MR. PETER JOSEPH FIDYK (NPI# 1467709287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467709287 |
| Entity Type | Individual |
| Full Name | MR. PETER JOSEPH FIDYK |
| Credential | RN |
| Practice Address |
2625 Zanker Rd San Jose CA 95134-2130 |
| Practice Telephone | 4082403380 |
| Practice Fax Number | 4084326225 |
| Mailing Telephone | 4082403380 |
| Mailing Fax Number | 4084326225 |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 395323 | CA | Nursing Service Providers |
| Street Address |
2625 ZANKER RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95134-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700878154 | Catholic Charities of Santa Clara County | Voluntary or Charitable | 2625 Zanker Rd, San Jose, CA 95134 | 2005-08-19 |
| 1922615244 | Rachel Nielsen | Counselor | 2625 Zanker Rd, San Jose, CA 95134-2130 | 2020-09-30 |
| 1619432556 | Alycia M. Barajas | Counselor | 2625 Zanker Rd, San Jose, CA 95134-2130 | 2019-02-05 |
| 1194296137 | Jocelyn Grace Sanchez Denardo | Counselor | 2625 Zanker Rd, San Jose, CA 95134-2130 | 2018-12-17 |
| 1033693353 | Christopher Castro | Counselor | 2625 Zanker Rd, San Jose, CA 95134 | 2018-09-21 |
| 1164903662 | Weini Y Tesfay | Social Worker | 2625 Zanker Rd, San Jose, CA 95134-2130 | 2018-08-23 |
| 1407336357 | Linda Christine Subia-stovich | Counselor | 2625 Zanker Rd, San Jose, CA 95134-2130 | 2018-08-20 |
| 1497233431 | Monica Alexandra Bravo | Case Manager/Care Coordinator | 2625 Zanker Rd, San Jose, CA 95134-2130 | 2018-08-01 |
| 1154814788 | David Lee | Social Worker | 2625 Zanker Rd, San Jose, CA 95134-2130 | 2018-06-08 |
| 1124519137 | Angel Louise Williams | Social Worker | 2625 Zanker Rd, San Jose, CA 95134-2130 | 2018-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013433945 | Jessica Roberson | Speech-Language Pathologist | 330 Crescent Village Circle, San Jose, CA 95134 | 2017-08-22 |
| 1407221948 | Bay Area Behavioral Group | Community/Behavioral Health | 4423 Fortran Court, #136, San Jose, CA 95134 | 2015-12-09 |
| 1891114500 | Adriane Jones | Occupational Therapist | 640 Epic Way, Apartment #271, San Jose, CA 95134 | 2014-04-09 |
| 1255758165 | Adam Moreno | Counselor | 2625 Zanker Rd., San Jose, CA 95134 | 2014-03-28 |
| 1972938801 | Claudine Lott | Family Medicine | 145 Nicholson Ln, San Jose, CA 95134 | 2013-09-11 |
| 1659611556 | 360 Degree Customer Inc | Early Intervention Provider Agency | 4423 Fortran Drive, # 114, San Jose, CA 95134 | 2013-03-01 |
| 1629392022 | Harrison James Kornfield | Surgery | 455 Navaro Way, #108, San Jose, CA 95134 | 2010-03-15 |
| 1538348008 | Roxanne F Ubana | Counselor | 4423 Fortran Ct Ste 136, San Jose, CA 95134 | 2007-10-31 |
| 1538351044 | William Lopez Robles | Counselor | 2625 Zanker Road, San Jose, CA 95134 | 2007-08-17 |
| 1881717296 | Chloe Chu | Dentist | 3720 N. First Street, Suite C, San Jose, CA 95134 | 2007-04-09 |
| Find all providers in zip 95134 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991202 | Judy Muriuki | Registered Nurse | 361 Daisy Dr, San Jose, CA 95123-4438 | 2020-10-27 |
| 1053923466 | Bambie M Javier | Registered Nurse | 728 S Jackson Ave, San Jose, CA 95116-3626 | 2020-08-18 |
| 1669082129 | Alex Trinh | Registered Nurse | 1044 Wilsham Dr, San Jose, CA 95132-2959 | 2020-08-08 |
| 1679182927 | Jieun Lee | Registered Nurse | 660 N Capitol Ave, San Jose, CA 95133-1905 | 2020-07-23 |
| 1154939841 | Ngan Kim Vo | Registered Nurse | 858 Gateview Ct, San Jose, CA 95133 | 2020-07-19 |
| 1689203127 | Thuc Doan Da Nguyen | Registered Nurse | 2080 Alum Rock Ave Apt 224, San Jose, CA 95116-2012 | 2020-04-06 |
| 1124654611 | Michelle Lee | Registered Nurse | 1919 Fruitdale Ave Apt I8, San Jose, CA 95128-4931 | 2020-03-17 |
| 1538713045 | Sairo Mel Sanchez Gulde | Registered Nurse | 1696 Pala Ranch Cir, San Jose, CA 95133-0900 | 2019-08-01 |
| 1376033324 | Julie Gerseth | Registered Nurse | 1901 Monterey Hwy Ste 10, San Jose, CA 95112-6126 | 2018-05-15 |
| 1053819961 | Geraldin Romis | Registered Nurse | 2539 Glen Kew Ct, San Jose, CA 95148-4131 | 2018-01-25 |
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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.