CHARLES NIBA (NPI# 1073965612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073965612 |
| Entity Type | Individual |
| Full Name | CHARLES NIBA |
| Practice Address |
300 Harbor Blvd Belmont CA 94002-4018 |
| Practice Telephone | 6508179070 |
| Practice Fax Number | 6502463838 |
| Mailing Telephone | 6508179070 |
| Mailing Fax Number | 6502463838 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
300 HARBOR BLVD |
| City | BELMONT |
| State | CA |
| Zip Code | 94002-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477635670 | Telecare Corporation | Clinic/Center | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2006-10-19 |
| 1639650740 | Ursula Ann Jorgensen | Counselor | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2018-08-27 |
| 1760962120 | Imani Kim Smothers | Community Health Worker | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2018-08-15 |
| 1437667359 | Jillian Rose Charles | Community Health Worker | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2018-01-12 |
| 1497273650 | Bridgette Rose Herrmann | Counselor | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2017-09-07 |
| 1740700095 | Ya-wen Huang | Counselor | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2017-06-27 |
| 1053853689 | Consuela Bolanos | Licensed Vocational Nurse | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2016-11-14 |
| 1407308422 | Jamie Marie Sanders | Registered Nurse | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2016-10-25 |
| 1720535594 | Cynthia Yoana Nunez | Counselor | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2016-09-08 |
| 1447601885 | Dianne Madison | Counselor | 300 Harbor Blvd, Belmont, CA 94002-4018 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728740 | Simon Hirschl | Pathology | 9 Kittie Lane, Belmont, CA 94002 | 2017-02-09 |
| 1902251028 | Emma Yan Hiu Lee Chou | Occupational Therapist | 2410 Carlmont Dr, Belmont, CA 94002 | 2016-04-26 |
| 1740578087 | The Latino Commisson | Substance Abuse Rehabilitation Facility | 401 Briarfield Way, Belmont, CA 94002 | 2011-07-20 |
| 1053624189 | Pragya Jain | Internal Medicine | 1301 Shoreway Rd., Ste. 100, Belmont, CA 94002 | 2010-07-18 |
| 1194956425 | Lilia Patricia Gallegos | Marriage & Family Therapist | 1 Davis Drive, Belmont, CA 94002 | 2009-08-04 |
| 1407099088 | Dharmesh Patel | Radiology | 513 Seagate Way, Belmont, CA 94002 | 2009-04-13 |
| 1376688044 | Paul M. Takla | Dentist | 2130 Ralston Ave, Suite 1e, Belmont, CA 94002 | 2007-02-21 |
| 1487799987 | Mark Joseph Mcmahon | Physical Therapist | 549 Ralson Avenue, Suite B, Belmont, CA 94002 | 2007-02-21 |
| 1639216112 | Patricia Mary Wieser | Nurse Practitioner | 1541 Harbor Blvd, Belmont, CA 94002 | 2007-01-31 |
| 1063575157 | Peninsula Specialty Care | Dentist | 562 Ralston Ave, Belmont, CA 94002 | 2006-12-19 |
| Find all providers in zip 94002 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134763188 | John Paul Giordano Jr. | Counselor | 73 Maple St, Belmont, MA 02478-1820 | 2019-11-03 |
| 1982246617 | Deborah Jane Dobbins | Counselor | 9 School Dr, Belmont, MS 38827-9106 | 2019-10-15 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1811467228 | Julio Cesar Chacon | Counselor | 1010 Judson St, Belmont, CA 94002-2841 | 2018-11-28 |
| 1811491673 | John Brett Summey | Counselor | 310 Eagle Rd, Belmont, NC 28012-3721 | 2018-03-19 |
| 1851727747 | Joelle Vanetten | Counselor | 4193 State Route 19 S, Belmont, NY 14813-9515 | 2013-09-24 |
| 1699017780 | Leslie Ann Wyatt | Counselor | 52 Magnolia Dr, Belmont, NC 28012-3233 | 2013-03-26 |
| 1750623088 | Kivette Wright | Counselor | 3148 Viewmont Dr, Belmont, NC 28012-2776 | 2013-03-25 |
| 1356620975 | Chloe Pedalino | Counselor | 115 Mill St # Ab3, Belmont, MA 02478-1064 | 2011-08-12 |
| 1629367032 | Marcia Elizabeth Winters | Counselor | 61 Stone Rd, Belmont, MA 02478-3520 | 2011-04-06 |
| Find all providers in BELMONT | ||||
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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.