MARIAH CARROLL


Address: 6620 Via Del Oro, San Jose, CA 95119-1392
Phone: 4089723000

MARIAH CARROLL (NPI# 1275096059) 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) 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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1505 W Sherman Ave, Vineland, NJ 083607059 8566418000

Office Location

Street Address 6620 VIA DEL ORO
City SAN JOSE
State CA
Zip Code 95119-1392

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City SAN JOSE
Zip Code 95119

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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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