CLIFFORD GLENN STEVENSON (NPI# 1194235200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194235200 |
| Entity Type | Individual |
| Full Name | CLIFFORD GLENN STEVENSON |
| Practice Address |
328 Crest Ave Alamo CA 94507-2641 |
| Mailing Address |
1357 Pennsridge Pl Downingtown PA 19335-3682 |
| Practice Telephone | 4157356838 |
| Mailing Telephone | 6109091494 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1102X |
Specialist Specialization: Research Study |
Other Service Providers |
| Street Address |
328 CREST AVE |
| City | ALAMO |
| State | CA |
| Zip Code | 94507-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841741345 | Aimee Olivet | Spec/Tech, Cardiovascular | 328 Crest Ave, Alamo, CA 94507-2641 | 2016-10-19 |
| 1659895613 | Allan Garcia Paloma | Specialist/Technologist | 328 Crest Ave, Alamo, CA 94507-2641 | 2017-08-01 |
| 1467997742 | George Naaman | Specialist | 328 Crest Ave, Hawthorne Effact, Alamo, CA 94507 | 2016-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851778831 | Tilden Sokoloff | Podiatrist | 72 Mott Dr, Alamo, CA 94507 | 2015-04-29 |
| 1821411299 | Christopher David Cox | Pediatrics | 2400 Lunada Ln, Alamo, CA 94507 | 2014-01-21 |
| 1285947796 | Cecilia Mary Kohl | Speech-Language Pathologist | 2630 Royal Oaks Drive, Alamo, CA 94507 | 2010-07-26 |
| 1235362658 | Martha Christine Chilbert | Chiropractor | 1599 Alamo Way, Alamo, CA 94507 | 2009-09-02 |
| 1336200591 | Aminda Osorio-modrell | Dentist | 3176 Danville Blvd, Ste 2, Alamo, CA 94507 | 2006-12-12 |
| 1912071143 | Mary Cecilia Burchell | Surgery | 27 Hagen Oak Court #b, Alamo, CA 94507 | 2006-11-20 |
| 1194737148 | Kenneth Attix Soult | Dentist | 3150 Danville Blvd, Alamo, CA 94507 | 2006-08-11 |
| 1912920539 | John A Knowles Jr. | Family Medicine | 1505 St. Alphonsus Way, Alamo, CA 94507 | 2006-07-25 |
| 1477530988 | Sheila Louise Raumer | Family Medicine | 130 Bando Court, Alamo, CA 94507 | 2005-12-27 |
| 1669530937 | June Annette Engle | Medical Genetics, Ph.D. Medical Genetics | 3201 Danville Blvd, #155, Alamo, CA 94507 | 2006-12-05 |
| Find all providers in zip 94507 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467997742 | George Naaman | Specialist | 328 Crest Ave, Hawthorne Effact, Alamo, CA 94507 | 2016-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701640 | Andrew Somers | Specialist | 6711 Yucca St, Hollywood, CA 90028-4609 | 2020-05-13 |
| 1023676632 | Ajit P Varki | Specialist | 9500 Gilman Dr # Mc0687, La Jolla, CA 92093-0687 | 2019-05-30 |
| 1679045041 | Mahsa Parviz | Specialist | 4869 W Sunset Blvd., Los Angeles, CA 90027-5969 | 2018-12-26 |
| 1134648397 | Jamie Dananberg | Specialist | 3280 Bayshore Blvd Ste 100, Brisbane, CA 94005-1029 | 2017-09-19 |
| 1205372315 | Naama Barnea-goraly | Specialist | 723 Partridge Ave, Menlo Park, CA 94025-5213 | 2017-01-12 |
| 1205387420 | Albert Lee | Specialist | 16638 Nicklaus Dr Unit 97, Sylmar, CA 91342-1693 | 2016-10-24 |
| 1912457425 | John J Speidel | Specialist | 631 Portofino Ln, Foster City, CA 94404-2937 | 2016-10-07 |
| 1073987087 | Kenneth Krantz | Specialist | 204 E 2nd Ave, Suite 519, San Mateo, CA 94401-3963 | 2015-11-15 |
| 1194199109 | Physicians Clinical Research, LLC | Specialist | 2240 Pacific Ave Ste A, Long Beach, CA 90806-4372 | 2015-11-15 |
| 1326445065 | William Lang | Specialist | 101 Cornelia Ave, Mill Valley, CA 94941-1807 | 2014-11-24 |
| 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.