GILLIAN A PENITENTI (NPI# 1831266238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831266238 |
Entity Type | Individual |
Full Name | GILLIAN A PENITENTI |
Credential | ABOC |
Practice Address |
411 30th St Ste G-2 Oakland CA 94609-3301 |
Practice Telephone | 5108362353 |
Practice Fax Number | 5108363517 |
Mailing Telephone | 5108362353 |
Mailing Fax Number | 5108363517 |
Enumeration Date | 2006-11-29 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
061013 | CA | Eye and Vision Services Providers |
Street Address |
411 30TH ST STE G-2 |
City | OAKLAND |
State | CA |
Zip Code | 94609-3301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
Find all providers in zip 94609 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336492685 | Eillen Carolina Sosa | Technician/Technologist | 1940 Fruitvale Ave, Suite 6, Oakland, CA 94601-2413 | 2012-10-24 |
1346388949 | Benly Sze Chung | Technician/Technologist | 755 Franklin St # I-b, Oakland, CA 94607-3931 | 2007-02-03 |
1184703159 | Terri S Clark | Technician/Technologist | 406 Highway 6 South, Oakland, IA 51560-0323 | 2006-11-02 |
1538514377 | Mohannad Zindaki | Technician/Technologist | 350 Ramapo Valley Rd, Oakland, NJ 07436-2702 | 2016-04-29 |
1336434711 | Fares Sabbagh | Technician/Technologist | 350 Ramapo Valley Rd, Oakland, NJ 07436-2702 | 2011-06-14 |
1598922155 | Sze Yan Kan | Technician/Technologist | 212 9th St, Ste 110, Oakland, CA 94607-4428 | 2008-05-21 |
1902941164 | Corey Optical | Technician/Technologist | 4171 Piedmont Ave, Oakland, CA 94611-5175 | 2007-02-21 |
1720177785 | Wal-mart Stores, Inc. | Technician/Technologist | 8400 Edgewater Dr, Oakland, CA 94621-1468 | 2006-10-11 |
1811091119 | Wal-mart Stores East, Lp | Technician/Technologist | 13164 Garrett Hwy, Oakland, MD 21550-1117 | 2006-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
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1699374744 | John Dibos | Technician/Technologist | 343 W Felicita Ave Ste 10, Escondido, CA 92025-6515 | 2020-10-20 |
1720686140 | Lens 4 Less Optical, Inc. | Technician/Technologist | 343 W Felicita Ave # 10, Escondido, CA 92025-6515 | 2020-10-16 |
1023620648 | Blanca Estela Maldonado | Technician/Technologist | 671 E Cooley Dr Ste 102, Colton, CA 92324-4014 | 2020-08-17 |
1619598406 | Heather Siu Shum | Technician/Technologist | 200 E Garvey Ave Ste 109, Monterey Park, CA 91755-1859 | 2020-05-03 |
1932738481 | Enrique Metta Fallena | Technician/Technologist | 651 Palomar St Ste A17, Chula Vista, CA 91911-2663 | 2020-04-06 |
1629603659 | Linh Lai | Technician/Technologist | 1111 Story Rd Ste 1079, San Jose, CA 95122-2670 | 2020-03-10 |
1548895998 | Randy Liu | Technician/Technologist | 1049 Capen Ave, Walnut, CA 91789-3912 | 2020-03-05 |
1780214403 | Gary Alan Bates | Technician/Technologist | 2540 Zanella Way Ste 10, Chico, CA 95928-7194 | 2020-01-22 |
1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
1609413665 | Yan Zlatin | Technician/Technologist | 21001 Sherman Way # 14a, Canoga Park, CA 91303-1760 | 2019-12-09 |
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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.