ILIANA HARRYSSON (NPI# 1790128163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790128163 |
| Entity Type | Individual |
| Full Name | ILIANA HARRYSSON |
| Credential | M.D. |
| Practice Address |
750 S Bascom Ave San Jose CA 95128-2603 |
| Practice Telephone | 4088855410 |
| Mailing Telephone | 3015147311 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2017-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | A131905 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
A131905 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
750 S BASCOM AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598449 | County of Santa Clara | Clinic/Center | 750 S Bascom Ave, Valley Health Center At Bascom, San Jose, CA 95128-2603 | 2005-09-12 |
| 1386193951 | Shelley Wood | Dietitian, Registered | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2016-09-23 |
| 1942605282 | Semhar Hailemicael | Nurse Practitioner | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2014-10-29 |
| 1154740033 | Alison Chiang | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128 | 2014-04-08 |
| 1962833004 | Annette Watts | Nurse Practitioner | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2013-11-27 |
| 1578806808 | Elvera Sofos | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2013-04-04 |
| 1215290663 | Marie Eusalind Tottoc | Pharmacist | 750 S Bascom Ave, Pharmacy, Suite 120, San Jose, CA 95128-2603 | 2012-06-20 |
| 1881952588 | Christine Le | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2012-05-01 |
| 1982961587 | Yvonne Phan | Pharmacist | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2012-04-19 |
| 1518234889 | Carson Welty | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2011-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780631788 | Kenneth I-chien Tan | Pediatrics | 3880 S. Bascom Avenue, #208, San Jose, CA 95124-2675 | 2006-05-27 |
| 1770546723 | Lota F. Viray | Pediatrics | 3880 S Bascom Ave, San Jose, CA 95124-2674 | 2006-04-10 |
| 1205049376 | Sridevi Venigalla | Pediatrics | 2505 Samaritan Dr, Suite 304, San Jose, CA 95124-4006 | 2007-05-07 |
| 1699717041 | Glenn H Desandre | Pediatrics | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2006-06-11 |
| 1912951880 | Bindya S Singh | Pediatrics | 135 N Jackson Ave, San Jose, CA 95116-1917 | 2006-05-22 |
| 1689626996 | Richard James Powers | Pediatrics | 3880 S Bascom Ave, Suite 208, San Jose, CA 95124-2674 | 2006-05-16 |
| 1700841269 | Tungho Wang | Pediatrics | 3880 S Bascom Ave, San Jose, CA 95124-2675 | 2006-04-19 |
| 1376506261 | Meera N Sankar | Pediatrics | 3880 S Bascom Ave, Suite 208, San Jose, CA 95124-2674 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699316695 | Neonatal Hospitalist Group, Inc | Pediatrics | 501 S Buena Vista St Nicu, Burbank, CA 91505-4809 | 2019-10-01 |
| 1619418936 | Natalie Hoi-man Chan | Pediatrics | 2516 Stockton Blvd Fl 2, Sacramento, CA 95817-2208 | 2017-03-20 |
| 1427502186 | George Francis Tidmarsh | Pediatrics | 10182 Telesis Ct, San Diego, CA 92121-4760 | 2016-08-11 |
| 1477904530 | Lida Irene Zeinali | Pediatrics | 2315 Stockton Blvd # 5, Sacramento, CA 95817-2201 | 2016-06-29 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1871921718 | Mirin Hemasilpin | Pediatrics | 22554 Ventura Blvd Ste 117, Woodland Hills, CA 91364-1436 | 2013-10-30 |
| 1588937353 | Jeffrey Joseph Pomerance | Pediatrics | 351 W Northridge Ave, Glendora, CA 91741-2036 | 2012-02-09 |
| 1447549225 | Jimmy Thuan Nguyen | Pediatrics | 5621 W Barbette Ave, Santa Ana, CA 92704-1015 | 2011-04-01 |
| 1699085134 | Rosemary Leake | Pediatrics | 2 Crest Rd W, Rolling Hills, CA 90274-5003 | 2010-10-18 |
| 1811200124 | Katrina Tan Ibonia | Pediatrics | 9300 Valley Childrens Pl # Se21, Madera, CA 93636-8762 | 2010-07-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ILIANA HARRYSSON.
| 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.