DR. JERRY AUGUSTINE DIREGOLO (NPI# 1427110816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427110816 |
| Entity Type | Individual |
| Full Name | DR. JERRY AUGUSTINE DIREGOLO |
| Other Name | DR. JEROLD AUGUSTINE DIREGOLO |
| Credential | PHD |
| Practice Address |
1600 Eureka Rd Roseville CA 95661-3027 |
| Practice Telephone | 9167717610 |
| Practice Fax Number | 9167717650 |
| Mailing Telephone | 9167717610 |
| Mailing Fax Number | 9167717650 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PSY4274 | CA | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY4274 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1600 EUREKA RD |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851393524 | Lianna Marie Edwards | Nurse Practitioner | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2005-08-12 |
| 1659983138 | Armaan Sahota | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-08-17 |
| 1356953970 | Jenny Ear | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-08-17 |
| 1447868773 | Courtney L Kerstetter | Physical Therapist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-07-22 |
| 1982221321 | Diane Leszczynski | Dietitian, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-07-01 |
| 1114554409 | Ascension Thiele-ruiz | Registered Nurse | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-03-25 |
| 1184264582 | Amandeep Singh Raikhy | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-01-14 |
| 1508405481 | Mung Huynh | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-12-25 |
| 1063059319 | Cecille Truong | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-12-05 |
| 1952943748 | Kayli Scanlon | Dietitian, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205287885 | Layla Asamarai | Psychologist | 1611 County Road B W Ste 218, Roseville, MN 55113-4053 | 2016-06-25 |
| 1578939658 | Patricia L. Bach, Psyd, Inc., A Psychological Corporation | Psychologist | 300 Harding Blvd Ste 203k, Roseville, CA 95678-2474 | 2015-08-12 |
| 1760815229 | Tamarind P Knutson, LLC | Psychologist | 2579 Hamline Ave N Ste D, Roseville, MN 55113-3187 | 2013-08-19 |
| 1699021766 | Jazmine Mccoy | Psychologist | 8775 Sierra College Blvd Ste 250, Roseville, CA 95661-5986 | 2012-07-26 |
| 1437393287 | Kelly & Nguyen-kelly Psychological and Consulting Services, LLC | Psychologist | 1315 Larpenteur Ave W, Suite I, Roseville, MN 55113-6323 | 2009-04-23 |
| 1508087909 | Nicole Solomon | Psychologist | 1660 E Roseville Pkwy Ste 160, Roseville, CA 95661-3988 | 2007-05-01 |
| 1427273507 | Randy Allan Gilchrist I | Psychologist | 1899 E Roseville Pkwy Ste 100, Roseville, CA 95661-7980 | 2007-04-16 |
| 1033246137 | Heather Jane Forde | Psychologist | 970 Reserve Dr Ste 205, Roseville, CA 95678-1378 | 2007-02-27 |
| 1023159191 | Michael A. Molyn | Psychologist | Valley Psychological Center, 1891 E. Roseville Parkway, Suite 100, Roseville, CA 95661 | 2007-02-09 |
| 1427197540 | Travis H Owens | Psychologist | 1891 East Roseville Parkway, Suite 100, Roseville, CT 95661-7979 | 2007-02-05 |
| Find all providers in ROSEVILLE | ||||
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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.