KEITH D SKROMME (NPI# 1053631739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053631739 |
| Entity Type | Individual |
| Full Name | KEITH D SKROMME |
| Practice Address |
2180 Johnson Ave San Luis Obispo CA 93401-4513 |
| Practice Telephone | 8057814794 |
| Practice Fax Number | 8057811273 |
| Mailing Telephone | 8057814794 |
| Mailing Fax Number | 8057811273 |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2180 JOHNSON AVE |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366463879 | Robert D Henretig | Radiology | 2180 Johnson Ave, Ste A, San Luis Obispo, CA 93401-4513 | 2006-07-21 |
| 1043819352 | Douglas Gregory Elterman | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-10-19 |
| 1265045439 | Mai Timberlake | Student in an Organized Health Care Education/Training Program | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-08-27 |
| 1427669787 | Christie Terese Castro | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-08-11 |
| 1538792452 | Robyn Michelle Taylor | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-02-19 |
| 1003448754 | Jene Nicole Hinton-railsback | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-02-11 |
| 1962046359 | Emilie M Crist | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-29 |
| 1841833027 | Melanie Ruth Vann | Social Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-21 |
| 1548802622 | Christina Lynn Rivera | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-10 |
| 1265087035 | Amber Deem | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268373 | Sierra L Shalhoub | Technician, Other | 2945 Mcmillan Ave Ste 240, San Luis Obispo, CA 93401-6771 | 2020-06-04 |
| 1710225123 | Jamie Renee Howell | Technician, Other | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2013-01-18 |
| 1588979207 | Catherine Manning | Technician, Other | 2180 Johnson Ave, San Luis Obispo, CA 93401-4513 | 2010-08-18 |
| 1992934509 | Brian Davison | Technician, Other | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265912 | Jenny Alicia Jimenez | Technician, Other | 20353 Guffy Ln, Wildomar, CA 92595-8797 | 2020-11-03 |
| 1093313579 | Victoria Espinoza | Technician, Other | 1111 Morrissey Blvd, Santa Cruz, CA 95065-1406 | 2020-10-15 |
| 1154928679 | Carina Lopez | Technician, Other | 3065 E Ramon Rd, Palm Springs, CA 92264 | 2020-10-07 |
| 1285241778 | Lice Clinics of America- Pleasanton | Technician, Other | 818 Main St Ste H, Pleasanton, CA 94566-6648 | 2020-09-28 |
| 1063028348 | Kendall Marie Avila | Technician, Other | 28 Pueblo Vista Rd, Santa Barbara, CA 93103-2159 | 2020-09-22 |
| 1215542808 | Kelsie Arballo | Technician, Other | 10440 Maya Linda Rd Apt E307, San Diego, CA 92126-5262 | 2020-09-10 |
| 1104439199 | Zahraa Al Karkhi | Technician, Other | 10884 Calle Verde Apt 102, La Mesa, CA 91941-8502 | 2020-08-28 |
| 1841803269 | Mayra A Valdivia | Technician, Other | 26701 Quail Crk Apt 280, Laguna Hills, CA 92656-3062 | 2020-08-25 |
| 1669082434 | Jerome Prudencio Jr. | Technician, Other | 8816 La Riviera Dr Unit D, Sacramento, CA 95826-2075 | 2020-08-05 |
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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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.