MR. NASER MANSOUR QABAZARD (NPI# 1164579629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164579629 |
| Entity Type | Individual |
| Full Name | MR. NASER MANSOUR QABAZARD |
| Credential | PHARM.D. |
| Practice Address |
401 Bicentennial Way Kaiser Permanente Santa Rosa CA 95403 |
| Mailing Address |
401 Bicentennial Way Kaiser Permanente, In-patient Hospital Pharmacy Santa Rosa CA 95403-0167 |
| Practice Telephone | 7075714700 |
| Practice Fax Number | 7075714701 |
| Mailing Telephone | 7075714700 |
| Mailing Fax Number | 7075714701 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
59152 | CA | Pharmacy Service Providers |
| Street Address |
401 BICENTENNIAL WAY KAISER PERMANENTE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276940 | Virginia E Hofmann | Psychiatry & Neurology | 401 Bicentennial Way, Department of Psychiatry, Santa Rosa, CA 95403-2149 | 2005-06-22 |
| 1376142646 | Denny Jeb Piolo Sta Ana | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-10-19 |
| 1417564915 | Nancy Patricia Prussiamerritt | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-09-28 |
| 1629682042 | Mio John Villagomez | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-09-02 |
| 1679181861 | Miriam Stone | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-07-14 |
| 1902414196 | Brenda L Yates | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-07-14 |
| 1215550801 | John Callander | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-05-18 |
| 1124649074 | Gustavo Gabriel Romero | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-05-01 |
| 1184244147 | Kimberly Hower | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-04-20 |
| 1316574452 | Constantine Kulkoff | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174695944 | Michelle Edwards Allen | Pharmacist | Sutter Santa Rosa Regional Hospital Dept. of Pharmacy, 30 Mark West Springs Road, Santa Rosa, CA 95403-1436 | 2006-11-15 |
| 1023002961 | Michael Wollman Sanders I | Pharmacist | 128 Alderbrook Dr, Santa Rosa, CA 95405-4602 | 2005-09-07 |
| 1528115029 | Ilene K Auer | Pharmacist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2007-01-05 |
| 1558435057 | Alma Kum Lukasko | Pharmacist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-11-17 |
| 1992875470 | Nahoko Azeta | Pharmacist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-11-09 |
| 1205906773 | Kenneth H Chee | Pharmacist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-11-09 |
| 1750450847 | Sabrina Y Wei | Pharmacist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-11-06 |
| 1396835567 | Richard D Cudlip | Pharmacist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-16 |
| 1982798351 | Michael Braxton Moore | Pharmacist | 401 Bicentennial Way, Suite 195, Santa Rosa, CA 95403-2149 | 2006-10-03 |
| 1912906629 | Cristie Pellegrini | Pharmacist | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2005-07-15 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on MR. NASER MANSOUR QABAZARD.
| 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.