JACQUELINE JOHNSON (NPI# 1174179790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174179790 |
| Entity Type | Individual |
| Full Name | JACQUELINE JOHNSON |
| Practice Address |
24301 Southland Dr Ste 300 Hayward CA 94545-1546 |
| Practice Telephone | 5103003500 |
| Enumeration Date | 2019-08-11 |
| Last Update Date | 2019-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679114508 | Jacqueline Johnson | Peer Specialist | 773 Gilbert St, Columbus, OH 43206-1516 | 2019-10-02 |
| 1609433804 | Jacqueline Collette Johnson | Massage Therapist | 612 Madeira Dr Se, Albuquerque, NM 87108-3614 | 2019-05-22 |
| 1174189559 | Jacqueline Johnson | Counselor | 1550 Latimer St, Philadelphia, PA 19102-4417 | 2019-05-11 |
| 1942771738 | Jacqueline M Johnson | Counselor | 1304 E Cardeza St, Phila, PA 19119-1545 | 2018-12-06 |
| 1619497468 | Jacqueline Johnson | Specialist/Technologist | 2812 Mulberry St, Saint Joseph, MO 64501-2649 | 2017-06-22 |
| 1063957009 | Jacqueline Johnson | Nurse Practitioner | 420 S. Glendora Ave, West Covina, CA 91790 | 2016-12-29 |
| 1003359951 | Jacqueline Johnson | Registered Nurse | 822 Red Tip Dr, Allen, TX 75002-5023 | 2016-11-27 |
| 1760840896 | Jacqueline Johnson | Massage Therapist | 485 Alexander Loop Ste 110, Eugene, OR 97401-6753 | 2016-02-03 |
| 1437550571 | Jacqueline Johnson | Psychologist | 2592 Western Ave Ste 200, Altamont, NY 12009-9401 | 2014-09-09 |
| 1568719771 | Jacqueline Marjorie Johnson | Psychologist | 170 Forestview Dr, Williamsville, NY 14221-1416 | 2012-08-07 |
| Street Address |
24301 SOUTHLAND DR STE 300 |
| City | HAYWARD |
| State | CA |
| Zip Code | 94545-1546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992847503 | Sonia Estrada | Psychologist | 24301 Southland Dr Ste 300, Hayward, CA 94545 | 2007-02-12 |
| 1962029488 | Sidia Marisol Castillo | Counselor | 24301 Southland Dr Ste 300, Hayward, CA 94545-1546 | 2020-06-30 |
| 1356967137 | Emma Haydee Ashley-roth | Student in an Organized Health Care Education/Training Program | 24301 Southland Dr Ste 300, Hayward, CA 94545-1546 | 2020-06-17 |
| 1144844739 | Margaret Chen Hedgpeth | Student in an Organized Health Care Education/Training Program | 24301 Southland Dr Ste 300, Hayward, CA 94545-1546 | 2020-05-30 |
| 1750904496 | Stephanie Patricia Delgado | Student in an Organized Health Care Education/Training Program | 24301 Southland Dr Ste 300, Hayward, CA 94545-1546 | 2020-05-27 |
| 1518589514 | Jefferson Cortave | Student in an Organized Health Care Education/Training Program | 24301 Southland Dr Ste 300, Hayward, CA 94545-1546 | 2020-05-12 |
| 1386265072 | Sandra Berber-pulido | Peer Specialist | 24301 Southland Dr Ste 300, Hayward, CA 94545-1546 | 2020-05-04 |
| 1952958381 | David Stone | Student in an Organized Health Care Education/Training Program | 24301 Southland Dr Ste 300, Hayward, CA 94545-1546 | 2019-08-21 |
| 1528614328 | Darrell Reed Lakey | Student in an Organized Health Care Education/Training Program | 24301 Southland Dr Ste 300, Hayward, CA 94545-1546 | 2019-08-16 |
| 1063065191 | Barbara Jadwiga Valluru | Student in an Organized Health Care Education/Training Program | 24301 Southland Dr Ste 300, Hayward, CA 94545-1546 | 2019-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295394476 | Lily Yu | Pharmacist | 3160 Corporate Place, Hayward, CA 94545 | 2019-06-11 |
| 1093285660 | Ana Alvarez | Behavior Technician | 24301 Southland Dr. Ste 410, Hayward, CA 94545 | 2018-11-27 |
| 1992201958 | Jasramin Dillon Chatha | Licensed Vocational Nurse | 23648 Saklan Road, Hayward, CA 94545 | 2018-03-30 |
| 1760985105 | Monika Milda Barta | Student in an Organized Health Care Education/Training Program | 24333 Southland Dr, Hayward, CA 94545 | 2018-03-12 |
| 1003329210 | Brian Anh Lu | Pharmacist | 3121 Diablo Avenue, Hayward, CA 94545 | 2017-11-09 |
| 1528415957 | Aic Health Care, Inc. | Intermediate Care Facility, Mentally Retarded | 27489 Portsmouth Ave, Hayward, CA 94545 | 2016-05-16 |
| 1568889723 | Jenny Tran | Nurse Practitioner | 24700 Calaroga Avenue, Suite 103, Hayward, CA 94545 | 2014-03-26 |
| 1306261573 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1976 Elder Way, Hayward, CA 94545 | 2014-02-25 |
| 1699110130 | Seneca Family of Agencies | Community/Behavioral Health | 26601 Calaroga Ave, Hayward, CA 94545 | 2013-05-09 |
| 1235401530 | Onlyserve, Inc. | Home Health | 3423 Investment Boulevard #1, Hayward, CA 94545 | 2012-02-01 |
| Find all providers in zip 94545 | ||||
| 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 |
|---|---|---|---|---|
| 1609488451 | Diana Maricela Morales | Student in an Organized Health Care Education/Training Program | 29009 Dixon St Apt 9, Hayward, CA 94544-5596 | 2020-08-21 |
| 1447876198 | Arpana Karki | Student in an Organized Health Care Education/Training Program | 612 Toomey Ter # 612, Hayward, CA 94544-6503 | 2020-06-18 |
| 1396380697 | Clifford Sargento | Student in an Organized Health Care Education/Training Program | 627 Staley Ave, Hayward, CA 94541-6286 | 2019-11-10 |
| 1184280380 | Shaista Khanoon | Student in an Organized Health Care Education/Training Program | 27773 Miami Ave, Hayward, CA 94545-4719 | 2019-05-13 |
| 1760985105 | Monika Milda Barta | Student in an Organized Health Care Education/Training Program | 24333 Southland Dr, Hayward, CA 94545 | 2018-03-12 |
| 1043766512 | Homaira Yusufi | Student in an Organized Health Care Education/Training Program | 27734 Barcelona Ave, Hayward, CA 94545-4639 | 2016-08-25 |
| 1851756845 | Alexandrea Evans | Student in an Organized Health Care Education/Training Program | 2527 Kelly St, Apt. 6, Hayward, CA 94541-3348 | 2015-12-18 |
| 1205262441 | Kassie Michelle Phillips | Student in an Organized Health Care Education/Training Program | 981 Cheryl Ann Cir, Apt 39, Hayward, CA 94544-4447 | 2013-09-19 |
| 1063727568 | Michaela Sarah Frandy | Student in an Organized Health Care Education/Training Program | 27182 Parkside Dr, Hayward, CA 94542-2044 | 2010-08-10 |
| 1114185865 | Marcia Wong | Student in an Organized Health Care Education/Training Program | 24725 Diamond Ridge Dr, Hayward, CA 94544-1385 | 2008-05-29 |
| Find all providers in HAYWARD | ||||
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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.