SUSAN CARROLL


Address: 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624
Phone: 5107459151

SUSAN CARROLL (NPI# 1134642457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134642457
Entity Type Individual
Full Name SUSAN CARROLL
Credential TRAINEE
Practice Address 39465 Paseo Padre Pkwy Ste 2100
Fremont
CA 94538-1624
Mailing Address 490 Lake Park Ave Unit 16175
Oakland
CA 94610-8044
Practice Telephone 5107459151
Mailing Telephone 5102905615
Enumeration Date 2017-07-18
Last Update Date 2018-06-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
CA MISSION NEIGHBORHOOD HEALTH CENTER 205560 01

Other Providers SUSAN CARROLL

NPI Name Taxonomy Address Enumeration
1861890741 Susan Marie Carroll Speech-Language Pathologist 4282 Sequoyah Rd, Oakland, CA 94605-4639 2014-12-09
1740439546 Susan P Carroll Speech-Language Pathologist 5173 Eastbrook Rd, Douglasville, GA 30135-7436 2008-09-17
1538389523 Susan Kay Carroll Dental Hygienist 24427 Se 44th Ct, Issaquah, WA 98029-6554 2007-05-01
1801341748 Susan Carroll Licensed Practical Nurse 451 E Henrietta Rd, 2, Rochester, NY 14620-4629 2016-08-21
1427319268 Susan M Carroll Case Manager/Care Coordinator 21638 Reed Rd, Watertown, NY 13601-5048 2012-06-07
1366777112 Susan Marian Carroll Psychologist 205 E 16th St, Suite M1a, New York, NY 10003-3746 2009-10-13
1497810600 Susan Carroll Dietitian, Registered 2500 Massachusetts Ave, Cambridge, MA 02140-1628 2006-12-27
1851451991 Susan M. Carroll Social Worker 240 W Tyrone Rd, Oak Ridge, TN 37830-6517 2006-12-11
1265442255 Susan A. Carroll Dentist 15915 S Crystal Creek Dr Ste B, Homer Glen, IL 60491-9381 2006-08-09

Office Location

Street Address 39465 PASEO PADRE PKWY STE 2100
City FREMONT
State CA
Zip Code 94538-1624

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790834661 Max Aaron Garlick Student in an Organized Health Care Education/Training Program 39465 Paseo Padre Pkwy Ste 2100, #2100, Fremont, CA 94538-1624 2007-01-09
1265057939 Sana Arastu Student in an Organized Health Care Education/Training Program 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 2020-06-09
1841826062 Vincent Bologna Case Manager/Care Coordinator 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 2020-03-19
1831722024 Kalpana Dave Case Manager/Care Coordinator 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 2020-02-17
1053958462 Alyssa J Deneal Peer Specialist 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 2019-12-04
1598310245 Anjana Srinivasaprasad Student in an Organized Health Care Education/Training Program 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 2019-08-08
1538711395 Shivani Kaur Sarkaria Student in an Organized Health Care Education/Training Program 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 2019-07-11
1639730310 Jillian Thrall Student in an Organized Health Care Education/Training Program 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 2019-06-24
1023679818 Luke Holland Student in an Organized Health Care Education/Training Program 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 2019-06-24
1164992863 Floria Malek Case Manager/Care Coordinator 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 2018-11-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699394460 Bay Area Kidney Care Medical Group Inc. Clinic/Center 39370 Mozart Terrace Unit 106, Fremont, CA 94538 2020-04-13
1740847284 Gloria Ann Federico Behavior Technician 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 2019-05-21
1093270688 Timothy Lorne Haynes Chiropractor 3775 Beacon Ave., Suite 200, Fremont, CA 94538 2019-02-07
1902370067 Nicole Sandoval Counselor 39155 Liberty St Suite E500, Fremont, CA 94538 2019-01-11
1497225015 Megan Galban Behavior Technician 39210 State St. Suite 220, Fremont, CA 94538 2018-11-27
1780154302 Karla Patricia Plascencia Behavior Technician 39210 State Street Suite 220, Fremont, CA 94538 2018-11-27
1215407846 Sydney J Torrens Behavior Technician 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 2018-11-27
1932676277 Jarah Harvan Psychologist 1999 Mowry Ave Ste F, Fremont, CA 94538 2018-10-24
1205321965 Chien Shien Yang Md Inc Psychiatry & Neurology 1860 Mowry Ave Ste 301a, Fremont, CA 94538 2018-06-26
1912416199 Advanced Interventional Surgical Center Clinic/Center 3077 Stevenson Blvd, Fremont, CA 94538 2017-09-20
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942827126 Gopi Patel Student in an Organized Health Care Education/Training Program 177 Kansas Way, Fremont, CA 94539-7771 2020-07-03
1093341059 Tarakarama Dutt Musunuri Student in an Organized Health Care Education/Training Program 43187 Gallegos Ave Apt A, Fremont, CA 94539-5270 2020-03-20
1083249379 Jannani Krishnan Student in an Organized Health Care Education/Training Program 34387 Benedick Ln, Fremont, CA 94555-2136 2020-03-06
1619507985 Sagar Shah Student in an Organized Health Care Education/Training Program 4394 Rustica Cir, Fremont, CA 94536-7908 2020-01-24
1992344949 Zachary Russell Smrcina Student in an Organized Health Care Education/Training Program 950 Paul Cir, Fremont, NE 68025-6212 2019-12-21
1245875525 Sahar Ibrahim Student in an Organized Health Care Education/Training Program 3455 Gilman Cmn, Fremont, CA 94538-2294 2019-11-11
1821647074 Andrew Derkon Yu Student in an Organized Health Care Education/Training Program 840 Wooded Hills Ct, Fremont, CA 94539-7246 2019-09-10
1053965954 Rachel Joy Loverro Student in an Organized Health Care Education/Training Program 41762 Olympus Ave, Fremont, CA 94539-4629 2019-07-29
1083177406 Yang Chai Student in an Organized Health Care Education/Training Program 4949 Seneca Park Loop, Fremont, CA 94538-3976 2019-04-11
1396229829 Stephanie Kate Yao Student in an Organized Health Care Education/Training Program 39155 Liberty St # 500, Fremont, CA 94538-1513 2018-09-20
Find all providers in FREMONT

Competitor

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City FREMONT
Zip Code 94538

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Dataset Information

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.

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