MR. MATTHEW FRIEND AUSFAHL (NPI# 1316477664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316477664 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW FRIEND AUSFAHL |
| Practice Address |
1628 Broadway St Ste A Vallejo CA 94590-2405 |
| Mailing Address |
2955 Santos Ln Apt 206 Walnut Creek CA 94597-7548 |
| Practice Telephone | 7076498300 |
| Mailing Telephone | 9253897700 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1628 BROADWAY ST STE A |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067850 | Rachel Rix | Counselor | 201 Maine St Apt D3, Vallejo, CA 94590-5817 | 2020-09-11 |
| 1841845500 | Raelynn Ila Irene Foster | Counselor | 401 Stinson St Apt 8, Vallejo, CA 94591-6416 | 2019-08-08 |
| 1770145252 | Kennisha Allen | Counselor | 285 Larissa Ln, Vallejo, CA 94590-7601 | 2019-07-03 |
| 1972068203 | William Paul Mcdougall Iv | Counselor | 2521 Alameda St, Vallejo, CA 94590-2403 | 2019-01-31 |
| 1740754019 | Loren Cluke | Counselor | 116 El Dorado St, Vallejo, CA 94590-6945 | 2019-01-18 |
| 1194232827 | Kimberley Marie Matthews | Counselor | 117 Power Dr Apt B, Vallejo, CA 94589-3418 | 2018-01-03 |
| 1467802926 | Ronald Gensler | Counselor | 1109 Porter St Apt B, Vallejo, CA 94590-7909 | 2016-06-15 |
| 1881040418 | Nathan Hill | Counselor | 1313 Colusa St, Vallejo, CA 94590-3332 | 2016-05-12 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1184093882 | Jordana Cooper | Counselor | 141 Crowsnest Ct, Vallejo, CA 94591-7770 | 2015-09-23 |
| Find all providers in VALLEJO | ||||
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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.