CODY SIMON DAIL (NPI# 1205463775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205463775 |
| Entity Type | Individual |
| Full Name | CODY SIMON DAIL |
| Credential | MD |
| Practice Address |
975 Sereno Dr Vallejo CA 94589-2441 |
| Mailing Address |
2104 22nd Ave S Apt 10 Minneapolis MN 55404-3169 |
| Practice Telephone | 7076511000 |
| Mailing Telephone | 4345479013 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
975 SERENO DR |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940620 | James A Carolan | Specialist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2005-05-31 |
| 1386243483 | Chrismichael C Caniaveral | Pulmonary Function Technologist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-10-20 |
| 1598376188 | Justin Parungao Vallarta | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-08-16 |
| 1083232524 | Jeremy Cobb Mutter | Respiratory Therapist, Certified | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-07-10 |
| 1083230361 | Rabeea Abbas | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-06-22 |
| 1518588490 | Claudia S Vanover | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-05-01 |
| 1013536937 | Nicole Anne Madrilejo | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-10 |
| 1457970527 | Sean N Ryan | Physical Therapist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-09 |
| 1528687787 | Natalie Sukie White | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-08 |
| 1801423223 | Jacqueline Yu | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703281 | Rachel Brodhead | Student in an Organized Health Care Education/Training Program | 437 N Regatta Dr, Vallejo, CA 94591-7702 | 2020-06-01 |
| 1952924631 | Shanice Renee Watts | Student in an Organized Health Care Education/Training Program | 144 Columbia Way, Vallejo, CA 94589-1421 | 2020-05-28 |
| 1215556766 | Huong Tran | Student in an Organized Health Care Education/Training Program | 816 Jack London Dr, Vallejo, CA 94589-1407 | 2020-04-15 |
| 1144859158 | Yasaman Ashley Lajevardi | Student in an Organized Health Care Education/Training Program | 721 Oscar St, Vallejo, CA 94592-1180 | 2020-04-02 |
| 1124654082 | Sean Wang | Student in an Organized Health Care Education/Training Program | 911 Madrone Ave, Vallejo, CA 94592-1165 | 2020-03-22 |
| 1447895735 | Marcus Justin Chen | Student in an Organized Health Care Education/Training Program | 610 Poplar Ave, Vallejo, CA 94592-1147 | 2019-11-11 |
| 1134762792 | Alexander John Mckean | Student in an Organized Health Care Education/Training Program | 827 Kentucky St, Vallejo, CA 94590-5215 | 2019-10-25 |
| 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 |
| 1447817127 | Jack Wayland Davis II | Student in an Organized Health Care Education/Training Program | 1109 Flagship Dr, Vallejo, CA 94592-1114 | 2019-05-29 |
| 1700449030 | Desire Ingabire | Student in an Organized Health Care Education/Training Program | 436 Waterview Ter, Vallejo, CA 94591-7159 | 2019-04-22 |
| Find all providers in VALLEJO | ||||
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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.