WAYNE KILTHAU


Address: 5301 Gerine Blossom Dr, San Jose, CA 95123-2118
Phone: 4087991981

WAYNE KILTHAU (NPI# 1235593690) 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) 1235593690
Entity Type Individual
Full Name WAYNE KILTHAU
Practice Address 5301 Gerine Blossom Dr
San Jose
CA 95123-2118
Mailing Address 1280 Pembridge Dr
San Jose
CA 95118-1545
Practice Telephone 4087991981
Mailing Telephone 4087991981
Enumeration Date 2016-04-11
Last Update Date 2016-04-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers

Office Location

Street Address 5301 GERINE BLOSSOM DR
City SAN JOSE
State CA
Zip Code 95123-2118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346714425 Emerald Blossom Manor, LLC. Intermediate Care Facility, Mentally Retarded 5301 Gerine Blossom Dr, San Jose, CA 95123-2118 2019-01-11

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NPI Name Taxonomy Address Enumeration
1700441045 Calvin Patrick Nell Chiropractor 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 2019-05-02
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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
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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003476359 Samuel Doong Psychologist 2514 Piedmont Ave Apt 105, Berkeley, CA 94704-3108 2019-06-18
1437634482 New Horizons: Serving Individuals With Special Needs Psychologist 19031 Arminta Street, Reseda, CA 91335-1104 2018-09-26
1679086417 B & D Assessment and Consulting Services, Inc. Psychologist 26565 West Agoura Rd Ste 200, Calabasas, CA 91302-1990 2017-11-15
1588024103 Kristin Bria Psychologist 150 Glen Cove Marina Rd E, Vallejo, CA 94591-7292 2016-02-24
1477921450 Haleigh Scott Psychologist 3626 Fair Oaks Blvd Ste 100, Sacramento, CA 95864-7200 2015-09-09
1235543265 Verbal Behavior Associates Psychologist 15373 Innovation Dr., Suite 200, San Diego, CA 92128 2014-06-18
1700290962 New Directions for Young Adults - California Psychologist 100 Longbrook Way, Ste. 20, Pleasant Hill, CA 94523 2014-06-16
1518383520 Tammy Brandt Psychologist 5016 North Parkway Calabasas, 215, Calabasas, CA 91302 2014-03-14
1548501323 Independent Consulting Services Psychologist 124 Whispering Oaks Dr, Glendora, CA 91741-3988 2013-03-05
1770802696 Michael D Peters Psychologist 5814 La Salle Ave, Oakland, CA 94611-3210 2010-05-18
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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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