MARIAH CARROLL (NPI# 1275096059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275096059 |
Entity Type | Individual |
Full Name | MARIAH CARROLL |
Credential | DO |
Practice Address |
6620 Via Del Oro San Jose CA 95119-1392 |
Mailing Address |
6620 Via Del Oro San Jose CA 95119-1452 |
Practice Telephone | 4089723000 |
Mailing Telephone | 4089723000 |
Enumeration Date | 2019-04-09 |
Last Update Date | 2020-06-02 |
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 | NJ | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1505 W Sherman Ave, Vineland, NJ 083607059 | 8566418000 |
Street Address |
6620 VIA DEL ORO |
City | SAN JOSE |
State | CA |
Zip Code | 95119-1392 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710045612 | H. Nicole Hess | Psychologist | 6620 Via Del Oro, San Jose, CA 95119-1451 | 2006-12-04 |
1447887948 | Jason Tran | Student in an Organized Health Care Education/Training Program | 6620 Via Del Oro, San Jose, CA 95119-1392 | 2020-03-25 |
1477189587 | Dalia Ocampo | Social Worker | 6620 Via Del Oro, San Jose, CA 95119-1452 | 2020-03-20 |
1649804196 | Danielle Smith | Psychologist | 6620 Via Del Oro, San Jose, CA 95119-1392 | 2020-02-24 |
1942859632 | Aimee Marie L. Zapata | Student in an Organized Health Care Education/Training Program | 6620 Via Del Oro, San Jose, CA 95119-1452 | 2019-09-05 |
1942861083 | Janet Karina Hurtado | Social Worker | 6620 Via Del Oro, San Jose, CA 95119-1392 | 2019-06-27 |
1699231282 | Yimin Yu | Psychologist | 6620 Via Del Oro, San Jose, CA 95119-1392 | 2019-02-19 |
1447755392 | Sarah Burton | Psychologist | 6620 Via Del Oro, San Jose, CA 95119-1452 | 2018-03-23 |
1578071403 | Natalia Cruz Navarro | Social Worker | 6620 Via Del Oro, San Jose, CA 95119-1392 | 2018-01-12 |
1548780463 | Courtney Hurd | Counselor | 6620 Via Del Oro, San Jose, CA 95119-1452 | 2017-06-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
Find all providers in zip 95119 |
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 |
---|---|---|---|---|
1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
1750992152 | Jolene Thu Tran | Student in an Organized Health Care Education/Training Program | 2811 Glauser Dr, San Jose, CA 95133-1410 | 2020-08-11 |
1588273270 | Kimberly Ngoc Nguyen | Student in an Organized Health Care Education/Training Program | 3094 Seafield Ct, San Jose, CA 95148-4044 | 2020-07-28 |
1699393884 | Nancy Tang | Student in an Organized Health Care Education/Training Program | 3130 Brightwood Ct, San Jose, CA 95148-2649 | 2020-07-14 |
1548884125 | Chelsea Lorraine Barnes | Student in an Organized Health Care Education/Training Program | 1045 Lincoln Ct, San Jose, CA 95125-2638 | 2020-05-30 |
1891318705 | Magdalena Cachu-enciso | Student in an Organized Health Care Education/Training Program | 1624 June Ave, San Jose, CA 95122-2211 | 2020-05-26 |
1104448729 | Veerali Juthani | Student in an Organized Health Care Education/Training Program | 3920 Braeburn Ct, San Jose, CA 95130-1206 | 2020-05-18 |
1811518020 | Thomas Vo | Student in an Organized Health Care Education/Training Program | 3205 San Rivas Dr, San Jose, CA 95148-2037 | 2020-04-28 |
1831727130 | Brent Carmona | Student in an Organized Health Care Education/Training Program | 3791 Heppner Ln, San Jose, CA 95136-1506 | 2020-03-31 |
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.