ELIZABETH A WALLER (NPI# 1912195959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912195959 |
| Entity Type | Individual |
| Full Name | ELIZABETH A WALLER |
| Practice Address |
4659 Las Positas Rd Ste A Livermore CA 94551-8861 |
| Practice Telephone | 9252458950 |
| Mailing Telephone | 9252458950 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154478329 | Elizabeth R Waller | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | 2007-01-03 |
| Street Address |
4659 LAS POSITAS RD STE A |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94551-8861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205024247 | James A Caywood | Prosthetist | 4659 Las Positas Rd Ste A, Livermore, CA 94551-8861 | 2007-10-03 |
| 1104014141 | Robert S Feldman | Prosthetist | 4659 Las Positas Rd Ste A, Livermore, CA 94551-8861 | 2007-10-03 |
| 1386832327 | Alma D Olivarez | Orthotic Fitter | 4659 Las Positas Rd Ste A, Livermore, CA 94551-8861 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700370897 | Mauricio Perez De La Vega Sr. | Behavioral Analyst | 564 Heligan Ln Unit 3, Livermore, CA 94551 | 2018-06-21 |
| 1528592003 | Angel Qin | Pharmacist | 7 Meritage Common, Unit 203, Livermore, CA 94551 | 2017-04-12 |
| 1538690169 | Pradeepkumar R Patel | Pharmacist | 300-g Pullman Street, Livermore, CA 94551 | 2017-03-24 |
| 1306398987 | Janella Rae Palao Bautista | Counselor | Sierra School At Livermore (lawerence Elementary), 2451 Portola Ave, Livermore, CA 94551 | 2016-10-28 |
| 1255887006 | Eye Candy, L.L.C. | Optometrist | 4423 First Street, Livermore, CA 94551 | 2016-08-31 |
| 1144675869 | Aic Health Care Inc. | Home Health | 4049 First St Ste 229, Livermore, CA 94551 | 2016-05-02 |
| 1376943704 | Danielle Leduc | Social Worker | 6112 Water Lily Cmns Apt 107, Livermore, CA 94551 | 2014-09-04 |
| 1326463597 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2177 Las Positas Ct Ste Bc, Livermore, CA 94551 | 2014-02-25 |
| 1285055939 | Tram Hoa Huynh | Pharmacist | 300 Pullman St., Livermore, CA 94551 | 2013-12-26 |
| 1902146806 | Amy Suezaki | Pharmacist | 300a Pullman St, Livermore, CA 94551 | 2013-03-01 |
| Find all providers in zip 94551 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386832327 | Alma D Olivarez | Orthotic Fitter | 4659 Las Positas Rd Ste A, Livermore, CA 94551-8861 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547474 | June Sean | Orthotic Fitter | 1830 W Olympic Blvd Ste 123, Los Angeles, CA 90006-3734 | 2019-09-16 |
| 1265930903 | Advanced Therapy Center | Orthotic Fitter | 3475 Torrance Blvd Ste B2, Torrance, CA 90503-5800 | 2018-01-29 |
| 1740796754 | Vincent Leonard Reeves | Orthotic Fitter | 1815 Orange St, National City, CA 91950-6127 | 2017-12-28 |
| 1801244389 | Colleen Wendtland | Orthotic Fitter | 1468 Pepper Ln, Banning, CA 92220-1469 | 2016-05-25 |
| 1336487263 | Covenant Billing Services, Inc | Orthotic Fitter | 5817 Pine Ave, Suite B, Chino Hills, CA 91709-6533 | 2013-01-28 |
| 1497041438 | Peter P Kim | Orthotic Fitter | 720 S. Ramona Ave., Suite 103, Corona, CA 92879-2147 | 2011-06-28 |
| 1659602423 | Suzanne Pilegaard | Orthotic Fitter | 101 Wikup Drive, Suite C, Santa Rosa, CA 95403-1375 | 2010-01-19 |
| 1598098139 | Ryan Michael Solberg | Orthotic Fitter | 10361 Estates Drive, Truckee, CA 96161 | 2009-09-15 |
| 1467683805 | Abelardo Ramos | Orthotic Fitter | 227 E Chapman Ave, Suite A, Orange, CA 92866-1534 | 2009-08-03 |
| 1982871166 | Healing Hands Rehab Inc | Orthotic Fitter | 23586 Calabasas Rd Ste 206, Calabasas, CA 91302-1330 | 2008-05-15 |
| Find all providers with the same taxonomy | ||||
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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.