MARK MEDDERS (NPI# 1952713711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952713711 |
| Entity Type | Individual |
| Full Name | MARK MEDDERS |
| Practice Address |
27200 Calaroga Ave Hayward CA 94545-4339 |
| Practice Telephone | 5102644046 |
| Mailing Telephone | 5102644046 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
11775 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
27200 CALAROGA AVE |
| City | HAYWARD |
| State | CA |
| Zip Code | 94545-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871555979 | Western Laboratories | Pathology | 27200 Calaroga Ave, Hayward, CA 94545-4339 | 2006-04-04 |
| 1770182388 | Yalda Bahrani | Emergency Medicine | 27200 Calaroga Ave, Hayward, CA 94545-4383 | 2020-10-23 |
| 1689296923 | Nancy A Estabillo | Technician, Pathology | 27200 Calaroga Ave, Hayward, CA 94545-4339 | 2020-05-09 |
| 1518588474 | Francis Yabut | Technician, Pathology | 27200 Calaroga Ave, Hayward, CA 94545-4339 | 2020-05-01 |
| 1255842639 | Spencer Knapp | Physician Assistant | 27200 Calaroga Ave, Hayward, CA 94545-4339 | 2017-10-12 |
| 1992227805 | Johanna Ho | Physician Assistant | 27200 Calaroga Ave, Hayward, CA 94545-4339 | 2017-07-12 |
| 1609228915 | Hans Peter Han | Physician Assistant | 27200 Calaroga Ave, Hayward, CA 94545-4339 | 2016-07-11 |
| 1740639442 | Mark Chan | Physician Assistant | 27200 Calaroga Ave, Hayward, CA 94545-4339 | 2016-06-03 |
| 1437543832 | Liqun Chen | Emergency Medicine | 27200 Calaroga Ave, Hayward, CA 94545 | 2015-03-24 |
| 1124418538 | Joanne Lim | Occupational Therapist | 27200 Calaroga Ave, Hayward, CA 94545-4339 | 2015-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295394476 | Lily Yu | Pharmacist | 3160 Corporate Place, Hayward, CA 94545 | 2019-06-11 |
| 1093285660 | Ana Alvarez | Behavior Technician | 24301 Southland Dr. Ste 410, Hayward, CA 94545 | 2018-11-27 |
| 1992201958 | Jasramin Dillon Chatha | Licensed Vocational Nurse | 23648 Saklan Road, Hayward, CA 94545 | 2018-03-30 |
| 1760985105 | Monika Milda Barta | Student in an Organized Health Care Education/Training Program | 24333 Southland Dr, Hayward, CA 94545 | 2018-03-12 |
| 1003329210 | Brian Anh Lu | Pharmacist | 3121 Diablo Avenue, Hayward, CA 94545 | 2017-11-09 |
| 1528415957 | Aic Health Care, Inc. | Intermediate Care Facility, Mentally Retarded | 27489 Portsmouth Ave, Hayward, CA 94545 | 2016-05-16 |
| 1568889723 | Jenny Tran | Nurse Practitioner | 24700 Calaroga Avenue, Suite 103, Hayward, CA 94545 | 2014-03-26 |
| 1306261573 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1976 Elder Way, Hayward, CA 94545 | 2014-02-25 |
| 1699110130 | Seneca Family of Agencies | Community/Behavioral Health | 26601 Calaroga Ave, Hayward, CA 94545 | 2013-05-09 |
| 1235401530 | Onlyserve, Inc. | Home Health | 3423 Investment Boulevard #1, Hayward, CA 94545 | 2012-02-01 |
| Find all providers in zip 94545 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154346518 | Tommy D Nigbor | Physician Assistant | 11128 N State Hwy 77, Hayward, WI 54843 | 2006-07-13 |
| 1992782635 | Edward J. Caccioppo | Physician Assistant | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2005-12-23 |
| 1487267779 | Casey Henning | Physician Assistant | 795 Fletcher Ln, Hayward, CA 94544-1008 | 2020-08-26 |
| 1740639442 | Mark Chan | Physician Assistant | 27200 Calaroga Ave, Hayward, CA 94545-4339 | 2016-06-03 |
| 1891172300 | Wesley Brian Lashbrook | Physician Assistant | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2015-05-04 |
| 1275608507 | Claudia Adrienne Heath | Physician Assistant | 27303 Sleepy Hollow Avenue, Hayward, CA 94545-4203 | 2006-11-21 |
| 1063488591 | Isabel Papp | Physician Assistant | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.