DYLON SERPA (NPI# 1235650433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235650433 |
| Entity Type | Individual |
| Full Name | DYLON SERPA |
| Practice Address |
3970 The Woods Dr Apt 504 San Jose CA 95136-2217 |
| Mailing Address |
1080 Marina Village Pkwy Alameda CA 94501-6427 |
| Practice Telephone | 8052008757 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
3970 THE WOODS DR APT 504 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95136-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245709757 | Rahwa Ferzghi | Behavior Technician | 5300 Terner Way Apt 3102, San Jose, CA 95136 | 2018-11-14 |
| 1285110254 | Brittany Lauren Perez | Behavioral Analyst | 4501 Snell Ave Apt 208, San Jose, CA 95136 | 2018-07-12 |
| 1316466139 | Melinda Fike Vertin | Nurse Practitioner | 970 Glenridge Dr., San Jose, CA 95136 | 2017-09-12 |
| 1841712221 | Cynthia Castillo | Spec/Tech, Cardiovascular | 4742 Canyon River Court, San Josse, CA 95136 | 2017-07-07 |
| 1841609732 | Elizabeth Mary Myers | Specialist/Technologist | 385 Vista Roma Way #302, San Jose, CA 95136 | 2014-08-05 |
| 1649696717 | David W Chan | Dentist | 1095 Branham Ln., Suite #101, San Jose, CA 95136 | 2014-03-12 |
| 1811323686 | Krystle Wright | Speech-Language Pathologist | 368 Maeve Court, San Jose, CA 95136 | 2013-09-24 |
| 1043598196 | Anh-thu Huynh | Optometrist | 4807 Rue Loiret, San Jose, CA 95136 | 2011-07-22 |
| 1740437029 | Center for Autism and Related Disorders LLC | Community/Behavioral Health | 3610 Snell Ave, San Jose, CA 95136 | 2008-08-19 |
| 1366655201 | Zaidoon R. Owais | Dentist | 511 W. Capitol Expwy, San Jose, CA 95136 | 2007-05-08 |
| Find all providers in zip 95136 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276430 | Tuong-vi T Tran | Counselor | 1340 Tully Rd Ste 301&304, San Jose, CA 95122-3055 | 2020-08-21 |
| 1013531995 | Ellen Noon | Counselor | 1760 The Alameda, San Jose, CA 95126-1728 | 2020-06-05 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1497314645 | Katherine Cairns | Counselor | 650 S Bascom Ave Ste B, San Jose, CA 95128-2601 | 2019-06-11 |
| 1861051542 | James Bernard Clark | Counselor | 5739 Almaden Rd Apt 4, San Jose, CA 95118-3623 | 2019-06-06 |
| 1891358677 | Mckenna Talley | Counselor | 150 Bernal Rd, San Jose, CA 95119-1304 | 2019-04-17 |
| 1548734130 | Rachel Ruiz II | Counselor | 9505 Malech Rd, San Jose, CA 95138-2002 | 2019-01-16 |
| 1275008435 | Sieglinde Kay Oorton-wright | Counselor | 2963 Sunburst Dr, San Jose, CA 95111-2265 | 2018-10-03 |
| 1689168346 | Alexandra Grandy | Counselor | 2939 David Ave, San Jose, CA 95128-4423 | 2018-06-17 |
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| Find all providers in SAN JOSE | ||||
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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.