SAU-MI PRISCILLA FAN (NPI# 1144545823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144545823 |
| Entity Type | Individual |
| Full Name | SAU-MI PRISCILLA FAN |
| Credential | FNP |
| Practice Address |
6608 Mercy Ct Ste B Fair Oaks CA 95628-3171 |
| Practice Telephone | 9162419844 |
| Practice Fax Number | 9162419844 |
| Mailing Telephone | 9162419844 |
| Mailing Fax Number | 9162419844 |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP109278 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP109278 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6608 MERCY CT STE B |
| City | FAIR OAKS |
| State | CA |
| Zip Code | 95628-3171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053488114 | Chandan D S Cheema | Internal Medicine | 6608 Mercy Ct Ste B, Fair Oaks, CA 95628-3171 | 2006-11-30 |
| 1396250676 | Rhodora De La Pena Magtibay | Registered Nurse | 6608 Mercy Ct Ste B, Fair Oaks, CA 95628-3171 | 2017-12-07 |
| 1629521307 | Diane M Thompson | Nurse Practitioner | 6608 Mercy Ct Ste B, Fair Oaks, CA 95628-3171 | 2016-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
| 1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
| 1467986075 | Shelby Bryeans | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628 | 2017-04-20 |
| 1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
| 1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| Find all providers in zip 95628 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306475033 | Yoojeong Kim Eddy | Nurse Practitioner | 9160 Madison Ave Apt 43, Fair Oaks, CA 95628-7717 | 2020-04-04 |
| 1164943569 | Christina Marie Walker | Nurse Practitioner | 8101 Greenback Ln, Fair Oaks, CA 95628-2502 | 2017-07-06 |
| 1225559883 | Tracey E Mercer-benson | Nurse Practitioner | 12417 Fair Oaks Blvd Ste 600, Fair Oaks, CA 95628-2500 | 2017-07-04 |
| 1952718447 | Sara Hunt | Nurse Practitioner | 8101 Greenback Ln, Fair Oaks, CA 95628-2502 | 2014-07-16 |
| 1912310046 | Liezel Bersamina | Nurse Practitioner | 6600 Mercy Ct Ste 100, Fair Oaks, CA 95628-3154 | 2014-06-05 |
| 1659612612 | Katherine Cherry | Nurse Practitioner | 8101 Greenback Ln, Fair Oaks, CA 95628-2502 | 2013-03-14 |
| 1396080396 | Susan Donna Willis | Nurse Practitioner | 6608 Mercy Ct Ste C, Fair Oaks, CA 95628-3171 | 2012-12-01 |
| 1457599151 | Ann Soloway | Nurse Practitioner | 6608 Mercy Ct Ste C, Fair Oaks, CA 95628-3171 | 2009-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| 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.