DR. PAUL ROBERT HANSEN (NPI# 1194034710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194034710 |
| Entity Type | Individual |
| Full Name | DR. PAUL ROBERT HANSEN |
| Credential | PHARM.D. |
| Practice Address |
1310 Johnson Lane Mare Island Vallejo CA 94592 |
| Mailing Address |
6576 Friars Rd Apt. 105 San Diego CA 92108-1000 |
| Practice Telephone | 8047546118 |
| Mailing Telephone | 8047546118 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
63493 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245614213 | Paul Hansen | Massage Therapist | 16211 Snohomish Ave, Snohomish, WA 98296-8708 | 2015-07-19 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1932259058 | Paul Lynn Hansen | Specialist/Technologist | 1107 Hart Blvd Ste 10, Monticello, MN 55362-8539 | 2007-01-11 |
| 1891860326 | Paul F Hansen | Dentist | 14 Bay Ridge Place, Dr Paul Hansen, Brooklyn, NY 11209 | 2006-11-21 |
| 1699717868 | Paul S Hansen | Dentist | 39880 Pleasant Street, Sandy, OR 97055 | 2006-06-12 |
| 1154762086 | Paul Gregory Hansen Jr. | Pharmacist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2013-07-08 |
| 1811205438 | Paul Matthew Hansen | Counselor | 3270 Kerner Blvd Ste A, San Rafael, CA 94901-4840 | 2010-09-16 |
| 1316258601 | Paul David Hansen | Internal Medicine | 2900 Lemay Ferry Rd, Saint Louis, MO 63125-3900 | 2010-07-01 |
| 1831415447 | Paul Lloyd Hansen | Dentist | 625 W Bridge St, Blackfoot, ID 83221-2018 | 2010-04-08 |
| 1023218906 | Paul Adrian Hansen | Psychiatry & Neurology | 1600 Coit Rd, Suite 104, Plano, TX 75075-6174 | 2007-07-19 |
| Street Address |
1310 JOHNSON LANE MARE ISLAND |
| City | VALLEJO |
| State | CA |
| Zip Code | 94592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671811 | Amy Ngoc Anh Tran | Student in an Organized Health Care Education/Training Program | Touro University California, 1310 Club Drive, Vallejo, CA 94592 | 2019-10-25 |
| 1780168666 | Bill Darrel Danyeur | Health Educator | Touro University California Dpp, 1310 Club Drive, Vallejo, CA 94592 | 2018-09-18 |
| 1548298607 | Touro University California | Family Medicine | 1310 Club Drive, Vallejo, CA 94592 | 2006-06-29 |
| 1093785362 | Ronald W. Eng | Dentist | Vanchcs Outpatient Clinic. Dental Service (160/mi), Bldg. 201, Walnut Ave., Mare Island, CA 94592 | 2006-01-26 |
| 1952386625 | Renu Yadav Sharma | Dentist | Va Nchcs- Dental Service, Bldg 201 Walnut Ave, Mare Island, CA 94592 | 2005-12-14 |
| 1689659518 | Linda Chie | Dentist | Va Northern California Health Care Systen Dental Clinic, Bldg. 201, Walnut Ave., Mare Island, CA 94592 | 2005-12-14 |
| 1922082403 | Linda Ann Aragon | Internal Medicine | 201 Walnut Ave, Mare Isle, CA 94592 | 2005-11-30 |
| 1114404712 | Keith Isamu Yoshizuka | Pharmacist | 1310 Club Drive, Touro University California College of Pharmacy, Vallejo, CA 94592 | 2018-07-26 |
| 1669996518 | Daniel Jaemoon Kang | Dentist | 201 Walnut Avenue, 612 Ge/mi Dental, Vallejo, CA 94592 | 2017-08-02 |
| 1689975278 | James Wesley Binkerd | Neuromusculoskeletal Medicine & OMM | 1310 Club Drive, Vallejo, CA 94592 | 2010-11-12 |
| Find all providers in zip 94592 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831320977 | Jae Ki Chang | Pharmacist | 211 Pueblo Way, Vallejo, CA 94591-8220 | 2009-08-06 |
| 1578051082 | Liuqing Yang | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2018-04-30 |
| 1033586151 | Hieu Minh Phan | Pharmacist | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2015-08-24 |
| 1164802617 | Clipper Young | Pharmacist | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2015-05-30 |
| 1578964136 | Amanda Que-anh La | Pharmacist | 525 Oregon St, Vallejo, CA 94590-3201 | 2014-09-12 |
| 1891041901 | Jelyn Evangelista | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2012-07-25 |
| 1134455041 | Rebecca Fullarton | Pharmacist | 975 Sereno Dr, Department of Pharmacy, Ambulatory Care, Vallejo, CA 94589-2441 | 2009-10-27 |
| 1649431362 | Sharlene Gayle Dwinell | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
| 1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
| 1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
| 1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
| 1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
| 1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
| 1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
| 1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
| 1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
| 1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
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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.