GILLIAN A PENITENTI


Address: 411 30th St Ste G-2, Oakland, CA 94609-3301
Phone: 5108362353

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
061013 CA Eye and Vision Services Providers

Office Location

Street Address 411 30TH ST STE G-2
City OAKLAND
State CA
Zip Code 94609-3301

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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
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1184703159 Terri S Clark Technician/Technologist 406 Highway 6 South, Oakland, IA 51560-0323 2006-11-02
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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

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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
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1548895998 Randy Liu Technician/Technologist 1049 Capen Ave, Walnut, CA 91789-3912 2020-03-05
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Competitor

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City OAKLAND
Zip Code 94609

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Dataset Information

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.

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