MRS. ADELENE CHAN PRADO


Address: 301 Industrial Rd Fl 2, San Carlos, CA 94070
Phone: 6505964030

MRS. ADELENE CHAN PRADO (NPI# 1376852335) 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) 1376852335
Entity Type Individual
Full Name MRS. ADELENE CHAN PRADO
Other Name MS. ADELENE CRYSTAL CHAN
Credential NP
Practice Address 301 Industrial Rd Fl 2
San Carlos
CA 94070
Mailing Address 325 Distel Cir
Los Altos
CA 94022-1408
Practice Telephone 6505964030
Mailing Fax Number 3108282382
Enumeration Date 2010-09-24
Last Update Date 2020-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
19956 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 1376852335 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2020 Santa Monica Blvd, Suite 550, 5th Floor, Santa Monica, CA 904042023 3108281050 3108282382

Office Location

Street Address 301 INDUSTRIAL RD FL 2
City SAN CARLOS
State CA
Zip Code 94070

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669943189 Regina Rayz Community Health Worker Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 2018-12-10
1275026668 Zhimiao Wang Acupuncturist 1608 Laurel St, San Carlos, CA 94070 2018-06-11
1922508324 Erica Garica Romero Counselor 610 Elm Street, Suite 212, San Carlos, CA 94070 2018-02-13
1619482429 Yicheng Han Counselor 527 Hillcrest Rd., San Carlos, CA 94070 2017-12-04
1679082192 Enrique Francisco Delgado Counselor 610 Elm St. #212, San Carlos, CA 94070 2017-09-27
1871011379 Melanie Schug Counselor 610 Elm Street, Suite 212, San Carlos, CA 94070 2017-09-05
1891213393 Teresa Wace Counselor 1303 San Carlos Avenue, San Carlos, CA 94070 2017-09-05
1437671344 Ana Garcia Counselor 957 Industrial Road, Suite B, San Carlos, CA 94070 2017-07-12
1629527825 Annette Waters Speech-Language Pathologist 1017 Cedar St, San Carlos, CA 94070 2016-09-28
1962831297 Kathleen Lauren Mcspadden Marriage & Family Therapist 1303 San Carlos Ave., San Carlos, CA 94070 2013-11-07
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

Search similar providers

City SAN CARLOS
Zip Code 94070

Improve Information

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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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