BERNADETTE HYSTAD (NPI# 1215329396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215329396 |
| Entity Type | Individual |
| Full Name | BERNADETTE HYSTAD |
| Practice Address |
2221 Stockton Blvd 2112 Sacramento CA 95817-1418 |
| Practice Telephone | 9167347255 |
| Mailing Telephone | 9167347255 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA52305 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2221 STOCKTON BLVD 2112 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427041698 | Regents of The Univ of Ca | Surgery | 2221 Stockton Blvd, Sacramento, CA 95817 | 2005-08-23 |
| 1770127334 | Andrew Thompson | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2019-11-06 |
| 1982187241 | Kimberly C Sosik | Physician Assistant | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2018-09-12 |
| 1285132175 | Gerdy Mirline Pluviose | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2018-01-25 |
| 1649704610 | Dana Tam Kilday | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2017-04-17 |
| 1912458860 | Jenny Mccormack | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2016-10-16 |
| 1013367135 | Amir Sarkeshik | Student in an Organized Health Care Education/Training Program | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2016-06-20 |
| 1134593783 | Allison Shuken | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2015-11-19 |
| 1801277751 | Sean James Judge | Student in an Organized Health Care Education/Training Program | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2015-06-17 |
| 1336547876 | In Kang | Pharmacist | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2014-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811230493 | Kimberly Michaelle Smith | Physician Assistant | 2315 Stockton Blvd Rm 6312, Sacramento, CA 95817 | 2013-04-01 |
| 1972651644 | Joan Collette Wolf | Physician Assistant | 20025 Morse Ave Suite 2e, Sacramento, CA 95825 | 2007-01-08 |
| 1336200427 | Judi Price | Physician Assistant | Kaiser Permanente Dept of Orthopedics, 2025 Morse Ave, Sacramento, CA 95825 | 2006-12-12 |
| 1205900792 | Jennifer L Bowman | Physician Assistant | 3939 J Street, Suite 320, Sacramento, CA 95819 | 2006-11-17 |
| 1699737361 | Michael Patrick Reising | Physician Assistant | 3424 Trio Ln, Sacramento, CA 95817-2071 | 2006-04-06 |
| 1689233256 | Jack Wilbur Jones IIi | Physician Assistant | 2825 Capitol Ave, Sacramento, CA 95816-6039 | 2019-06-07 |
| 1801361571 | Jaymie Dee Pearcy | Physician Assistant | 1430 22nd St, Sacramento, CA 95816-5708 | 2018-10-09 |
| 1326527045 | Keith Allen Jackson | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2018-08-13 |
| 1467958827 | Logan Scherer | Physician Assistant | 555 Capitol Mall Ste 570, Sacramento, CA 95814-4502 | 2018-04-04 |
| 1457759359 | Kimberly Ward | Physician Assistant | 3301 C St, Bldg 550, Sacramento, CA 95816-3300 | 2014-12-09 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on BERNADETTE HYSTAD.
| 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.