BILLIE BOLDEN (NPI# 1184879165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184879165 |
| Entity Type | Individual |
| Full Name | BILLIE BOLDEN |
| Credential | PNP |
| Practice Address |
5671 Santa Teresa Blvd Suite 105 San Jose CA 95123-6512 |
| Practice Telephone | 4082842281 |
| Practice Fax Number | 4082812857 |
| Mailing Telephone | 4082842281 |
| Mailing Fax Number | 4082812857 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
2766 | CA | Ambulatory Health Care Facilities |
| Street Address |
5671 SANTA TERESA BLVD SUITE 105 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-6512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346380474 | David F Chicoine | Marriage & Family Therapist | 5671 Santa Teresa Blvd, 203, San Jose, CA 95123-6512 | 2007-02-07 |
| 1639680192 | Esmeralda Santana | Case Manager/Care Coordinator | 5671 Santa Teresa Blvd, San Jose, CA 95123-6512 | 2017-10-23 |
| 1366787772 | Amanda Nicole Delgado Heerboth | Registered Nurse | 5671 Santa Teresa Blvd, 105, San Jose, CA 95123-6512 | 2012-12-11 |
| 1316217987 | Agnes Castillo Manosca | Registered Nurse | 5671 Santa Teresa Blvd, 105, San Jose, CA 95123-6512 | 2012-01-12 |
| 1518234327 | Leslie Erin Clark | Registered Nurse | 5671 Santa Teresa Blvd, 105, San Jose, CA 95123-6512 | 2011-11-22 |
| 1154651602 | Janet Lynn Martin | Counselor | 5671 Santa Teresa Blvd, San Jose, CA 95123-6512 | 2010-01-06 |
| 1194963280 | Michaela B Banagan | Clinic/Center | 5671 Santa Teresa Blvd, San Jose, San Jose, CA 95123-6512 | 2009-01-27 |
| 1043470354 | Blanca Isela Tabares | Social Worker | 5671 Santa Teresa Blvd, Suite105, San Jose, CA 95123-6512 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518105626 | Kara M Potter | Clinic/Center | 5671 Santa Teresa Boulevard, Suite 15, San Jose, CA 95123 | 2009-01-27 |
| 1700830296 | East Valley Community Clinic, Inc. | Clinic/Center | 2470 Alvin Ave, Suite 60, San Jose, CA 95121-1664 | 2006-05-20 |
| 1558314609 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 5440 Thornwood Dr, Suite G, San Jose, CA 95123-1217 | 2006-05-18 |
| 1306309885 | Gardner Family Health Network Inc | Clinic/Center | 195 E San Fernando St, San Jose, CA 95112-3503 | 2019-04-10 |
| 1508299967 | Health Mobile | Clinic/Center | 2324 Montpelier Dr Ste 3, San Jose, CA 95116-1612 | 2013-08-20 |
| 1871848523 | Dr. Rosalinda A. Mandreza, Inc | Clinic/Center | 2593 S King Rd, Ste 11, San Jose, CA 95122-1880 | 2012-07-18 |
| 1841552171 | Catholic Charities of Santa Clara County | Clinic/Center | 195 E San Fernando St, San Jose, CA 95112-3503 | 2012-06-12 |
| 1871868562 | O' Connor Family Medicine Residency Program | Clinic/Center | 455 Oconnor Dr, San Jose, CA 95128-1633 | 2012-03-14 |
| 1972823417 | Jennifer Stevenson | Clinic/Center | 645 Wool Creek Dr, San Jose, CA 95112-2617 | 2010-06-07 |
| 1184953127 | Ruth Holguin | Clinic/Center | 1149 E Julian St, Bldg. H, San Jose, CA 95116-1005 | 2009-12-22 |
| Find all providers in SAN JOSE | ||||
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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.