MRS. NARDINE AZAB (NPI# 1417120106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417120106 |
| Entity Type | Individual |
| Full Name | MRS. NARDINE AZAB |
| Credential | MFT |
| Practice Address |
710 S Broadway Suite 300 Walnut Creek CA 94596-5294 |
| Practice Telephone | 9252954145 |
| Mailing Telephone | 9252954145 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2015-07-10 |
| Gender Code | F |
| 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 |
710 S BROADWAY SUITE 300 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-5294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376552836 | Fred K Sondheimer | Specialist | 710 S Broadway, Suite 203, Walnut Creek, CA 94596-5294 | 2006-08-05 |
| 1861009045 | Damari Simon | Behavior Technician | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2020-09-30 |
| 1932716115 | Isabella Blumin | Behavior Technician | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2020-09-30 |
| 1174176937 | Tina Kay Chov | Pharmacist | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2019-07-22 |
| 1124681077 | Nicole Alexandra Torres | Behavior Technician | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2019-04-17 |
| 1508333618 | Jessica Bergstrom | Psychologist | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2018-10-26 |
| 1710463518 | Andrea Secoquian Williams | Behavioral Analyst | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2018-07-14 |
| 1700375599 | Miriam Walter | Psychologist | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2018-05-07 |
| 1134670615 | Amy Beth Cohen | Psychologist | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2016-10-19 |
| 1093168312 | Kaiser Permanente | Health Maintenance Organization | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2016-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154778827 | Stephen Edward Gigliotti | Counselor | 420 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2016-05-23 |
| 1366817710 | Danielle Doedens | Counselor | 800 S Broadway Ste 310, Walnut Creek, CA 94596-5218 | 2015-12-10 |
| 1487054748 | Kathleen Malone | Counselor | 120 La Casa Via Ste 210, Walnut Creek, CA 94598-3007 | 2014-08-23 |
| 1124427711 | Donald Preson Elium | Counselor | 2168 Norris Rd, Walnut Creek, CA 94596-5839 | 2014-08-19 |
| 1225463029 | Maria Rheba Estante | Counselor | 420 N Wiget Ln Bldg 2, Walnut Creek, CA 94598-2408 | 2013-09-11 |
| 1932479987 | Emily Linaman | Counselor | 38 Quail Ct Ste 100, Walnut Creek, CA 94596-8726 | 2012-01-09 |
| 1497984751 | Richard Sorrentino | Counselor | 1310 Alma Ave, Ste 417, Walnut Creek, CA 94596-5044 | 2009-07-08 |
| 1902054794 | Bonnie Susan Landfield | Counselor | 1445 Quail View Cir, Walnut Creek, CA 94597-2267 | 2008-09-04 |
| 1477716298 | Rosy Garcia | Counselor | 1200 Mt Diablo Blvd Ste 312, Walnut Creek, CA 94596-4854 | 2008-07-02 |
| 1073707451 | Alicia Maris Grefenson | Counselor | 2970 Camino Diablo Fl 3, Walnut Creek, CA 94597-4001 | 2007-08-29 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
Please comment or provide details below to improve the information on MRS. NARDINE AZAB.
| 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.