RYAN FORWARD (NPI# 1093161689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093161689 |
| Entity Type | Individual |
| Full Name | RYAN FORWARD |
| Practice Address |
151 W Mission St Suite 100 San Jose CA 95110-1713 |
| Practice Telephone | 4085354000 |
| Mailing Telephone | 4085354000 |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CA | Other Service Providers |
| Street Address |
151 W MISSION ST SUITE 100 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95110-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487785549 | Marian Lamon | Rehabilitation Counselor | 151 W Mission St, San Jose, CA 95110-1713 | 2007-03-08 |
| 1235754698 | Michael Wong | Pharmacist | 151 W Mission St, San Jose, CA 95110-1713 | 2020-06-11 |
| 1831745892 | Briana Mcalister | Social Worker | 151 W Mission St, San Jose, CA 95110-1713 | 2019-08-15 |
| 1174014252 | Bruce Charles Nickles | Marriage & Family Therapist | 151 W Mission St, San Jose, CA 95110-1713 | 2018-05-23 |
| 1396248480 | Horizon Services, Incorporated | Community/Behavioral Health | 151 W Mission St, San Jose, CA 95110-1713 | 2018-03-14 |
| 1710429535 | County of Santa Clara | Community/Behavioral Health | 151 W Mission St, Ste A1 Wing A, San Jose, CA 95110-1713 | 2016-11-10 |
| 1225481427 | Michael Parker | Rehabilitation Counselor | 151 W Mission St, San Jose, CA 95110-1713 | 2016-07-22 |
| 1073973582 | Reilly Johnson | Counselor | 151 W Mission St, 100, San Jose, CA 95110-1713 | 2016-02-25 |
| 1801291356 | County of Santa Clara | Community/Behavioral Health | 151 W Mission St, A1 Wing-east, San Jose, CA 95110-1713 | 2014-10-27 |
| 1932509064 | Virginia Ballantyne | Social Worker | 151 W Mission St, San Jose, CA 95110-1713 | 2014-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876064 | Clarissa Sherrill Chan | Physician Assistant | 685 Coleman Ave Ste 20, San Jose, CA 95110 | 2017-05-01 |
| 1366895666 | Lifemoves - Autumn Satellite Clinic | Case Management | 263 N Autumn St, San Jose, CA 95110 | 2016-07-21 |
| 1487067278 | Catholic Charities of Scc | Community/Behavioral Health | 921 S 1st St, San Jose, CA 95110 | 2014-06-09 |
| 1871855916 | Act for Mental Health, Inc | Psychologist | 441 Park Avenue, San Jose, CA 95110 | 2012-06-14 |
| 1730451238 | Jackson Huang | Nurse Practitioner | 685 Coleman Ave, San Jose, CA 95110 | 2012-01-31 |
| 1104000405 | Kaitlyn Brownell | Case Manager/Care Coordinator | 150-a S. Autumn St., San Jose, CA 95110 | 2007-12-21 |
| 1760685218 | Sharon Iwen Wang | Psychologist | 2033 Gateway Pl Fl 5, San Jose, CA 95110 | 2007-06-11 |
| 1528192036 | Wanda Broadie Alexander | Social Worker | 441 Park Ave, San Jose, CA 95110 | 2007-03-15 |
| 1750442208 | Mario Ricardo Ponce | Counselor | 70 West Hedding Street, County of Santa Clara, San Jose, CA 95110 | 2006-12-12 |
| 1467426882 | Lannie S. Zarate-reyes D.d.s., Inc. | Dentist | 579-10 Coleman Avenue, San Jose, CA 95110 | 2006-02-14 |
| Find all providers in zip 95110 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553951 | Berneise Billote Montuya | Peer Specialist | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2020-09-18 |
| 1609409473 | Julia Diane Helfrich | Peer Specialist | 1885 Lundy Ave, San Jose, CA 95131-1887 | 2020-02-19 |
| 1891327102 | Salma Shaw | Peer Specialist | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2020-02-05 |
| 1982249785 | Sophia Chung | Peer Specialist | 800 N 1st St, San Jose, CA 95112-6312 | 2019-11-15 |
| 1447893490 | Melissa Elicia Cruz | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2019-10-22 |
| 1619529898 | Tatiana Victoria Goodwin | Peer Specialist | 298 Bernal Rd, San Jose, CA 95119-1809 | 2019-07-09 |
| 1356812747 | Shirley Jacqueline Reyes | Peer Specialist | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2018-12-10 |
| 1881194306 | Lohrie Arruiza | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2018-02-21 |
| 1477093219 | Victoria Cardenas | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2017-02-27 |
| 1871032524 | Alberto Ruiz | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2017-02-14 |
| Find all providers in SAN JOSE | ||||
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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.