CARLA YAVETTE ERVIN (NPI# 1104332873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104332873 |
Entity Type | Individual |
Full Name | CARLA YAVETTE ERVIN |
Credential | CPT01008218 |
Practice Address |
1515 Aurora Dr San Leandro CA 94577-3105 |
Mailing Address |
30042 Mission Blvd # 121222 Hayward CA 94544-7255 |
Practice Telephone | 5109697178 |
Mailing Telephone | 5105851312 |
Enumeration Date | 2017-12-18 |
Last Update Date | 2017-12-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
CPT01008218 | CA | Technologists, Technicians & Other Technical Service Providers |
Street Address |
1515 AURORA DR |
City | SAN LEANDRO |
State | CA |
Zip Code | 94577-3105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720416449 | Bug Transportation LLC | Non-emergency Medical Transport (VAN) | 1515 Aurora Dr, Suite 103a, San Leandro, CA 94577-3105 | 2013-10-15 |
1750898300 | A Touch of Class Phlebotomy Services | Technician, Pathology | 1515 Aurora Dr, San Leandro, CA 94577-3105 | 2018-01-04 |
1770996928 | Mona Alfardi | Driver | 1515 Aurora Dr, Suite 201 H, San Leandro, CA 94577-3105 | 2014-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
Find all providers in zip 94577 |
Taxonomy Code | 246RP1900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Phlebotomy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750898300 | A Touch of Class Phlebotomy Services | Technician, Pathology | 1515 Aurora Dr, San Leandro, CA 94577-3105 | 2018-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669071882 | Gerardo Quinones Sr. | Technician, Pathology | 839 Illinois Ave., Colton, CA 92324-9232 | 2020-10-19 |
1467065300 | Rachel Perez | Technician, Pathology | 12569 Avenue 80, Pixley, CA 93256-9715 | 2020-08-29 |
1619586930 | Onestop Mobile Phlebotomy | Technician, Pathology | 4214 E Los Angeles Ave Apt 2, Simi Valley, CA 93063-3373 | 2020-07-23 |
1376151217 | Marco Dimailig | Technician, Pathology | 624 S Berendo St Apt 404, Los Angeles, CA 90005-1749 | 2020-07-16 |
1033735535 | Gentle Butterfly Phlebotomy Services LLC | Technician, Pathology | 568 Hacienda Ave, Perris, CA 92571-2810 | 2020-06-19 |
1861016958 | Jonathan Godes | Technician, Pathology | 878 Compass Way, San Diego, CA 92154-5839 | 2020-06-03 |
1467076067 | Darlene Bennett | Technician, Pathology | 8450 Carob St, Fontana, CA 92335-1221 | 2020-05-31 |
1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
1699395202 | Tanya M Atelian | Technician, Pathology | 195 E Mountain Dr, Santa Barbara, CA 93108-1025 | 2020-04-23 |
1811528490 | Pamela L Carter | Technician, Pathology | 27668 Dogwood St, Murrieta, CA 92562-4377 | 2020-01-31 |
Find all providers with the same taxonomy |
City | SAN LEANDRO |
Zip Code | 94577 |
Please comment or provide details below to improve the information on CARLA YAVETTE ERVIN.
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.