GUADALUPE ELIZONDO (NPI# 1184727497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184727497 |
| Entity Type | Individual |
| Full Name | GUADALUPE ELIZONDO |
| Credential | PA |
| Practice Address |
1030 International Blvd Oakland CA 94601 |
| Mailing Address |
1515 Fruitvale Ave Oakland CA 94601 |
| Practice Telephone | 5102385400 |
| Practice Fax Number | 5102385437 |
| Mailing Telephone | 5105354000 |
| Mailing Fax Number | 5105354128 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2010-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA12091 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891969085 | Guadalupe I Elizondo | Counselor | 7706 Crooked Road St, San Antonio, TX 78254-2613 | 2008-04-17 |
| Street Address |
1030 INTERNATIONAL BLVD |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033178520 | Monique Thiry-zaragoza | Family Medicine | 1030 International Blvd, Oakland, CA 94606 | 2006-03-22 |
| 1184107799 | Denise Michelle Ochoa | Registered Nurse | 1030 International Blvd, Oakland, CA 94606-3730 | 2018-09-10 |
| 1417439498 | Natalia Solano-rojas | Dietitian, Registered | 1030 International Blvd, Oakland, CA 94606-3730 | 2018-09-05 |
| 1558847772 | Lea Siegel | Social Worker | 1030 International Blvd, Oakland, CA 94606-3730 | 2018-07-11 |
| 1063908895 | Vivian Yu | Registered Nurse | 1030 International Blvd, Oakland, CA 94606-3730 | 2018-07-05 |
| 1376038828 | Jeannette Soto | Nurse Practitioner | 1030 International Blvd, Oakland, CA 94606-3730 | 2018-06-27 |
| 1225523145 | Jorge Luis Rosales | Registered Nurse | 1030 International Blvd, Oakland, CA 94606-3730 | 2018-06-23 |
| 1548774003 | Clarisa Anguiano | Counselor | 1030 International Blvd, Oakland, CA 94606-3730 | 2017-11-20 |
| 1417407750 | Caitlin Higginbotham | Nurse Practitioner | 1030 International Blvd, Oakland, CA 94606-3730 | 2016-10-11 |
| 1124576731 | Peter Madril | Dietitian, Registered | 1030 International Blvd, Oakland, CA 94606-3730 | 2016-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1245855527 | Susan Solar Pers | Physician Assistant | 5818 Clover Dr, Oakland, CA 94618-1623 | 2020-06-11 |
| 1790322253 | Reta Samimi | Physician Assistant | 47 Anair Way, Oakland, CA 94605-4873 | 2019-12-04 |
| 1316408453 | Henry Chhiv | Physician Assistant | 928 Franklin St Apt 535, Oakland, CA 94607-4207 | 2019-03-29 |
| 1427523893 | Sarah Jean Backer | Physician Assistant | 1 Lakeside Dr Apt 701, Oakland, CA 94612-4647 | 2018-10-11 |
| 1558845891 | Abigail Romero | Physician Assistant | 47 Agnes St, Oakland, CA 94618-2522 | 2018-09-22 |
| 1932604428 | Meegan Ann Mccullagh | Physician Assistant | 9 Pleasant St., Oakland, ME 04963 | 2018-03-27 |
| 1164937884 | Erin Shea Hays | Physician Assistant | 1411 E 31st St # K7, Oakland, CA 94602-1018 | 2017-12-04 |
| 1407369689 | Kristinalisa Maka | Physician Assistant | 363 41st St, Oakland, CA 94609-2632 | 2017-11-10 |
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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.