STEPHEN MICHAEL LARSON (NPI# 1851802680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851802680 |
| Entity Type | Individual |
| Full Name | STEPHEN MICHAEL LARSON |
| Practice Address |
6333 Telegraph Ave Oakland CA 94609-1359 |
| Practice Telephone | 5109230180 |
| Mailing Telephone | 5109230180 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487759619 | Stephen Mark Larson | Optometrist | 314 Main St S, Sauk Centre, MN 56378-1349 | 2006-09-13 |
| 1699883876 | Stephen James Larson | Dentist | 777 Cuesta Dr Ste 100, Mountain View, CA 94040-3765 | 2006-08-28 |
| 1649230160 | Stephen Larson | Psychologist | 352 Hommelville Rd, Saugerties, NY 12477-4205 | 2006-03-27 |
| 1568465201 | Stephen Larson | Nurse Anesthetist, Certified Registered | 112 E 5th Ave, Antigo, WI 54409-2710 | 2005-05-26 |
| 1972980928 | Stephen Larson | Otolaryngology | 1120 15th St, Augusta, GA 30912-3403 | 2015-04-29 |
| 1700205382 | Stephen Nathaniel Larson | Veterinarian | 2845 Harlem Ave, Berwyn, IL 60402-2800 | 2014-04-10 |
| 1972733467 | Stephen A Larson | Social Worker | 1100 K Ave, La Grande, OR 97850-2131 | 2009-07-20 |
| 1033276357 | Stephen Joseph Larson | Dentist | 612 Rockdale Ave, Cincinnati, OH 45229-2919 | 2007-01-03 |
| 1386755775 | Stephen Larson | Emergency Medicine | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2006-08-31 |
| 1003838459 | Stephen M Larson | Dentist | 6411 Fannin St, Houston, TX 77030-1501 | 2006-07-24 |
| Street Address |
6333 TELEGRAPH AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841278991 | Charline Bayon Simmons | Psychiatry & Neurology | 6333 Telegraph Ave, 200, Oakland, CA 94609-1359 | 2006-01-07 |
| 1376143040 | Lisette Carrillo | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2020-10-30 |
| 1497366694 | Debbie Terry Cruz | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2020-08-11 |
| 1699314740 | Kimbra J Baker | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2020-01-06 |
| 1609419019 | Marlyn Murcia | Case Manager/Care Coordinator | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-10-18 |
| 1265075667 | Adebisi Adewale | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-10-18 |
| 1093356826 | Shaeonna Shamara Muhammad | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-10-02 |
| 1053962779 | Selene Singh | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-09-24 |
| 1629626148 | Monte Hardy | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-08-28 |
| 1497303937 | Keatonia Isa Hall | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-08-28 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535505 | Lucille Arsua Lawrence | Specialist | 3014 Macarthur Blvd, Oakland, CA 94602-3212 | 2019-08-26 |
| 1598317554 | Julie Anne Gross | Specialist | 4131 1/2 Piedmont Ave, Oakland, CA 94611-5109 | 2019-07-10 |
| 1508394461 | Corrin Hill | Specialist | 3510 Grand Ave, Oakland, CA 94610-2010 | 2017-05-23 |
| 1679006993 | Gay Searcy | Specialist | 120 Capricorn Ave, Oakland, CA 94611-1943 | 2017-04-04 |
| 1770025330 | Elise Simone Francis | Specialist | 1927 Durant Ave, Oakland, CA 94603-3939 | 2016-11-14 |
| 1629529243 | Flor Baldovinos | Specialist | 7200 Bancroft Ave # Sit267, Oakland, CA 94605-2403 | 2016-10-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1922450881 | Charles B Kennell | Specialist | 6301 Girvin Dr, Oakland, CA 94611-2457 | 2016-07-04 |
| 1588036875 | Claritza Marisol Gomez | Specialist | 3301 E. 12th Street, Suite 259, Oakland, CA 94601-2940 | 2015-10-26 |
| 1366826349 | Wayne C Chan,md,inc | Specialist | 620 Hiller Dr, Oakland, CA 94618-2353 | 2015-07-20 |
| Find all providers in OAKLAND | ||||
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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.