, CA 94601-1907 | 2018-06-22 |
| 1770095069 | Deandrea Ward | Counselor | 2620 26th Ave, Oakland, CA 94601-1907 | 2017-10-26 |
| 1518349687 | Makela Nicole Benoit | Counselor | 2620 26th Ave, Oakland, CA 94601-1907 | 2015-06-24 |
| 1639551708 | Brenda Li | Behavioral Analyst | 2620 26th Ave, Oakland, CA 94601-1907 | 2015-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447862057 | Victoria Anne Watson | Registered Nurse | 1411 E 31st St Rm K606, Oakland, CA 94602-1092 | 2020-08-17 |
| 1427671221 | Kathleen Marie Skendrovic | Registered Nurse | 5959 Skyline Blvd, Oakland, CA 94611-1050 | 2020-05-27 |
| 1184243610 | Mischell Christmas | Registered Nurse | 12 Starview Dr, Oakland, CA 94618-2329 | 2020-04-14 |
| 1790304236 | Michelle Aboushadi | Registered Nurse | 85b Franklin Ave, Oakland, NJ 07436-3406 | 2020-04-14 |
| 1053947812 | Deanna Karraa | Registered Nurse | 1111 Jackson 6th Floor, Oakland, CA 94607 | 2020-03-12 |
| 1407497860 | Naeha Bhambhra | Registered Nurse | 901 Jefferson St Apt 316, Oakland, CA 94607-3554 | 2019-10-07 |
| 1063069623 | Noelle Marie Murray Jehs | Registered Nurse | 1614 Campbell St Apt 207, Oakland, CA 94607-1650 | 2019-08-19 |
| 1255987517 | Meaghan Sandra Louise Lauf | Registered Nurse | 2041 Austin St, Oakland, CA 94601-2519 | 2019-08-13 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1356807408 | Robin Louise Quinn | Registered Nurse | 5220 Boyd Ave, Oakland, CA 94618-1026 | 2019-02-13 |
| 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.