CHRISTINE MICULOB AINZA


Address: 1100 Van Ness Ave, San Francisco, CA 94109
Phone: 4156000528

CHRISTINE MICULOB AINZA (NPI# 1346783974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346783974
Entity Type Individual
Full Name CHRISTINE MICULOB AINZA
Credential AGACNP-BC
Practice Address 1100 Van Ness Ave
San Francisco
CA 94109
Mailing Address 325 Distel Cir
Los Altos
CA 94022-1408
Practice Telephone 4156000528
Practice Fax Number 4153691373
Mailing Telephone 4156000528
Mailing Fax Number 4153691373
Enumeration Date 2016-11-30
Last Update Date 2019-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
95005452 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA STATE MEDICAL LICENSE NP95005452 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
45 Castro St, San Francisco, CA 941141010 4156005375

Office Location

Street Address 1100 VAN NESS AVE
City SAN FRANCISCO
State CA
Zip Code 94109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457333973 Jason M. Dimsdale Obstetrics & Gynecology 1100 Van Ness Ave, San Francisco, CA 94109-6978 2005-11-18
1033777982 Carla Michelle Bennett Genetic Counselor, MS 1100 Van Ness Ave, Fouth Floor, San Francisco, CA 94109-6920 2019-06-04
1316344674 Jessica Robinson Physician Assistant 1100 Van Ness Ave, San Francisco, CA 94109-6978 2014-12-01
1558763250 Stacy Fang Obstetrics & Gynecology 1100 Van Ness Ave, San Francisco, CA 94109 2014-09-24
1528478195 Keith Castaneto Family Medicine 1100 Van Ness Ave, San Francisco, CA 94109-6978 2014-05-05
1396188181 Shamiq Zackria Internal Medicine 1100 Van Ness Ave, San Francisco, CA 94109-6978 2013-04-10
1780926808 Jonathan M Wong Internal Medicine 1100 Van Ness Ave, San Francisco, CA 94109-6978 2013-03-27
1619217601 Katie E Fields Physician Assistant 1100 Van Ness Ave, San Francisco, CA 94109-6978 2013-02-27
1144568239 Lorelei Elaine Labarge Nurse Practitioner 1100 Van Ness Ave, San Francisco, CA 94109-6978 2013-01-23
1134474893 Kien W Chou Acupuncturist 1100 Van Ness Ave, San Francisco, CA 94109-6978 2012-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477169738 Emmapreet Bal Social Worker 750 Post Street, San Francisco, CA 94109 2020-09-21
1801414669 Hegla Yakeline Fielding Registered Nurse Felton Institute, 1500 Franklin St, San Francisco, CA 94109 2020-07-08
1356991350 Rachel Sit Wong Technician 1280 Ellis St. Apt. 12, San Francisco, CA 94109 2019-09-12
1396392502 Laura Kathryn Strader Student in an Organized Health Care Education/Training Program Community Youth Center, 1038 Post Street, San Francisco, CA 94109 2019-08-22
1821650227 Anita Kathleen O'shea Community Health Worker 730 Polk St 4th Floor, San Francisco, CA 94109 2019-07-05
1275015638 Quenna G Lee Occupational Therapist 1948 California Street, San Francisco, CA 94109 2018-09-02
1659857340 Kaihan Zhong Marriage & Family Therapist 1038 Post Street Community Youth Center, San Francisco, CA 94109 2018-07-16
1144716044 Elaina Barulic Marriage & Family Therapist 2040 Gough St, San Francisco, CA 94109 2018-07-03
1447778048 Yltze Pamela Cubas-moody Dentist 2107 Vanness Ave, San Francisco, CA 94109 2017-09-03
1063939387 Ritu Sen Counselor 815 Hyde Street, Suite 100, San Francisco, CA 94109 2017-08-28
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285249565 Anu Tharoor Nurse Practitioner 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 2020-09-13
1003436528 Christian Karl Antonio Nurse Practitioner 505 Parnassus Avennue, San Francisco, CA 94143 2020-04-24
1538639216 Taylor Alexandra Gowan Nurse Practitioner 505 Parnassus Ave # M914, San Francisco, CA 94143-2204 2018-11-26
1801362611 Tamika Lachelle Jackson Nurse Practitioner 400 Parnassus Ave Ste 501, San Francisco, CA 94143-2202 2018-10-18
1548774623 Jennifer Christina Ponzo Nurse Practitioner 500 Parnassus Ave # Muw-405, San Francisco, CA 94143-2203 2017-11-28
1811398969 Merlienaida Garcia Nurse Practitioner 533 Somerset St, San Francisco, CA 94134-1738 2014-09-09
1497094155 Todd J Johnson Nurse Practitioner 78 Buchanan St, 302, San Francisco, CA 94102-6252 2013-01-31
1518234699 Jeffrey Michael Capodanno Nurse Practitioner 327 San Jose Ave, San Francisco, CA 94110-3710 2011-11-17
1790074805 Erika Lynn Wilson Nurse Practitioner 2340 Pacific Ave Apt 105, San Francisco, CA 94115-1255 2011-03-30
1801191333 Ryan Sincic Nurse Practitioner 455 Warren Dr Apt 1, San Francisco, CA 94131-1044 2011-01-13
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Competitor

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City SAN FRANCISCO
Zip Code 94109

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Dataset Information

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.

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