JEREMY COBB MUTTER (NPI# 1083232524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083232524 |
| Entity Type | Individual |
| Full Name | JEREMY COBB MUTTER |
| Credential | RCP |
| Practice Address |
975 Sereno Dr Vallejo CA 94589-2441 |
| Mailing Address |
3790 W Benjamin Holt Dr Apt 14 Stockton CA 95219-3344 |
| Practice Telephone | 7076513806 |
| Mailing Telephone | 9163979495 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 227800000X | Respiratory Therapist, Certified | 22678 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
975 SERENO DR |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940620 | James A Carolan | Specialist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2005-05-31 |
| 1386243483 | Chrismichael C Caniaveral | Pulmonary Function Technologist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-10-20 |
| 1598376188 | Justin Parungao Vallarta | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-08-16 |
| 1083230361 | Rabeea Abbas | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-06-22 |
| 1518588490 | Claudia S Vanover | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-05-01 |
| 1013536937 | Nicole Anne Madrilejo | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-10 |
| 1457970527 | Sean N Ryan | Physical Therapist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-09 |
| 1528687787 | Natalie Sukie White | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-08 |
| 1801423223 | Jacqueline Yu | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-03-25 |
| 1205463775 | Cody Simon Dail | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 227800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| A Certified Respiratory Therapist (CRT) is a an entry level therapist who has passed a standardized written examination administered by the National Board for Respiratory Care (NBRC). CRTs provide diagnostic testing, therapeutics, monitoring, rehabilitation, and education to patients with disorders of the cardiopulmonary system. They provide these respiratory care services in all health care facilities and in the home. A CRT is a graduate of an associate degree program approved by the Commission on Accreditation of Allied Health Educational Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of the license. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639633860 | Angelo Duaso | Respiratory Therapist, Certified | 712 North Regatta Drive, Vallejo, CA 94591 | 2019-01-22 |
| 1013472489 | Cecilia R Isip | Respiratory Therapist, Certified | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2019-02-09 |
| 1922562800 | Sharanjit Kaur Bajwa | Respiratory Therapist, Certified | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2019-01-25 |
| 1598229759 | Roshni Sharma-kumar | Respiratory Therapist, Certified | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2019-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457911828 | Mark Trever Stone X | Respiratory Therapist, Certified | 19873 Emmett Rd, Santa Clarita, CA 91351-4801 | 2019-06-18 |
| 1922564145 | Richmond P Uy | Respiratory Therapist, Certified | 1334 Southgate Ave, Daly City, CA 94015-3939 | 2019-02-12 |
| 1992260137 | Jimmie Rasaan Morris II | Respiratory Therapist, Certified | 1779 W Yosemite Ave Ste 205, Manteca, CA 95337-5130 | 2019-02-01 |
| 1609330364 | Afaf Asfour | Respiratory Therapist, Certified | 1353 Rosana Way, Rohnert Park, CA 94928-2951 | 2019-01-28 |
| 1366906935 | Janet Frost King | Respiratory Therapist, Certified | 4467 Le Conte Cir, Antioch, CA 94531-7147 | 2019-01-28 |
| 1447714126 | Michael Hoai Tran I | Respiratory Therapist, Certified | 1366 Deerfield Ct, Concord, CA 94521-4237 | 2019-01-26 |
| 1588128375 | Jason Morales | Respiratory Therapist, Certified | 3589 Levanto Way, Manteca, CA 95337-8435 | 2019-01-25 |
| 1356815534 | Richard Kabasinskas | Respiratory Therapist, Certified | 1426 S Main St, Walnut Creek, CA 94596-5319 | 2019-01-22 |
| 1427520683 | Catherin Mary Sunnafrank | Respiratory Therapist, Certified | 2294 Sherry Dr, Napa, CA 94558-4545 | 2018-12-27 |
| 1295207157 | Matthew Ybarra | Respiratory Therapist, Certified | 59 Camelot Ct, Roseville, CA 95678-6020 | 2018-12-17 |
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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.