DR. RYAN MATTHEW CONRAD (NPI# 1881941078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881941078 |
| Entity Type | Individual |
| Full Name | DR. RYAN MATTHEW CONRAD |
| Credential | PHARMD |
| Practice Address |
2500 Merced St San Leandro CA 94577-4201 |
| Practice Telephone | 5104541000 |
| Practice Fax Number | 2098258206 |
| Mailing Telephone | (510) 454-1000 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH67261 | CA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
67261 | CA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2440 Daniels St, Manteca, CA 953376745 | 2098258209 | 2098258205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033348552 | Ryan Earl Conrad | Physician Assistant | 1100 Federal Blvd, Denver, CO 80204-3219 | 2009-07-06 |
| 1346289402 | Ryan Scott Conrad | Specialist | 124 Professional Park Dr, Suite C, Mooresville, NC 28117-5609 | 2006-06-05 |
| Street Address |
2500 MERCED ST |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94577-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568446953 | Andrea H Limb | Physical Therapist | 2500 Merced St, San Leandro, CA 94577-4201 | 2005-11-30 |
| 1629686563 | Dorine Joseph | Nurse Practitioner | 2500 Merced St, San Leandro, CA 94577-4201 | 2020-07-16 |
| 1770108565 | Caitlin Lizotte | Registered Nurse | 2500 Merced St, San Leandro, CA 94577-4201 | 2020-06-08 |
| 1982238952 | Bernadette Patricia Vandeusen | Nurse Practitioner | 2500 Merced St, I Do Not Yet Have A Practice Location As An Np, San Leandro, CA 94577 | 2020-02-27 |
| 1245873520 | Jennifer Lim | Nurse Anesthetist, Certified Registered | 2500 Merced St, San Leandro, CA 94577-4201 | 2019-10-19 |
| 1598316077 | David Yee | Pharmacist | 2500 Merced St, San Leandro, CA 94577-4201 | 2019-09-25 |
| 1649832528 | Hui Yu Kuang | Pharmacist | 2500 Merced St, San Leandro, CA 94577-4201 | 2019-07-01 |
| 1366902009 | Krushang H Patel | Pharmacist | 2500 Merced St, San Leandro, CA 94577-4201 | 2019-03-20 |
| 1447716311 | Helen Janet Nguyen | Clinical Nurse Specialist | 2500 Merced St, San Leandro, CA 94577-4201 | 2019-02-15 |
| 1376016139 | Alan Daly | Respiratory Therapist, Registered | 2500 Merced St, San Leandro, CA 94577-4201 | 2019-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
| 1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
| 1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
| 1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
| 1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
| 1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
| Find all providers in zip 94577 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
| 1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
| 1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
| 1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
| 1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
| 1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
| 1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
| 1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
| 1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
| 1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
| City | SAN LEANDRO |
| Zip Code | 94577 |
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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.