DR. AMY L. BOURASSA (NPI# 1871736959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871736959 |
| Entity Type | Individual |
| Full Name | DR. AMY L. BOURASSA |
| Credential | M.D. |
| Practice Address |
556 Weston Dr Campbell CA 95008-3730 |
| Practice Telephone | 4084203209 |
| Mailing Telephone | 4084203209 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G86603 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
556 WESTON DR |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
| Find all providers in zip 95008 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638600 | Advanced Regen Medical Inc | Family Medicine | 471 Division St, Campbell, CA 95008-6922 | 2020-01-22 |
| 1912940628 | Tatyana Borodulin | Family Medicine | 1600 W Campbell Ave, Campbell, CA 95008-1526 | 2006-06-13 |
| 1649261868 | Michael William Shultz | Family Medicine | 315 Struthers Liberty Rd, Campbell, OH 44405-1949 | 2005-11-04 |
| 1285624650 | Christian J. Fulmer | Family Medicine | 50 E Hamilton Ave, Suite 120, Campbell, CA 95008-0259 | 2005-10-26 |
| 1386207694 | Sarah Kathleen Hunter | Family Medicine | 221 E Hacienda Ave Ste B, Campbell, CA 95008-6625 | 2019-04-22 |
| 1760838247 | University Healthcare Alliance | Family Medicine | 50 E Hamilton Ave, Suite 200, Campbell, CA 95008-0259 | 2016-05-13 |
| 1538541255 | Jeffrey Peng | Family Medicine | 50 E Hamilton Ave Ste 120, Campbell, CA 95008-0251 | 2015-06-19 |
| 1730523499 | Nathan Glen Singh | Family Medicine | 221 E Hacienda Ave Ste B, Campbell, CA 95008 | 2013-04-24 |
| 1275660516 | Elham J Louis | Family Medicine | 1580 Winchester Blvd, Ste 202, Campbell, CA 95008-0519 | 2007-02-27 |
| 1972688935 | Edward Dewees | Family Medicine | 1600 W Campbell Ave, Suite 202, Campbell, CA 95008-1526 | 2006-10-26 |
| Find all providers in CAMPBELL | ||||
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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.