BUSHRA JAWAID (NPI# 1427383850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427383850 |
| Entity Type | Individual |
| Full Name | BUSHRA JAWAID |
| Credential | M.D. |
| Practice Address |
200 Cottage Ave Ste 103 Manteca CA 95336-4935 |
| Mailing Address |
3661 Country Club Ter Danville CA 94506-6064 |
| Practice Telephone | 2096245800 |
| Mailing Telephone | 6507874617 |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2013-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
A107456 | CA | Ambulatory Health Care Facilities |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
200 COTTAGE AVE STE 103 |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-4935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346410289 | Gina T Nguyen-magdael | Nurse Practitioner | 200 Cottage Ave Ste 103, Manteca, CA 95336-4935 | 2008-03-06 |
| 1457621922 | Community Medical Centers, Inc. | Clinic/Center | 200 Cottage Ave Ste 103, Manteca, CA 95336-4935 | 2011-12-30 |
| 1285912956 | Community Medical Centers, Inc. | Clinic/Center | 200 Cottage Ave Ste 103, Manteca, CA 95336-4935 | 2011-07-29 |
| 1710211214 | Community Medical Centers, Inc | Clinic/Center | 200 Cottage Ave Ste 103, Manteca, CA 95336-4935 | 2009-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| Find all providers in zip 95336 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477020121 | Golden Valley Health Center | Clinic/Center | 302 Northgate Dr, Manteca, CA 95336-3139 | 2018-10-31 |
| 1679013726 | Golden Valley Health Center | Clinic/Center | 250 Northgate Dr, Manteca, CA 95336-3161 | 2017-03-07 |
| 1457621922 | Community Medical Centers, Inc. | Clinic/Center | 200 Cottage Ave Ste 103, Manteca, CA 95336-4935 | 2011-12-30 |
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| Find all providers with the same taxonomy | ||||
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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.