JAN KRUSE (NPI# 1871964585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871964585 |
| Entity Type | Individual |
| Full Name | JAN KRUSE |
| Practice Address |
1911 Williams Oxnard CA 93036-9272 |
| Mailing Address |
11060 Hildreth Ct Santa Rosa Valley CA 93012-9272 |
| Practice Telephone | 8053401378 |
| Mailing Telephone | 8053401378 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
122929 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912141045 | Jan Twyford Kruse | Registered Nurse | 1263 N 15th St, Laramie, WY 82072-2343 | 2009-04-20 |
| Street Address |
1911 WILLIAMS |
| City | OXNARD |
| State | CA |
| Zip Code | 93036-9272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689508 | Cebrina Dieli | Massage Therapist | 470 Forest Park Blvd., C-212, Oxnard, CA 93036 | 2020-11-06 |
| 1760021810 | Tiffany Anne Eyestonhe | Counselor | 1911 Wiiliams Drive, Star Program, Oxnard, CA 93036 | 2020-01-06 |
| 1356903579 | Usman Khan | Student in an Organized Health Care Education/Training Program | 1911 Williams Drive Suite 200, Oxnard, CA 93036 | 2019-07-08 |
| 1689236937 | Benjamin Jonathan Ponce | Student in an Organized Health Care Education/Training Program | 1911 Williams Drive, Suite 200, Oxnard, CA 93036 | 2019-07-07 |
| 1194296806 | Ezequiel Armando Sanchez | Counselor | 1911 Williams Drive Star Program, Oxnard, CA 93036 | 2018-12-07 |
| 1710457809 | Shadi Heydari Bateni | Counselor | 2150 N. Victoria Avenue, Oxnard, CA 93036 | 2018-11-30 |
| 1023586443 | Reylene Carmen Sanchez | Counselor | 2755 Yearling Place, Oxnard, CA 93036 | 2018-11-02 |
| 1689157117 | For Eyes Optical Co. of California | Eyewear Supplier (Equipment, not the service) | 2820 Portico Way, Suite 1110, Oxnard, CA 93036 | 2018-09-11 |
| 1518445113 | Heather Christian Byhoffer | Marriage & Family Therapist | 1261 W. Gonzales Rd., Oxnard, CA 93036 | 2018-08-06 |
| 1477045110 | Dr. Jeffrey A. Saladin, Dental Corp | Dentist | 2100 Solar Drive, Suite 200, Oxnard, CA 93036 | 2018-05-30 |
| Find all providers in zip 93036 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457809 | Shadi Heydari Bateni | Counselor | 2150 N. Victoria Avenue, Oxnard, CA 93036 | 2018-11-30 |
| 1831668656 | Sandra Michelle Mendez | Counselor | 1151 S M St, Oxnard, CA 93033-1516 | 2018-11-21 |
| 1689140303 | Shane Michael Bess | Counselor | 3741 Via Marina Ave, Oxnard, CA 93035-2220 | 2018-10-19 |
| 1245712926 | Cynthia Melissa Montiel | Counselor | 2055 Saviers Rd Ste 4, Oxnard, CA 93033-3608 | 2018-08-30 |
| 1154863397 | Ramon Rocha | Counselor | 2055 Saviers Rd # A, Oxnard, CA 93033-3608 | 2016-11-04 |
| 1033665096 | Jill Ramey | Counselor | 1721 Pacific Ave Ste 140, Oxnard, CA 93033-2753 | 2016-08-30 |
| 1659786226 | Annastasia Helainia Flores | Counselor | 1911 Williams Dr Ste 190, Oxnard, CA 93036-2612 | 2014-06-23 |
| 1518237338 | Sandra M Sanchez | Counselor | 1911 Williams Dr Ste 140, Oxnard, CA 93036-2612 | 2012-01-10 |
| 1346525268 | Deshay David Ford | Counselor | 1710 Oneida Pl, Oxnard, CA 93030-8774 | 2011-10-12 |
| 1750529152 | Jose Cuervo Sosa | Counselor | 314 W. 4th St., Oxnard, CA 93036 | 2009-01-23 |
| Find all providers in OXNARD | ||||
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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.