WANDA J. BLAYLARK (NPI# 1235198789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235198789 |
| Entity Type | Individual |
| Full Name | WANDA J. BLAYLARK |
| Credential | MD |
| Practice Address |
632 W Gibson Rd Woodland CA 95695-5169 |
| Mailing Address |
3400 Data Dr Attn Credentialing/payer Enrollment Rancho Cordova CA 95670-7956 |
| Practice Telephone | 5306682600 |
| Practice Fax Number | 5306695339 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
A48420 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
632 W GIBSON RD |
| City | WOODLAND |
| State | CA |
| Zip Code | 95695-5169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780665166 | Kathryn A. Glatter | Internal Medicine | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2005-11-10 |
| 1871050542 | Nou Thao | Pharmacy Technician | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2019-02-28 |
| 1154885515 | Laura Mazza | Nurse Practitioner | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2019-01-29 |
| 1114426327 | Uyen Phuong Nguyen-sharma | Nurse Practitioner | 632 W Gibson Rd, Woodland, CA 95695 | 2018-02-03 |
| 1922519222 | Sarah Leslie Thrasher | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2017-10-13 |
| 1760916274 | Melody W Steeples | Dietitian, Registered | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2017-04-12 |
| 1184160301 | Aleksandr Palenyy | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2017-01-11 |
| 1770039828 | Kristen J Rewick | Registered Nurse | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2016-08-29 |
| 1023480159 | Isaac Dominguez | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2015-10-28 |
| 1174928253 | Lonna Marie Hampton | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2014-10-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851144 | Tariro Angela Sawaya | Student in an Organized Health Care Education/Training Program | 445 1st Street, Woodland, CA 95695 | 2020-08-14 |
| 1093277683 | Christie Lynne Vice | Marriage & Family Therapist | 255 W Court St Ste D, Woodland, CA 95695 | 2019-04-02 |
| 1912479437 | Phillips Scoliosis Center | Chiropractor | 375 W Main St., Ste C-1, Woodland, CA 95695 | 2018-12-21 |
| 1568947042 | Nikhil Sibal | Dentist | Woodland Family Dental, 58 W Court Street, Woodland, CA 95695 | 2018-10-01 |
| 1659860849 | Savannah Ellizabeth Lindley | Behavior Technician | 260 West Main St, Woodland, CA 95695 | 2018-05-03 |
| 1982133344 | Brittanie Ann Akey | Behavior Technician | 1102 Gary Way, Woodland, CA 95695 | 2017-06-08 |
| 1083163604 | Arthur Hernandez | Nurse Practitioner | 215 West Beamer Street, Woodland, CA 95695 | 2016-09-23 |
| 1386191856 | Kelly Lee | Registered Nurse | 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 | 2016-09-01 |
| 1730634486 | Ida Nilanthi Lonnerdal | Marriage & Family Therapist | 455 First Street, Woodland, CA 95695 | 2016-08-23 |
| 1912365974 | Yaretzi Counseling and Consulting LLC | Social Worker | 327 College St Ste 105, Woodland, CA 95695 | 2016-02-05 |
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| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194987578 | Sammy Jafar Almashat | Preventive Medicine | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2008-06-27 |
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| 1790332260 | Aftim A Saba | Preventive Medicine | 1675 7th St Rm 232, Oakland, CA 94615-0002 | 2019-08-20 |
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| 1184285827 | Gurmu Occmed Services Inc | Preventive Medicine | 500 Greenfield Ave, Hanford, CA 93230-3515 | 2019-06-24 |
| 1831605625 | Med Fit Consulting, Inc. | Preventive Medicine | 10425 Tierrasanta Blvd Ste 108, San Diego, CA 92124-2618 | 2017-12-16 |
| 1619482239 | American Health Enterprises, Inc. | Preventive Medicine | 9500 Stockdale Hwy Ste 101, Bakersfield, CA 93311-3621 | 2017-12-05 |
| 1295249548 | Rose Donna Maria Baytop | Preventive Medicine | 2200 Pacific Hwy # Mzq-4, San Diego, CA 92101-1745 | 2017-11-24 |
| 1699295790 | U.S. Healthworks Medical Group, P.C. | Preventive Medicine | 2550 N Hollywood Way Ste 100, Burbank, CA 91505-5015 | 2017-06-21 |
| 1427588706 | Metro Healthcare Medical Corporation | Preventive Medicine | 3440 Wilshire Blvd Ste 1207, Los Angeles, CA 90010-2127 | 2017-06-19 |
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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.