CHRYSTAL JOY DIZON JURADO (NPI# 1023635513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023635513 |
Entity Type | Individual |
Full Name | CHRYSTAL JOY DIZON JURADO |
Other Name | CHRYSTAL JURADO |
Practice Address |
19682 Hesperian Blvd Ste 101 Hayward CA 94541-4752 |
Mailing Address |
19682 Hesperian Blvd Ste 101a Hayward CA 94541-4752 |
Practice Telephone | 5107830536 |
Enumeration Date | 2020-06-30 |
Last Update Date | 2020-08-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
95014349 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95014349 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
19682 HESPERIAN BLVD STE 101 |
City | HAYWARD |
State | CA |
Zip Code | 94541-4752 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518213347 | Olga Kournoutas | Dentist | 19682 Hesperian Blvd Ste 101, Hayward, CA 94541-4752 | 2012-07-30 |
1669910428 | Cindy Lee | Nurse Practitioner | 19682 Hesperian Blvd Ste 101, Hayward, CA 94541-4752 | 2017-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
Find all providers in zip 94541 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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1235738782 | Peninsula Healthcare Center | Nurse Practitioner | 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 | 2020-10-25 |
1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
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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.