MS. MARICRIS BERTOLANO DACUMOS (NPI# 1083918445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083918445 |
| Entity Type | Individual |
| Full Name | MS. MARICRIS BERTOLANO DACUMOS |
| Credential | FNP |
| Practice Address |
875 Blake Wilbur Drive Stanford CA 94305 |
| Mailing Address |
265 Darley Dr Vallejo CA 94591-8504 |
| Practice Telephone | 9492943474 |
| Mailing Telephone | 9492943474 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2014-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23515 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R173553 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN-1255 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
875 BLAKE WILBUR DRIVE |
| City | STANFORD |
| State | CA |
| Zip Code | 94305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932135290 | Melinda L Telli | Internal Medicine | 875 Blake Wilbur Drive, Mc 5820, Stanford, CA 94305 | 2006-06-25 |
| 1659829059 | Michelle S. Gonzales | Nurse Practitioner | 875 Blake Wilbur Drive, Cc-1314, Stanford, CA 94305 | 2016-09-14 |
| 1831569391 | Misty Mahaffey | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305 | 2015-09-28 |
| 1104200575 | Vinay Thomas Fernandes | Otolaryngology | 875 Blake Wilbur Drive, Cc-2226a, Stanford, CA 94305 | 2015-07-16 |
| 1780006916 | Gregory Smith Moran | Nurse Practitioner | 875 Blake Wilbur Drive, Clinic E, Stanford, CA 94305 | 2014-01-07 |
| 1407193386 | Jessie Denise Coty | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305-5820 | 2013-01-11 |
| 1043589880 | Sara Aileen Dudley | Student in an Organized Health Care Education/Training Program | 875 Blake Wilbur Drive, Cc-g222, Stanford, CA 94305-5847 | 2011-12-23 |
| 1568766442 | Siok-hian Tay-kelley | Nurse Practitioner | 875 Blake Wilbur Drive, Gastrointestinal Oncology Stanford Cancer Center, Stanford, CA 94305-2205 | 2011-01-06 |
| 1164737318 | Scott Victor Bratman | Radiology | 875 Blake Wilbur Drive, Stanford Cancer Center, Stanford, CA 94305-5847 | 2010-08-12 |
| 1609189687 | Stanford University | General Acute Care Hospital | 875 Blake Wilbur Drive, Stanford, CA 94305-5847 | 2010-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568075596 | Catiussi Hoffmann | Nurse Practitioner | 300 Pasteur Dr Fl 2, Stanford, CA 94305-2200 | 2020-08-28 |
| 1548882392 | Loly Silalahi | Nurse Practitioner | 300 Pasteur Dr Rm A201c, Stanford, CA 94305-2200 | 2020-05-15 |
| 1346727112 | Jesslyn Brianne Kelsey | Nurse Practitioner | 380 Turkeyfoot Ln, Stanford, KY 40484-7536 | 2018-07-25 |
| 1841700689 | Your Care Mobile Health Psc | Nurse Practitioner | 6387 Us Highway 150 E, Stanford, KY 40484-9748 | 2017-10-06 |
| 1124311618 | Elizabeth Lee | Nurse Practitioner | 300 Pasteur Dr # R205, Department of Neurosurgery, Stanford, CA 94305-2200 | 2011-05-17 |
| 1851618813 | Kimberly Caswell | Nurse Practitioner | 300 Pasteur Dr Rm G313, Mc 5208, Stanford, CA 94305-2200 | 2010-04-29 |
| 1750512885 | Nanette Malgesini | Nurse Practitioner | 900 Blake Wilbur Drive, M/c 5358, Stanford, CA 94304-2201 | 2009-08-06 |
| 1396921979 | Sharon M Naylor | Nurse Practitioner | 3115 Ky Highway 698, Stanford, KY 40484-9441 | 2008-01-14 |
| 1629116660 | Julie Ann Richards | Nurse Practitioner | 866 Campus Drive, Vaden Health Center- Stanford University, Stanford, CA 94305-8580 | 2007-02-02 |
| 1376694919 | Yunchuan Wang | Nurse Practitioner | 801 Welch Rd., Stanford, CA 94035 | 2007-01-12 |
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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.