SIMON KIYOSHI HARA (NPI# 1285166736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285166736 |
| Entity Type | Individual |
| Full Name | SIMON KIYOSHI HARA |
| Practice Address |
1330 Lincoln Ave. #201 Community Institute for Psychotherapy San Rafael CA 99401-2141 |
| Mailing Address |
1000 Ventura Ave Albany CA 94706-2529 |
| Practice Telephone | 4154595999 |
| Practice Fax Number | 4154595602 |
| Mailing Telephone | 5102200510 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Gender Code | M |
| 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 |
1330 LINCOLN AVE. #201 COMMUNITY INSTITUTE FOR PSYCHOTHERAPY |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 99401-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093949018 | Judith Eileen Frost | Marriage & Family Therapist | 1330 Lincoln Ave., Suite 310, San Rafael, CA 94901-2143 | 2009-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447782115 | Astrid Koltun | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Avenue, Suite #201, San Rafael, CA 99401 | 2017-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748292 | Roy C Solitana | Nurse Practitioner | 1545 4th St Apt 1, San Rafael, CA 94901-2744 | 2020-10-21 |
| 1063019073 | Denise Angela Joan Mitchell | Massage Therapist | 131 Roundtree Blvd, San Rafael, CA 94903-1639 | 2020-10-02 |
| 1962011551 | Madrona Hospice Care Inc | Hospice Care, Community Based | 185 N Redwood Dr Ste 110, San Rafael, CA 94903-1973 | 2020-07-29 |
| 1891304895 | Argie Gulapa Vila | Nurse Practitioner | 175 N Redwood Dr Ste 285, San Rafael, CA 94903-1972 | 2020-07-24 |
| 1770191538 | Deirdre Ann Martinez | Student in an Organized Health Care Education/Training Program | 66 Oxford Dr, San Rafael, CA 94903-2887 | 2020-07-17 |
| 1700404977 | Top Drawer Health Inc. | Nurse Practitioner | 244 Humboldt St, San Rafael, CA 94901-1025 | 2020-07-14 |
| 1386269660 | Heartwood House LLC | Clinic/Center | 8 Circle Rd, San Rafael, CA 94903-3821 | 2020-06-11 |
| 1043833841 | Kevin Nasre | Student in an Organized Health Care Education/Training Program | 103 Gable Ct, San Rafael, CA 94903-5208 | 2020-05-27 |
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1285256081 | Aloizio Veronico Costa | Driver | 1435 4th St, San Rafael, CA 94901-2847 | 2020-05-14 |
| Find all providers in SAN RAFAEL | ||||
| 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 |
|---|---|---|---|---|
| 1770191538 | Deirdre Ann Martinez | Student in an Organized Health Care Education/Training Program | 66 Oxford Dr, San Rafael, CA 94903-2887 | 2020-07-17 |
| 1043833841 | Kevin Nasre | Student in an Organized Health Care Education/Training Program | 103 Gable Ct, San Rafael, CA 94903-5208 | 2020-05-27 |
| 1194369116 | Diana Duran Robles | Student in an Organized Health Care Education/Training Program | 308 Glen Park Ave Apt B, San Rafael, CA 94901-1361 | 2019-11-01 |
| 1710404991 | Janine Nicole Carpenter | Student in an Organized Health Care Education/Training Program | 3230 Kerner Blvd Ste 120, San Rafael, CA 94901-4840 | 2017-08-28 |
| 1477006880 | Francesca Zulueta | Student in an Organized Health Care Education/Training Program | 1050 Court St, Apt 510, San Rafael, CA 94901-2982 | 2016-08-02 |
| 1336692102 | Deborah Styles | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Ave, # 201, Community Institute for Psychotherapy, San Rafael, CA 94901-2120 | 2016-07-28 |
| 1639379944 | Elizabeth Chapman Foxx | Student in an Organized Health Care Education/Training Program | 1330 Lincoln Avenue, San Rafael, CA 94901-2120 | 2007-07-24 |
| 1558407544 | Susan Eve Aceves | Student in an Organized Health Care Education/Training Program | 1 Saint Vincent Dr, San Rafael, CA 94903 | 2007-01-29 |
| 1396350740 | Sarah Marie Rubin | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-12 |
| 1205441730 | Arshdeep Kaur | Student in an Organized Health Care Education/Training Program | 50 Acacia Ave, San Rafael, CA 94901-2230 | 2020-09-11 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 99401 |
Please comment or provide details below to improve the information on SIMON KIYOSHI HARA.
| 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.