GWYNDERLYN PATREAC JENKINS (NPI# 1255988176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255988176 |
| Entity Type | Individual |
| Full Name | GWYNDERLYN PATREAC JENKINS |
| Practice Address |
220 N El Circulo Ave Patterson CA 95363-2521 |
| Mailing Address |
49 Shorthorn St Patterson CA 95363-8853 |
| Practice Telephone | 2092036609 |
| Mailing Telephone | 2096526149 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
220 N EL CIRCULO AVE |
| City | PATTERSON |
| State | CA |
| Zip Code | 95363-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619512985 | Fix My Pretty Hair Studio | Specialist | 220 N El Circulo Ave, Patterson, CA 95363-2521 | 2019-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871090472 | Quadmed Medical Clinics of California, Inc. | Clinic/Center | 2065 Keystone Pacific Parkway, Patterson, CA 95363 | 2018-04-10 |
| 1295287613 | Chandni Mukesh Patel | Registered Nurse | 200 C Patterson, Patterson, CA 95363 | 2016-11-02 |
| 1700251279 | Carousel Onia | Registered Nurse | 1372 Samantha Creek Drive, Patterson, CA 95363 | 2015-12-09 |
| 1740534726 | Wal-mart Stores Inc | Technician/Technologist | 1030 Sperry Ave, Patterson, CA 95363 | 2012-10-30 |
| 1770725483 | Thomas Earl Klein | Dentist | 101 S El Circulo Ave, Patterson, CA 95363 | 2009-03-26 |
| 1740450808 | Gary Eric F Sanchez | Dentist | 1040 W. Las Palmas Ave., Suite C, Patterson, CA 95363 | 2008-03-05 |
| 1538381967 | Patterson Joint Unified Sd | Local Education Agency (LEA) | 510 Keystone Blvd, Patterson, CA 95363 | 2007-05-03 |
| 1538389234 | Modesto Advanced Diagnostic Imaging Medical Center | Radiology | 1108 Ward Avenue, Building A, Suite 1, Patterson, CA 95363 | 2007-04-26 |
| 1902849177 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 1080 Sperry Ave, Patterson, CA 95363 | 2006-06-14 |
| 1982126397 | Neha Garg | Internal Medicine | 200 C St, Patterson, CA 95363 | 2017-07-07 |
| Find all providers in zip 95363 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629406855 | Leena S Vattappally | Specialist | 22 Somerset Dr, Patterson, NY 12563-2521 | 2013-10-25 |
| 1356680367 | Debra L Toymil | Specialist | 56 Slater Rd, Patterson, NY 12563-1605 | 2013-02-11 |
| 1659633899 | Georgina Adelaide Marek | Specialist | 192 Bullet Hole Rd, Patterson, NY 12563-2968 | 2012-06-13 |
| 1720049166 | Pathology Services, LLC | Specialist | 680 Martin Luther King Jr. Way, Patterson, NJ 07514 | 2006-03-28 |
| 1619512985 | Fix My Pretty Hair Studio | Specialist | 220 N El Circulo Ave, Patterson, CA 95363-2521 | 2019-11-11 |
| 1841747854 | Michelle Moklebust | Specialist | 40 Jon Barrett Rd, Patterson, NY 12563-2164 | 2016-09-07 |
| 1720349889 | Rhona V Hanshaft | Specialist | 40 Jon Barrett Rd, Patterson, NY 12563-2164 | 2012-06-06 |
| 1871854968 | Georgette Fusco | Specialist | 40 Jon Barrett Rd, Patterson, NY 12563-2164 | 2012-06-05 |
| 1558631853 | Carmel Central School District | Specialist | 100 South St, Patterson, NY 12563-3112 | 2012-01-04 |
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| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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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.