BRANDON LAO (NPI# 1992347223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992347223 |
| Entity Type | Individual |
| Full Name | BRANDON LAO |
| Practice Address |
1260 N Dutton Ave Ste 105 Santa Rosa CA 95401-7121 |
| Practice Telephone | 7075682300 |
| Practice Fax Number | 7075682304 |
| Mailing Telephone | 7075682300 |
| Mailing Fax Number | 7075682304 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
1260 N DUTTON AVE STE 105 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-7121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740538818 | Paula Ploof | Counselor | 1260 N Dutton Ave Ste 105, Santa Rosa, CA 95401-7121 | 2012-08-21 |
| 1346852720 | Noely Paredes-aguilera | Counselor | 1260 N Dutton Ave Ste 105, Santa Rosa, CA 95401-7121 | 2020-08-18 |
| 1114549888 | Andrew Tyler Wilson | Marriage & Family Therapist | 1260 N Dutton Ave Ste 105, Santa Rosa, CA 95401-7121 | 2020-05-15 |
| 1124651591 | Anne Njenga | Counselor | 1260 N Dutton Ave Ste 105, Santa Rosa, CA 95401-7121 | 2020-02-13 |
| 1235774183 | Aubrea Gray | Counselor | 1260 N Dutton Ave Ste 105, Santa Rosa, CA 95401-7121 | 2019-11-14 |
| 1730720731 | Scott Shirlock | Counselor | 1260 N Dutton Ave Ste 105, Santa Rosa, CA 95401-7121 | 2019-10-01 |
| 1568017168 | Kyra Zona | Counselor | 1260 N Dutton Ave Ste 105, Santa Rosa, CA 95401-7121 | 2019-08-09 |
| 1982259750 | Pamela Colbert | Counselor | 1260 N Dutton Ave Ste 105, Santa Rosa, CA 95401-7121 | 2019-08-07 |
| 1902458573 | Rebekah Roberts | Counselor | 1260 N Dutton Ave Ste 105, Santa Rosa, CA 95401-7121 | 2019-07-12 |
| 1154983781 | Angelica Camacho | Counselor | 1260 N Dutton Ave Ste 105, Santa Rosa, CA 95401-7121 | 2019-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730720731 | Scott Shirlock | Counselor | 1260 N Dutton Ave Ste 105, Santa Rosa, CA 95401-7121 | 2019-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774708 | High Tech High | Counselor | 2861 Womble Rd, San Diego, CA 92106-6025 | 2020-09-14 |
| 1275146979 | Ki Morgan Spurr-gaines | Counselor | 115 1st Ave, Daly City, CA 94014-2643 | 2020-08-24 |
| 1649810029 | Kathleen Patrice Gulley | Counselor | 8413 Honeycomb Way, Sacramento, CA 95828-6660 | 2020-01-13 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1720551328 | Nicole Marie Beilstein | Counselor | 1115 E Hoffer St, Banning, CA 92220-2723 | 2019-01-07 |
| 1043788136 | Kellye D Mckinna | Counselor | 28990 Pacific Coast Hwy Ste 217, Malibu, CA 90265-3944 | 2018-11-06 |
| 1477038677 | Oscar Soltero | Counselor | 717 S Oak Knoll Ave, Pasadena, CA 91106-3809 | 2018-10-03 |
| 1649754953 | Kate Sullivan | Counselor | 1440 E Broadway, Glendale, CA 91205-1503 | 2018-09-21 |
| 1548748064 | Jessica H Yang | Counselor | 4931 Caspar St, Union City, CA 94587-5533 | 2018-08-06 |
| 1811475742 | Michelle Tehrani Hartounian | Counselor | 460 Oak St Apt 317, Glendale, CA 91204-1268 | 2018-08-02 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on BRANDON LAO.
| 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.