MAI TIMBERLAKE (NPI# 1265045439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265045439 |
| Entity Type | Individual |
| Full Name | MAI TIMBERLAKE |
| Practice Address |
2180 Johnson Ave San Luis Obispo CA 93401-4558 |
| Practice Telephone | 8057814275 |
| Mailing Telephone | 8057814275 |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2180 JOHNSON AVE |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366463879 | Robert D Henretig | Radiology | 2180 Johnson Ave, Ste A, San Luis Obispo, CA 93401-4513 | 2006-07-21 |
| 1043819352 | Douglas Gregory Elterman | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-10-19 |
| 1427669787 | Christie Terese Castro | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-08-11 |
| 1538792452 | Robyn Michelle Taylor | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-02-19 |
| 1003448754 | Jene Nicole Hinton-railsback | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-02-11 |
| 1962046359 | Emilie M Crist | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-29 |
| 1841833027 | Melanie Ruth Vann | Social Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-21 |
| 1548802622 | Christina Lynn Rivera | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-10 |
| 1265087035 | Amber Deem | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-08-07 |
| 1902362817 | Nicole Boughton | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508211764 | Christine Fisher | Student in an Organized Health Care Education/Training Program | Colony Dr, San Luis Obispo, CA 93409-0001 | 2016-04-25 |
| 1487016325 | Yuchuan Chen | Student in an Organized Health Care Education/Training Program | 2221 King Ct, Unit 6, San Luis Obispo, CA 93401-5100 | 2016-03-21 |
| 1497089981 | Arya Lee Jones | Student in an Organized Health Care Education/Training Program | 3761 Orcutt Rd, San Luis Obispo, CA 93401-8365 | 2009-09-30 |
| 1255465464 | Terence Michael Dever | Student in an Organized Health Care Education/Training Program | 3765 S. Higuera, Suite 100, San Luis Obispo, CA 93401 | 2007-03-16 |
| 1316567183 | Laura Tomlinson | Student in an Organized Health Care Education/Training Program | 2925 Mcmillan Ave Ste 108, San Luis Obispo, CA 93401-6765 | 2020-04-22 |
| 1275184095 | Kristin Youngberg | Student in an Organized Health Care Education/Training Program | 277 South St Ste T, San Luis Obispo, CA 93401-5039 | 2019-09-23 |
| 1669029740 | Jennifer Hajdu | Student in an Organized Health Care Education/Training Program | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2019-08-22 |
| 1043775372 | Suzanne C Maclelland | Student in an Organized Health Care Education/Training Program | 676 Pismo St, San Luis Obispo, CA 93401-3945 | 2019-01-31 |
| 1609348333 | Sarah Henning | Student in an Organized Health Care Education/Training Program | 784 High St, San Luis Obispo, CA 93401-5243 | 2018-12-19 |
| 1114408192 | Taylor Nicole Phillips | Student in an Organized Health Care Education/Training Program | 277 South St Ste T, San Luis Obispo, CA 93401-5039 | 2018-08-27 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on MAI TIMBERLAKE.
| 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.