AWAKENMD PC (NPI# 1922458439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922458439 |
| Entity Type | Organization |
| Organization Name | AWAKENMD PC |
| Other Organization Name | AWAKENMD |
| Practice Address |
95 Town and Country Village Palo Alto CA 94301-2341 |
| Mailing Address |
36 Stanford Shopping Center Palo Alto CA 94304-1423 |
| Practice Telephone | 6502514722 |
| Practice Fax Number | 6504217494 |
| Mailing Telephone | 6502514722 |
| Mailing Fax Number | 6504217494 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |
| Authorized Official Name | MR. SEAN E BOURKE (FOUNDER AND MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6502746256 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AwakenMD | Doing Business As Name - Organization |
| Street Address |
95 TOWN AND COUNTRY VILLAGE |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94301-2341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256430 | Stephen H Smith | Marriage & Family Therapist | 636 Middlefield Road, Palo Alto, CA 94301 | 2020-02-05 |
| 1992367072 | Thomas Mccavitt | Interpreter | Feinberg Medical Clinic, 825 El Camino Real, Palo Alto, CA 94301 | 2019-06-28 |
| 1598321861 | Priyanka Kim Wali, M.d., P.C. | Psychiatry & Neurology | 470 Ramona Street, Palo Alto, CA 94301 | 2019-05-13 |
| 1942716196 | Nancy L Wong | Dermatology | 970 Palo Alto Ave, Palo Alto, CA 94301 | 2017-12-26 |
| 1245751221 | Kurbo Health | Health Educator | 640 Waverley St, Palo Alto, CA 94301 | 2017-06-29 |
| 1023559085 | Michelle Di Montagna | Acupuncturist | 200 California Avenue, Suite 100, Palo Alto, CA 94301 | 2017-03-10 |
| 1265978175 | April Rowe Holman | Psychologist | 667 Lytton Ave. Ste. 5, Palo Alto, CA 94301 | 2017-01-17 |
| 1174975056 | Jeanmarie Barry Cahill | Marriage & Family Therapist | 555 Middle Field Road, Suite 103 B, Palo Alto, CA 94301 | 2016-07-05 |
| 1700247897 | Marie A. Di Pasquale | Allergy & Immunology | 705 Lincoln Avenue, Palo Alto, CA 94301 | 2016-03-16 |
| 1750780128 | Ronces Reyes-pugay | Nurse Practitioner | 795 Elcamino Real, Level 3 Lee Building, Palo Alto, CA 94301 | 2014-08-21 |
| Find all providers in zip 94301 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407169345 | Alan Jacobs | General Practice | 3721 Ortega Ct, Palo Alto, CA 94303-4451 | 2010-07-21 |
| 1013921279 | Alan Bernard Kantor | General Practice | 3801 Miranda Ave Bldg 5, Palo Alto, CA 94304-1207 | 2006-07-27 |
| 1811968795 | Matthew Patterson | General Practice | 3075a Hansen Way, Palo Alto, CA 94304-1000 | 2006-01-30 |
| 1164817094 | Janice H. Y. Kang | General Practice | 401 Quarry Rd, Palo Alto, CA 94304 | 2015-03-30 |
| 1336531714 | Cardinal Medical Group Inc. | General Practice | 2248 Park Blvd, Palo Alto, CA 94306-1532 | 2015-02-23 |
| 1194042721 | Kelly Grant | General Practice | 359 Middlefield Rd, Palo Alto, CA 94301-1345 | 2010-04-21 |
| 1467579342 | Peter Robert Eckman | General Practice | 3507 Alma St, Palo Alto, CA 94306-3539 | 2007-03-23 |
| 1063585800 | Edward A Weiss Md Inc | General Practice | 900 Welch Road, Suite 208, Palo Alto, CA 94304-1803 | 2006-11-17 |
| 1376634378 | Edward Arthur Weiss | General Practice | 900 Welch Road, Suite 208, Palo Alto, CA 94304-1803 | 2006-09-27 |
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| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| 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.