DR. DAVID WREN JR. (NPI# 1134182777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134182777 |
| Entity Type | Individual |
| Full Name | DR. DAVID WREN JR. |
| Credential | MD |
| Practice Address |
120 Broadway Avenue Suite 21 Richmond CA 94804-1938 |
| Practice Telephone | 5102359014 |
| Practice Fax Number | 5102321411 |
| Mailing Telephone | 5102359014 |
| Mailing Fax Number | 5102321411 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2008-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G22810 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770614885 | David A Wren | Chiropractor | 1290 Us Highway 19 S, Leesburg, GA 31763-4877 | 2007-03-08 |
| Street Address |
120 BROADWAY AVENUE SUITE 21 |
| City | RICHMOND |
| State | CA |
| Zip Code | 94804-1938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1033769104 | Marc Anthony Garcia | Behavioral Analyst | 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 | 2019-09-19 |
| 1447818216 | Bay Area Community Services | Community/Behavioral Health | 3215/3221 Nevin Avenue, Richmond, CA 94804 | 2019-06-05 |
| 1558832709 | Eliseo Matthew Beltran Ong | Behavior Technician | 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 | 2018-12-16 |
| 1679064943 | Katherine Bacher | Counselor | 200 24th Str., Richmond, CA 94804 | 2018-05-22 |
| 1508353160 | Aveida Home Care LLC | In Home Supportive Care | 302 S 18th Street, Richmond, CA 94804 | 2018-04-19 |
| 1427577980 | Adam Hudson | Counselor | 3215 Nevin Avenue, Richmond, CA 94804 | 2017-09-15 |
| 1205176583 | Anna Fisher | Counselor | 32 Shoreline Ct, Richmond, CA 94804 | 2013-02-22 |
| 1366744328 | Che Hoskins | Counselor | 820 23rd St., Richmond, CA 94804 | 2010-11-24 |
| 1558671297 | Angela May Gaiser | Case Manager/Care Coordinator | 2500 Bissell Avenue, Richmond, CA 94804 | 2010-10-15 |
| Find all providers in zip 94804 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407382948 | Bharti Mehta | Specialist | 9609 Gayton Rd Ste 102, Richmond, VA 23238-4900 | 2017-05-03 |
| 1912454265 | Ivan Tolbert | Specialist | 1702 Dakota Ave, Richmond, VA 23220-6911 | 2016-09-03 |
| 1447608625 | Lorraine Closser | Specialist | 68753 S Main St, Richmond, MI 48062-1209 | 2016-05-29 |
| 1992173561 | Paige Weekes | Specialist | 3200 Manorcrest Rd, Richmond, VA 23234-2335 | 2015-09-12 |
| 1396123519 | Lori Dotson | Specialist | 401 Lewis Dr, Richmond, KY 40475-7723 | 2015-05-07 |
| 1174929178 | Sonya Seng | Specialist | 5500 Monument Ave Ste M, Richmond, VA 23226-1452 | 2014-11-18 |
| 1568881837 | Adaugo Amuta | Specialist | 19515 Stetson Heights Ln, Richmond, TX 77407-5583 | 2014-04-15 |
| 1306277983 | Tabitha Ames | Specialist | 3748 Morningside Dr, Richmond, CA 94803-2128 | 2013-12-06 |
| 1659705945 | Emily Sarah Bracy | Specialist | 1310 Gilchrist Ct, Richmond, VA 23231-5110 | 2013-08-22 |
| 1386076206 | Marcia Elizabeth Logan | Specialist | 25543 Canyon Crossing Dr, Richmond, TX 77406-7278 | 2013-08-01 |
| Find all providers in RICHMOND | ||||
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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.