MS. LALEH REZAEI-HOMAMI (NPI# 1104170844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104170844 |
| Entity Type | Individual |
| Full Name | MS. LALEH REZAEI-HOMAMI |
| Other Name | LALEH REZAEI |
| Credential | PNP |
| Practice Address |
901 Campus Dr Ste 111 Daly City CA 94015-4930 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 6506528720 |
| Mailing Telephone | 6506528720 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95002540 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 725 Welch Rd, Palo Alto, CA 943041601 | 6504978000 |
| Street Address |
901 CAMPUS DR STE 111 |
| City | DALY CITY |
| State | CA |
| Zip Code | 94015-4930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720064488 | Jesus Roland M. Gatpolintan | Internal Medicine | 901 Campus Dr Ste 111, Daly City, CA 94015-4930 | 2005-12-15 |
| 1942737002 | Sandhya Rangarajan | Pediatrics | 901 Campus Dr Ste 111, Daly City, CA 94015-4930 | 2017-05-18 |
| 1043746605 | Grace Lising Huang | Internal Medicine | 901 Campus Dr Ste 111, Daly City, CA 94015-4930 | 2017-05-02 |
| 1639602675 | Elaine Diana Lee | Family Medicine | 901 Campus Dr Ste 111, Daly City, CA 94015-4930 | 2017-04-06 |
| 1134318918 | George F Smith | Internal Medicine | 901 Campus Dr Ste 111, Daly City, CA 94015-4930 | 2007-10-17 |
| 1497812648 | Christina Margaret Walter | Physician Assistant | 901 Campus Dr Ste 111, Daly City, CA 94015-4930 | 2007-01-03 |
| 1265513196 | Timmy Chihoo Lee | Pediatrics | 901 Campus Dr Ste 111, Daly City, CA 94015-4930 | 2006-10-18 |
| 1871683532 | Daniel Hwang | Internal Medicine | 901 Campus Dr Ste 111, Daly City, CA 94015-4930 | 2006-10-13 |
| 1043241888 | Lawrence M Oloff | Podiatrist | 901 Campus Dr Ste 111, Daly City, CA 94015 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235901 | Fast Express Ride Inc | Non-emergency Medical Transport (VAN) | 381 Westlake Ctr # 292, Daly City, CA 94015 | 2019-09-30 |
| 1598231888 | National Vision Inc | Technician/Technologist | 148a Serramonte Center, Daly City, CA 94015 | 2018-10-15 |
| 1174017313 | Glaiza Cecilia S Canares | Student in an Organized Health Care Education/Training Program | 255 Dennis Drive, Daly City, CA 94015 | 2018-06-20 |
| 1154869477 | Noah Bautista | Massage Therapist | 151 87th St Suite 4, Daly City, CA 94015 | 2017-02-07 |
| 1417387291 | Accuquest Hearing Centers | Clinic/Center | 10 Park Plaza Dr., Daly City, CA 94015 | 2013-11-15 |
| 1801193800 | Carol Crane | Physical Therapy Assistant | 333 Gellert Dr., Suite 150, Supplemental Health Care, Daly City, CA 94015 | 2011-02-28 |
| 1366753808 | Emerito Cesar C Nunag | Physical Therapy Assistant | 595 Clarinada Avenue #2, Daly City, CA 94015 | 2010-06-30 |
| 1356668016 | Lauren Rose Hendrick | Marriage & Family Therapist | 355 Gellert Blvd Suite 280, Daly City, CA 94015 | 2010-04-21 |
| 1205061868 | Isabel A. Walsh | General Practice | 783 Skyline Dr., Daly City, CA 94015 | 2009-05-26 |
| 1790933539 | Frank Geoffrey Yeh | Dentist | 1440 Southgate Ave., Daly City, CA 94015 | 2008-09-05 |
| Find all providers in zip 94015 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598191207 | Grace Ko | Nurse Practitioner | 380 90th St, Daly City, CA 94015-1807 | 2013-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668167 | Amber Briana Curry | Nurse Practitioner | 1336 6th Ave, San Francisco, CA 94122-2504 | 2020-10-30 |
| 1194325092 | Caitlin Pirruccello | Nurse Practitioner | 5400 Balboa Blvd Ste 210, Encino, CA 91316-5208 | 2020-10-29 |
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1184221798 | Larae Jean Hansen | Nurse Practitioner | 7805 Redondo St, Ventura, CA 93004-3814 | 2020-10-06 |
| 1497361612 | Brandon Philip Obero Vinzon | Nurse Practitioner | 155 E 4th St Apt 206, Long Beach, CA 90802-2498 | 2020-09-22 |
| 1538774070 | Emily Ruth Schoen | Nurse Practitioner | 110 Calle Balboa, San Clemente, CA 92672-3132 | 2020-09-11 |
| 1831715770 | Veronica Munoz-rivera I | Nurse Practitioner | 1327 Leopard Ct, Palmdale, CA 93551-4360 | 2020-06-16 |
| 1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
| 1053949214 | Gina Louise James | Nurse Practitioner | 124 Stoney Hill Dr, Folsom, CA 95630-4614 | 2020-03-31 |
| 1831723519 | Patrinella Gonzales | Nurse Practitioner | 81833 Dr Carreon Blvd Ste 6, Indio, CA 92201-5590 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
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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.