DR. JOHANNA RENGIFO NEVAREZ (NPI# 1033628144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033628144 |
| Entity Type | Individual |
| Full Name | DR. JOHANNA RENGIFO NEVAREZ |
| Credential | PH.D. |
| Practice Address |
1001 Potrero Ave San Francisco CA 94110-3518 |
| Mailing Address |
1862 Camino Verde Apt O Walnut Creek CA 94597-2203 |
| Practice Telephone | 4152063305 |
| Mailing Telephone | 5105125333 |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
1001 POTRERO AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769002 | Neda Ratanawongsa | Internal Medicine | 1001 Potrero Ave, 1m General Medicine Clinic, San Francisco, CA 94110-3518 | 2005-06-13 |
| 1275132151 | Rachel Mei Lin Bishop | Occupational Therapist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-10-21 |
| 1265049340 | Elizabeth Meiselman | Specialist | 1001 Potrero Ave, Main Building 5, 6th Floor, 6m, San Francisco, CA 94110 | 2020-09-23 |
| 1376159269 | Holly Taylor | Dietitian, Registered | 1001 Potrero Ave, San Francisco, CA 94110-3594 | 2020-09-17 |
| 1972116879 | Marissa Ferry | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-08-28 |
| 1043837982 | Abegail M Rabut | Technician/Technologist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-06-26 |
| 1669098448 | Denise Intal Mariano | Spec/Tech, Pathology | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-06-17 |
| 1730705500 | Lakshmi Gopalakrishnan | Specialist | 1001 Potrero Ave, Bldg 5, Room 7g19, San Francisco, CA 94110 | 2020-06-17 |
| 1932720828 | Kim Trong Nguyen | Pharmacist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-05-01 |
| 1730700139 | Heather Waldorf | Dietitian, Registered | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447800842 | Lainie Falco Posecion | Clinical Neuropsychologist | 1340 Taylor St Apt 6, San Francisco, CA 94108-1033 | 2019-09-17 |
| 1174909824 | Ronald H Roberts | Clinical Neuropsychologist | 2000 Van Ness Ave Ste 512, San Francisco, CA 94109-3017 | 2015-08-05 |
| 1912383886 | Gina Pfeifle | Clinical Neuropsychologist | 1825 Fourth Street, 6th Floor, M-6395, Ucsf Bx 4054, San Francisco, CA 94143 | 2015-08-03 |
| 1912293168 | Lisa Sporri | Clinical Neuropsychologist | 912 Cole St # 275, San Francisco, CA 94117-4316 | 2011-06-27 |
| 1376847293 | Ricardo Winkel | Clinical Neuropsychologist | 101 California St Ste 2450, San Francisco, CA 94111-6102 | 2011-01-06 |
| 1023318540 | Helen Chen | Clinical Neuropsychologist | 909 Hyde St Ste 620, San Francisco, CA 94109-4847 | 2010-11-01 |
| 1669789194 | Nicole Lara Sucre | Clinical Neuropsychologist | 1700 Pierce St Ste 103, San Francisco, CA 94115-3187 | 2010-09-03 |
| 1174842041 | Eric Michael Fine | Clinical Neuropsychologist | 533 Parnassus Ave, Uc Hall 426, Ucsf Memory and Aging Center, San Francisco, CA 94117 | 2010-05-18 |
| 1861632408 | Nataliya Belfor | Clinical Neuropsychologist | 2299 Post St Ste 307, San Francisco, CA 94115-3441 | 2009-02-23 |
| 1295971984 | Amanda Gregory | Clinical Neuropsychologist | 3644 Market St, San Francisco, CA 94131-1339 | 2008-12-30 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
Please comment or provide details below to improve the information on DR. JOHANNA RENGIFO NEVAREZ.
| 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.