CANYON OAKS (NPI# 1083944474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083944474 |
| Entity Type | Organization |
| Organization Name | CANYON OAKS |
| Practice Address |
400 Edmonds Rd. Redwood City CA 94062 |
| Mailing Address |
400 Edmonds Rd Redwood City CA 94062-3803 |
| Practice Telephone | 6508391810 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-02-05 |
| Authorized Official Name | TIM HOLOCHECK (LCWS) |
| Authorized Official Telephone | 4083137317 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CANYON OAKS HOMEOWNERS ASSOCIATION | 3040 78th Ave Se Unit 81, Mercer Island, WA 98040-3098 |
| Oklahoma Business Registrations | CANYON OAKS INVESTMENTS LIMITED PARTNERSHIP | 204 N Robinson, Ste 800, Okla. City, OK 73102 |
| System for Award Management (SAM) Entities | CANYON OAKS PROPELLER, INC. | 8220 Old White Lake Rd, White Lake, MI 48386-1154 |
| Oregon Corporations, Companies and Business Names | CANYON OAKS STUDIO AND GALLERY | 350 Canyon Oaks Lane, Myrtle Creek, OR 97457 |
| Street Address |
400 EDMONDS RD. |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051803 | Birch Clinic Corporation | Acupuncturist | 39b Birch St, Redwood City, CA 94062 | 2019-12-26 |
| 1376084459 | Sneha Kadkol | Physical Therapist | 2944 Broadway Street, Redwood City, CA 94062 | 2017-03-09 |
| 1376081166 | B. Annye Rothenberg | Psychologist | 3943 Jefferson Ave., Emerald Hills, CA 94062 | 2017-02-01 |
| 1922410406 | Sheree Campbell | Psychologist | 40a Corto Ln, Woodside, CA 94062 | 2014-06-02 |
| 1902188832 | Delmar J Smith | Physician Assistant | 2900 Whipple Ave Ste 132, Redwood City, CA 94062 | 2011-09-16 |
| 1902192974 | Mariana Garcia | Counselor | 500 Allerton Street, Redwood City, CA 94062 | 2011-06-28 |
| 1386938264 | Julie Freschi | Physical Therapist | 3674 Sand Hill Rd, Woodside, CA 94062 | 2011-06-08 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1396041208 | Arch Street Medical Associates | General Practice | 143 Birch Street, Redwood City, CA 94062 | 2011-02-10 |
| 1174843916 | Priyasheelta Nand | Internal Medicine | 2950 Whipple Avenue, Suite 3, Redwood City, CA 94062 | 2010-06-03 |
| Find all providers in zip 94062 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895780 | Daisy Evelyn Lopez | Counselor | 1107 2nd Ave Apt 605, Redwood City, CA 94063-4041 | 2020-06-15 |
| 1083196240 | Brooke Carissa Stelzner | Counselor | 299 Franklin St Unit 402, Redwood City, CA 94063-2080 | 2018-09-04 |
| 1730687146 | Alexander Anthony Barnard | Counselor | 43 Charter St, Redwood City, CA 94063-2801 | 2018-01-31 |
| 1164938965 | Diana Diwa | Counselor | 238 Redwood Ave, Redwood City, CA 94061-3074 | 2017-12-17 |
| 1245631183 | Thomas Gomez | Counselor | 1008 15th Ave, Redwood City, CA 94063-4405 | 2014-09-10 |
| 1558761361 | Leslie Arroyo | Counselor | 609 Price Ave Ste 205, Redwood City, CA 94063-1403 | 2014-08-28 |
| 1447504824 | Sheena Sattarpour | Counselor | 609 Price Ave Ste 101, Redwood City, CA 94063-1420 | 2012-11-06 |
| 1376835058 | Laura Karzen | Counselor | 20 Duane St, 14, Redwood City, CA 94062-1530 | 2011-05-12 |
| 1518270800 | Michael David Sally | Counselor | 61 Renato Ct Ste 10, Redwood City, CA 94061-4016 | 2010-07-15 |
| 1174855357 | Sarah Robinson | Counselor | 222 Lexington Ave, Redwood City, CA 94062-1048 | 2010-02-12 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94062 |
Please comment or provide details below to improve the information on CANYON OAKS.
| 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.