DAMON NIM (NPI# 1326115452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326115452 |
| Entity Type | Individual |
| Full Name | DAMON NIM |
| Practice Address |
2600 S El Camino Real San Mateo CA 94403-2380 |
| Practice Telephone | 6503938945 |
| Mailing Telephone | 6503938945 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2014-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2600 S EL CAMINO REAL |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-2380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154254 | Pamela Patton | Case Manager/Care Coordinator | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2020-05-01 |
| 1891324703 | Jacqueline Frances Rutgers | Case Manager/Care Coordinator | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2020-04-02 |
| 1518591726 | Melody Pagan | Registered Nurse | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2020-02-26 |
| 1528604931 | Kaitlyn Kylie Paris | Registered Nurse | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-11-20 |
| 1851940928 | Katareena Done | Student in an Organized Health Care Education/Training Program | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-09-10 |
| 1073169496 | Lee Anthony Piombo | Community Health Worker | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-08-12 |
| 1265088603 | Alison Barrera | Community Health Worker | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-08-12 |
| 1871153890 | Safat Azmi Mubarak | Counselor | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-06-20 |
| 1578024154 | Candice Raine Harbison | Registered Nurse | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-03-27 |
| 1205393899 | Catherine A Mathews | Marriage & Family Therapist | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| Find all providers in zip 94403 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366004855 | Doaa Mohamed Abdelrahman | Counselor | 126 W 25th Ave # 200, San Mateo, CA 94403-2208 | 2019-07-03 |
| 1629555644 | Dorcas Gaines | Counselor | 226 De Anza Blvd, San Mateo, CA 94402-3913 | 2018-07-23 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1104321165 | Maria Del Rosario Martinez | Counselor | 225 37th Ave Fl 3er, San Mateo, CA 94403-4324 | 2018-03-29 |
| 1407308539 | Rob Mcilvoy | Counselor | 526 S Eldorado St, San Mateo, CA 94402-1328 | 2016-10-24 |
| 1831644624 | Rodney Wg Roddewig | Counselor | 205 S Ellsworth Ave Apt 106, San Mateo, CA 94401-4076 | 2016-08-22 |
| 1427409507 | Callie Deeann Palmer | Counselor | 1650 S Amphlett Blvd Ste 113, San Mateo, CA 94402-2514 | 2016-06-29 |
| 1033566252 | Vivian Koroluk | Counselor | 803 S Grant St, San Mateo, CA 94402-1413 | 2016-05-17 |
| 1720442452 | Jamie Holden | Counselor | 1510 Fashion Island Blvd #110, San Mateo, CA 94404-1596 | 2016-04-08 |
| 1386000701 | Geraldine Punzalan | Counselor | 1670 S Amphlett Blvd Ste 15, San Mateo, CA 94402-2510 | 2016-01-14 |
| Find all providers in SAN MATEO | ||||
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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.