CODY SIMON DAIL


Address: 975 Sereno Dr, Vallejo, CA 94589-2441
Phone: 7076511000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 975 SERENO DR
City VALLEJO
State CA
Zip Code 94589-2441

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City VALLEJO
Zip Code 94589

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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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