MARTHA STASSINOS (NPI# 1295719177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295719177 |
| Entity Type | Individual |
| Full Name | MARTHA STASSINOS |
| Credential | PHARM.D. |
| Practice Address |
2221 Martin Luther King Jr Way Oakland CA 94612-1318 |
| Mailing Address |
1319 Blake St Berkeley CA 94702-2113 |
| Practice Telephone | 5102677843 |
| Mailing Telephone | 5105401214 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
1277 | AK | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
11680 | CO | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RP00004754 | NM | Pharmacy Service Providers |
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RPH33473 | CA | Pharmacy Service Providers |
| Street Address |
2221 MARTIN LUTHER KING JR WAY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710960521 | Erica Lynn Trimble | Nurse Practitioner | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2005-11-25 |
| 1083237218 | Lyda Hartness | Social Worker | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2020-05-21 |
| 1801453873 | Timothy Tran | Dietitian, Registered | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2019-05-23 |
| 1013574623 | Julianne Rebecca Yujen Lee | Pharmacist | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2019-05-20 |
| 1295255362 | Blanca Marquez | Social Worker | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2017-06-21 |
| 1326429770 | Amber Colic | Nurse Practitioner | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2015-06-11 |
| 1548669609 | Mary Cradick | Pharmacist | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2014-08-14 |
| 1790089845 | Malissa Blake Konner | Social Worker | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2011-01-04 |
| 1043473754 | Jill Nicole Jones | Physical Therapist | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2008-07-03 |
| 1770745093 | Alix A. Magloire | Internal Medicine | 2221 Martin Luther King Jr Way, Department of Veterans Affairs 111/oak, Oakland, CA 94612-1318 | 2008-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770844722 | Cathlene Richmond | Pharmacist | 1800 Harrison St., 13th Floor, Drug Information Services, Kaiser Permanente, Oakland, CA 94612 | 2012-06-06 |
| 1902132855 | Christopher Carl Waldapfel | Pharmacist | 4395 Piedmont Ave, Suite #207, Oakland, CA 94611-4780 | 2009-10-28 |
| 1184760951 | Comfort Care Pharmacy | Pharmacist | 212 9th St Ste 315, Oakland, CA 94607-4428 | 2007-01-29 |
| 1982631909 | Diana Thamrin | Pharmacist | Highland Hospital, 1411 East 31st Street, Oakland, CA 94602 | 2006-06-26 |
| 1679991343 | Sean Toan Truong | Pharmacist | 3900 Broadway, Oakland, CA 94611-5600 | 2014-03-31 |
| 1033243654 | Carmita Lashon Mcmullen | Pharmacist | 201 Largovista Dr, Oakland, FL 34787-8981 | 2007-03-15 |
| 1245398155 | William M Gallagher | Pharmacist | 1800 Harrison St, 13th Floor, Oakland, CA 94612-3429 | 2006-12-04 |
| 1891873881 | Cari Y Lee | Pharmacist | 280 W Macarthur Blvd, Fabiola Building, Room G80, Oakland, CA 94611-5642 | 2006-11-01 |
| 1366528150 | Gary Choy | Pharmacist | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-10-27 |
| 1760570428 | Daniel Cheung | Pharmacist | 280 W Macarthur Blvd, Ambulatory Pharmacy Fabiola Rm G-80, Oakland, CA 94611-5642 | 2006-10-10 |
| Find all providers in OAKLAND | ||||
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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.