MICHAELA B BANAGAN


Address: 5671 Santa Teresa Blvd, San Jose, San Jose, CA 95123-6512
Phone: 4082842281

MICHAELA B BANAGAN (NPI# 1194963280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194963280
Entity Type Individual
Full Name MICHAELA B BANAGAN
Credential NP
Practice Address 5671 Santa Teresa Blvd
San Jose
San Jose
CA 95123-6512
Mailing Address 7861 Murray Ave
Gilroy
Gilroy
CA 95020-4604
Practice Telephone 4082842281
Practice Fax Number 4082812857
Mailing Telephone 4088421017
Mailing Fax Number 4088424186
Enumeration Date 2009-01-27
Last Update Date 2012-12-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
18329 CA Ambulatory Health Care Facilities

Office Location

Street Address 5671 SANTA TERESA BLVD
SAN JOSE
City SAN JOSE
State CA
Zip Code 95123-6512

Providers in the same location

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
1184879165 Billie Bolden Clinic/Center 5671 Santa Teresa Blvd, Suite 105, San Jose, CA 95123-6512 2008-11-18
1043470354 Blanca Isela Tabares Social Worker 5671 Santa Teresa Blvd, Suite105, San Jose, CA 95123-6512 2008-06-10

Providers in the same zip code

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 Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City SAN JOSE
Zip Code 95123

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Dataset Information

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.

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