SUSAN CARROLL (NPI# 1134642457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MISSION NEIGHBORHOOD HEALTH CENTER | 205560 | 01 |
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 |
Street Address |
39465 PASEO PADRE PKWY STE 2100 |
City | FREMONT |
State | CA |
Zip Code | 94538-1624 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 94538 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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] |
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 |
Please comment or provide details below to improve the information on SUSAN CARROLL.
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.