AVA POMMERENK (NPI# 1821378225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821378225 |
| Entity Type | Individual |
| Full Name | AVA POMMERENK |
| Practice Address |
200 Industrial Rd Ste 128 San Carlos CA 94070-6296 |
| Mailing Address |
610 Elm St Ste 212 San Carlos CA 94070-3070 |
| Practice Telephone | 6505913636 |
| Practice Fax Number | 6505913600 |
| Mailing Telephone | 6505919623 |
| Mailing Fax Number | 6505914163 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
94-3094966 | CA | Behavioral Health & Social Service Providers |
| Street Address |
200 INDUSTRIAL RD STE 128 |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070-6296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245840198 | Cameron Wild | Counselor | 681 Walnut St Apt 7, San Carlos, CA 94070-3127 | 2020-08-05 |
| 1902431026 | Lisa Ferrara Summers | Counselor | 1139 San Carlos Ave Ste 310, San Carlos, CA 94070-2450 | 2020-03-09 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1013431899 | Angela Susan Ballard | Counselor | 1033 Laurel St, San Carlos, CA 94070-3918 | 2017-08-02 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1437679321 | Stephanie Litjens Moody | Counselor | 961 Laurel St Ste 208, San Carlos, CA 94070-3954 | 2017-06-22 |
| 1255888210 | Ie Run Jung | Counselor | 363 Torino Dr, Apartment #5, San Carlos, CA 94070-2885 | 2016-09-07 |
| 1790177863 | Veronika Szava | Counselor | 300 Torino Dr Apt 11, San Carlos, CA 94070-2859 | 2015-02-26 |
| 1538399480 | Elisabeth Megan Goodwin | Counselor | 727 Industrial Rd Ste 104, San Carlos, CA 94070-3390 | 2009-07-24 |
| 1992954705 | Douglas L. Mitchell | Counselor | 610 Elm Street, Ste. 212, San Carlos, CA 94070 | 2008-09-17 |
| Find all providers in SAN CARLOS | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
Please comment or provide details below to improve the information on AVA POMMERENK.
| 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.