SNYRRAH SURJANTO (NPI# 1811435712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811435712 |
| Entity Type | Individual |
| Full Name | SNYRRAH SURJANTO |
| Practice Address |
2200 E Gonzales Rd Oxnard CA 93036-0619 |
| Practice Telephone | 8052785959 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH51811 | CA | Pharmacy Service Providers |
| Street Address |
2200 E GONZALES RD |
| City | OXNARD |
| State | CA |
| Zip Code | 93036-0619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427086842 | William Rajala | Internal Medicine | 2200 E Gonzales Rd, Oxnard, CA 93036-0619 | 2006-06-28 |
| 1023557782 | Emily Kim | Pharmacist | 2200 E Gonzales Rd, 1st Floor Pharmacy, Oxnard, CA 93036-0619 | 2017-02-14 |
| 1184163834 | Melissa Yeates | Pharmacist | 2200 E Gonzales Rd, 1st Floor Pharmacy, Oxnard, CA 93036-0619 | 2017-02-14 |
| 1023556933 | Marna Wensil | Pharmacist | 2200 E Gonzales Rd, Oxnard, CA 93036-0619 | 2017-02-11 |
| 1902344815 | Su Kim | Pharmacist | 2200 E Gonzales Rd, Oxnard, CA 93036-0619 | 2017-02-10 |
| 1972967271 | Nabeel Rashid Hameed | Student in an Organized Health Care Education/Training Program | 2200 E Gonzales Rd, Oxnard, CA 93036-0619 | 2016-04-12 |
| 1811367436 | Kaiser Permanente | Clinic/Center | 2200 E Gonzales Rd, Oxnard, CA 93036-0619 | 2015-09-25 |
| 1184011462 | Dawn Krytusa | Preventive Medicine | 2200 E Gonzales Rd, Oxnard, CA 93036-0619 | 2015-04-23 |
| 1205223823 | Kaelan Elise Davis | Pediatrics | 2200 E Gonzales Rd, Oxnard, CA 93036 | 2015-04-21 |
| 1184962565 | Liz Diaz-querol | Internal Medicine | 2200 E Gonzales Rd, Oxnard II Medical Office Building, Oxnard, CA 93036-0619 | 2013-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689508 | Cebrina Dieli | Massage Therapist | 470 Forest Park Blvd., C-212, Oxnard, CA 93036 | 2020-11-06 |
| 1760021810 | Tiffany Anne Eyestonhe | Counselor | 1911 Wiiliams Drive, Star Program, Oxnard, CA 93036 | 2020-01-06 |
| 1356903579 | Usman Khan | Student in an Organized Health Care Education/Training Program | 1911 Williams Drive Suite 200, Oxnard, CA 93036 | 2019-07-08 |
| 1689236937 | Benjamin Jonathan Ponce | Student in an Organized Health Care Education/Training Program | 1911 Williams Drive, Suite 200, Oxnard, CA 93036 | 2019-07-07 |
| 1194296806 | Ezequiel Armando Sanchez | Counselor | 1911 Williams Drive Star Program, Oxnard, CA 93036 | 2018-12-07 |
| 1710457809 | Shadi Heydari Bateni | Counselor | 2150 N. Victoria Avenue, Oxnard, CA 93036 | 2018-11-30 |
| 1023586443 | Reylene Carmen Sanchez | Counselor | 2755 Yearling Place, Oxnard, CA 93036 | 2018-11-02 |
| 1689157117 | For Eyes Optical Co. of California | Eyewear Supplier (Equipment, not the service) | 2820 Portico Way, Suite 1110, Oxnard, CA 93036 | 2018-09-11 |
| 1518445113 | Heather Christian Byhoffer | Marriage & Family Therapist | 1261 W. Gonzales Rd., Oxnard, CA 93036 | 2018-08-06 |
| 1477045110 | Dr. Jeffrey A. Saladin, Dental Corp | Dentist | 2100 Solar Drive, Suite 200, Oxnard, CA 93036 | 2018-05-30 |
| Find all providers in zip 93036 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188415 | Nancy Ghattas | Pharmacist | 550 Forest Park Blvd Apt 342b, Oxnard, CA 93036-5542 | 2020-03-10 |
| 1427525302 | Anna-louise Wy | Pharmacist | 1700 N Rose Ave Ste 140, Oxnard, CA 93030-7633 | 2018-10-29 |
| 1992204689 | Marilyn Hill | Pharmacist | 3626 Eagle Bend Ln, Oxnard, CA 93036-6336 | 2018-02-07 |
| 1265836753 | Dana Bakhit | Pharmacist | 2661 Saviers Rd, Oxnard, CA 93033-4554 | 2014-10-13 |
| 1629481593 | Jennifer A Lee | Pharmacist | 1451 N Rice Ave, Suite F, Oxnard, CA 93030-7926 | 2014-06-08 |
| 1861741449 | Elizabeth Rose Glinka | Pharmacist | 2116 Doral Court, Oxnard, CA 93036 | 2012-08-29 |
| 1922362367 | Donald M Silverstein | Pharmacist | 3220 Peninsula Rd Apt 264, Oxnard, CA 93035-4229 | 2012-06-29 |
| 1639485626 | Renu Grewal | Pharmacist | 720 Kentwood Dr, Oxnard, CA 93030-3451 | 2010-08-27 |
| 1699095885 | David M Le | Pharmacist | 2661 Saviers Road, Oxnard, CA 93033 | 2010-06-10 |
| 1972825248 | Donna The Nguyen | Pharmacist | 2905 Naples Dr, Oxnard, CA 93035-1265 | 2010-02-26 |
| Find all providers in OXNARD | ||||
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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.