SAMUEL SERRATO


Address: 3841 Brickway Blvd, Santa Rosa, CA 95403-8226
Phone: 7075692364

SAMUEL SERRATO (NPI# 1164829610) 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) 1164829610
Entity Type Individual
Full Name SAMUEL SERRATO
Credential LVN
Practice Address 3841 Brickway Blvd
Santa Rosa
CA 95403-8226
Mailing Address Po Box 2474
Livermore
CA 94551-2474
Practice Telephone 7075692364
Mailing Telephone 9257272641
Enumeration Date 2014-11-28
Last Update Date 2014-11-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164X00000X Licensed Vocational Nurse VN 282546 CA Nursing Service Providers

Office Location

Street Address 3841 BRICKWAY BLVD
City SANTA ROSA
State CA
Zip Code 95403-8226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114901659 James Greenlee Nurse Practitioner 3841 Brickway Blvd, Hbpc, Va San Francisco Health Care System, Santa Rosa, CA 95403-8226 2005-11-29
1376165514 Steven Terrell Harrison Social Worker 3841 Brickway Blvd, Santa Rosa, CA 95403-8226 2020-05-11
1285146902 Laura Marie Schmitt Audiologist 3841 Brickway Blvd, Santa Rosa, CA 95403-8226 2017-11-03
1235648676 Elizabeth Nicole Nazarian Psychologist 3841 Brickway Blvd, Santa Rosa, CA 95403-8226 2017-09-28
1154790749 Sandra Rocio Stolfi Counselor 3841 Brickway Blvd, Santa Rosa, CA 95403-8226 2015-09-24
1629446166 Caitlyn Diebold Social Worker 3841 Brickway Blvd, Santa Rosa, CA 95403-8226 2015-09-14
1861892903 Rizel Francisco Pharmacist 3841 Brickway Blvd, Santa Rosa, CA 95403-8226 2014-08-26
1740699156 Jamie Fox Student in an Organized Health Care Education/Training Program 3841 Brickway Blvd, Santa Rosa, CA 95403-8226 2014-08-11
1457760126 Lindsey Brown Psychologist 3841 Brickway Blvd, Santa Rosa, CA 95403-8226 2014-08-07
1447674791 Nazneen Bahrassa Psychologist 3841 Brickway Blvd, Santa Rosa, CA 95403-8226 2014-02-06
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215403126 Azucena Rojas Tena Licensed Vocational Nurse 5240 Old Redwood Hwy Apt 5, Santa Rosa, CA 95403-7836 2018-10-17
1093293243 Juanita Zepeda Licensed Vocational Nurse 21204 Hooks and Hodges Rd, Santa Rosa, TX 78593-2018 2018-07-31
1366980542 Charlene Abayon Licensed Vocational Nurse 1373 Funston Dr, Santa Rosa, CA 95407-6923 2017-02-07
1568870533 Marilyn Rodriguez-maldonado Licensed Vocational Nurse 1901 Cleveland Ave #b, Santa Rosa Treatment Program, Santa Rosa, CA 95401 2014-07-23
1437614849 Chanda M. Zanga Licensed Vocational Nurse 2245 Challenger Way, Santa Rosa, CA 95407-5418 2019-02-10
1679074710 Sylvia Cook - Udall Licensed Vocational Nurse 2200 Range Ave, Santa Rosa, CA 95403-9471 2018-02-23
1336655695 Jason Michael King Licensed Vocational Nurse 2225 Challenger Way, Santa Rosa, CA 95407-5441 2017-12-22
1023547403 Brenda Jo Brown Licensed Vocational Nurse 3322 Chanate Rd, Santa Rosa, CA 95404-1708 2017-06-08
1326575689 Aaron O Quinones Sosa Licensed Vocational Nurse 2225 Challenger Way, Santa Rosa, CA 95407-5441 2017-05-17
1831630847 Genai Renz Licensed Vocational Nurse 2225 Challenger Way, Santa Rosa, CA 95407-5441 2017-03-10
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Competitor

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City SANTA ROSA
Zip Code 95403

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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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