MATTHEW KUBASTA (NPI# 1063985455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063985455 |
| Entity Type | Individual |
| Full Name | MATTHEW KUBASTA |
| Practice Address |
1420 Willow Pass Rd Concord CA 94520 |
| Mailing Address |
1420 Willow Pass Rd Concord CA 94520-5823 |
| Practice Telephone | 9256465480 |
| Mailing Telephone | 9256465480 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 747 52nd St, Oakland, CA 94609 | 5104283571 |
| Street Address |
1420 WILLOW PASS RD |
| City | CONCORD |
| State | CA |
| Zip Code | 94520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447342902 | Douglas Eugene Hanlin | Psychiatry & Neurology | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5223 | 2006-09-29 |
| 1912505314 | Tyler Evans | Registered Nurse | 1420 Willow Pass Rd, Concord, CA 94520-5823 | 2020-10-16 |
| 1356998132 | Dave Tingzon | Registered Nurse | 1420 Willow Pass Rd, Concord, CA 94520-5823 | 2019-08-26 |
| 1508388430 | Kirsten Heher | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520 | 2017-07-12 |
| 1114459161 | Joy Witt | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520-5823 | 2017-03-29 |
| 1306378401 | Keith Hall | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520-5823 | 2017-03-29 |
| 1073064358 | John Kayode Ojewole | Counselor | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2016-10-20 |
| 1730540782 | Candelario Jack Castillo IIi | Social Worker | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2016-03-17 |
| 1881031896 | Mark R Patras | Registered Nurse | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2013-05-30 |
| 1801135033 | Robert Thomas Thigpen | Counselor | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2013-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814504 | Katia L Mosley | Student in an Organized Health Care Education/Training Program | 2730 Kay Ave, Concord, CA 94520-4730 | 2020-09-01 |
| 1003425679 | Kiera Emery | Student in an Organized Health Care Education/Training Program | 1218 Hydrangea Cir Nw, Concord, NC 28027-7250 | 2020-07-29 |
| 1598386823 | Cameron Neilson | Student in an Organized Health Care Education/Training Program | 1245 Pine Creek Way Apt B, Concord, CA 94520-3647 | 2020-04-28 |
| 1114547742 | Alyssa Marie Bernat | Student in an Organized Health Care Education/Training Program | 4493 Oakbrook Ct, Concord, CA 94521-4407 | 2020-04-23 |
| 1487297016 | Sajjad Bidar | Student in an Organized Health Care Education/Training Program | 3838 Clayton Rd Apt 203, Concord, CA 94521-2564 | 2019-10-27 |
| 1699316315 | Brendan Cacciola | Student in an Organized Health Care Education/Training Program | 484 Josiah Bartlett Rd, Concord, NH 03301-5928 | 2019-10-03 |
| 1336792142 | Jillian Gori | Student in an Organized Health Care Education/Training Program | 3 S Main St Apt 46, Concord, NH 03301-4802 | 2019-07-21 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1134780182 | Elizabeth Duval | Student in an Organized Health Care Education/Training Program | 20 Foxcross Cir, Concord, NH 03301-6920 | 2019-06-20 |
| 1194281857 | Jaimelee Marie Roberts | Student in an Organized Health Care Education/Training Program | 1441 Detroit Ave Apt 252, Concord, CA 94520-3548 | 2019-02-18 |
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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.