MISTY MALLARI (NPI# 1871996520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871996520 |
| Entity Type | Individual |
| Full Name | MISTY MALLARI |
| Credential | R.N. |
| Practice Address |
227 N Jackson Ave San Jose CA 95116-1603 |
| Practice Telephone | 4083472094 |
| Mailing Telephone | 4083472094 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 836601 | CA | Nursing Service Providers |
| Street Address |
227 N JACKSON AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063461747 | Rasik Kansara | Internal Medicine | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2006-05-09 |
| 1427450592 | Caroline Ladines | Pharmacist | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2014-09-20 |
| 1639511488 | Maria S Govorkova | Ophthalmology | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2013-07-22 |
| 1013224633 | Verity Medical Foundation | Family Medicine | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2010-09-02 |
| 1073708541 | Vincent Liu | Internal Medicine | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2007-09-07 |
| 1750596755 | Timothy Earl Wiley | Technician/Technologist | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2007-05-11 |
| 1073648739 | Physicians Medical Group of San Jose, Inc. | Non-Pharmacy Dispensing Site | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2007-02-22 |
| 1487708855 | Unilab Corporation | Clinical Medical Laboratory | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2007-01-23 |
| 1326132515 | Mary J. Richardson | Registered Nurse | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2006-10-03 |
| 1669576864 | Arthur Feldman | Internal Medicine | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2006-09-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991202 | Judy Muriuki | Registered Nurse | 361 Daisy Dr, San Jose, CA 95123-4438 | 2020-10-27 |
| 1053923466 | Bambie M Javier | Registered Nurse | 728 S Jackson Ave, San Jose, CA 95116-3626 | 2020-08-18 |
| 1669082129 | Alex Trinh | Registered Nurse | 1044 Wilsham Dr, San Jose, CA 95132-2959 | 2020-08-08 |
| 1679182927 | Jieun Lee | Registered Nurse | 660 N Capitol Ave, San Jose, CA 95133-1905 | 2020-07-23 |
| 1154939841 | Ngan Kim Vo | Registered Nurse | 858 Gateview Ct, San Jose, CA 95133 | 2020-07-19 |
| 1689203127 | Thuc Doan Da Nguyen | Registered Nurse | 2080 Alum Rock Ave Apt 224, San Jose, CA 95116-2012 | 2020-04-06 |
| 1124654611 | Michelle Lee | Registered Nurse | 1919 Fruitdale Ave Apt I8, San Jose, CA 95128-4931 | 2020-03-17 |
| 1538713045 | Sairo Mel Sanchez Gulde | Registered Nurse | 1696 Pala Ranch Cir, San Jose, CA 95133-0900 | 2019-08-01 |
| 1376033324 | Julie Gerseth | Registered Nurse | 1901 Monterey Hwy Ste 10, San Jose, CA 95112-6126 | 2018-05-15 |
| 1053819961 | Geraldin Romis | Registered Nurse | 2539 Glen Kew Ct, San Jose, CA 95148-4131 | 2018-01-25 |
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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.