MS. STEFANIE J BLANCO (NPI# 1306978598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306978598 |
| Entity Type | Individual |
| Full Name | MS. STEFANIE J BLANCO |
| Credential | TEACHING CREDENTIAL |
| Practice Address |
1340 Tully Rd Ste 304 San Jose CA 95122-3055 |
| Practice Telephone | 4082713900 |
| Mailing Telephone | 4082713900 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1102X |
Specialist Specialization: Research Study |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467767756 | Stefanie M Blanco | Speech-Language Pathologist | 95 Bradhurst Ave, Blythedale Children's Hospital- Speech Department, Valhalla, NY 10595-1637 | 2010-08-11 |
| Street Address |
1340 TULLY RD STE 304 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95122-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326176116 | James Peter Keim | Social Worker | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2007-03-01 |
| 1720695711 | Jazmin Marie Salazar | Counselor | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2020-09-24 |
| 1760098925 | Boshan Zhao | Counselor | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2020-09-22 |
| 1316553951 | Berneise Billote Montuya | Peer Specialist | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2020-09-18 |
| 1477169191 | Silvia Vanessa Cortes Ramirez | Student in an Organized Health Care Education/Training Program | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2020-09-17 |
| 1851907562 | Lani Ngoc Hoang | Counselor | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2020-09-17 |
| 1265060651 | Perry Partlow | Case Manager/Care Coordinator | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2020-03-31 |
| 1689223109 | Christine Nguyen | Student in an Organized Health Care Education/Training Program | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2019-09-06 |
| 1205397106 | Nguon Doan Nguyen | Specialist | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2019-03-26 |
| 1730662339 | Alyson Le | Student in an Organized Health Care Education/Training Program | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2018-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1346894524 | Amy Le Tran | Counselor | Mekong Community Center, 2203 Tully Road, San Jose, CA 95122 | 2019-07-26 |
| 1164980439 | Tri Starr Home Care, LLC | PACE Provider Organization | 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 | 2019-03-06 |
| 1740761196 | Aileen Phu | Acupuncturist | 1271 Story Rd Ste 50, San Jose, CA 95122 | 2018-08-23 |
| 1740775816 | Urgent Care Clinic of Northern Ca Inc | Clinic/Center | 999 Story Road, Suite 9021, San Jose, CA 95122 | 2018-06-29 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1497113153 | Jamealle Spain | Case Manager/Care Coordinator | 2070 Lucretia Ave #310, San Jose, CA 95122 | 2016-02-09 |
| 1770915035 | Thinh Tran | Dentist | 919 Story Rd Unit 1128, San Jose, CA 95122 | 2013-08-08 |
| 1356591333 | Asian American Recovery Services | Counselor | 1340 Tully Rd., San Jose, CA 95122 | 2008-09-25 |
| 1821246505 | Samara Rachel Stone | Marriage & Family Therapist | 1340 Tully Road, Suite 304, San Jose, CA 95122 | 2008-09-05 |
| Find all providers in zip 95122 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598206732 | Xin Zhang | Specialist | 160 E Virginia St, San Jose, CA 95112-5857 | 2017-03-20 |
| 1245558717 | Tisiphone Meyer | Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2010-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701640 | Andrew Somers | Specialist | 6711 Yucca St, Hollywood, CA 90028-4609 | 2020-05-13 |
| 1023676632 | Ajit P Varki | Specialist | 9500 Gilman Dr # Mc0687, La Jolla, CA 92093-0687 | 2019-05-30 |
| 1679045041 | Mahsa Parviz | Specialist | 4869 W Sunset Blvd., Los Angeles, CA 90027-5969 | 2018-12-26 |
| 1134648397 | Jamie Dananberg | Specialist | 3280 Bayshore Blvd Ste 100, Brisbane, CA 94005-1029 | 2017-09-19 |
| 1205372315 | Naama Barnea-goraly | Specialist | 723 Partridge Ave, Menlo Park, CA 94025-5213 | 2017-01-12 |
| 1205387420 | Albert Lee | Specialist | 16638 Nicklaus Dr Unit 97, Sylmar, CA 91342-1693 | 2016-10-24 |
| 1912457425 | John J Speidel | Specialist | 631 Portofino Ln, Foster City, CA 94404-2937 | 2016-10-07 |
| 1073987087 | Kenneth Krantz | Specialist | 204 E 2nd Ave, Suite 519, San Mateo, CA 94401-3963 | 2015-11-15 |
| 1194199109 | Physicians Clinical Research, LLC | Specialist | 2240 Pacific Ave Ste A, Long Beach, CA 90806-4372 | 2015-11-15 |
| 1326445065 | William Lang | Specialist | 101 Cornelia Ave, Mill Valley, CA 94941-1807 | 2014-11-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. STEFANIE J BLANCO.
| 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.