MERCEDES V. CHARLES (NPI# 1477047462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477047462 |
| Entity Type | Individual |
| Full Name | MERCEDES V. CHARLES |
| Practice Address |
2500 Alhambra Avenue Martinez CA 94553 |
| Mailing Address |
2500 Alhambra Ave Martinez CA 94553-3156 |
| Practice Telephone | 9253705117 |
| Mailing Telephone | 9253705117 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2500 ALHAMBRA AVENUE |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922088467 | Robert Pollard | Family Medicine | 2500 Alhambra Avenue, Attn: Dr. Pollard, Martinez, CA 94553 | 2006-01-19 |
| 1295229441 | Skender Sayed Najibi | Student in an Organized Health Care Education/Training Program | 2500 Alhambra Avenue, Martinez, CA 94553 | 2018-06-20 |
| 1275662736 | Elliott Steven Dushkin | Dentist | 2500 Alhambra Avenue, Contra Costa County Regional Health Center, Martinez, CA 94553-3191 | 2007-03-02 |
| 1881754752 | Deborah Strych | Family Medicine | 2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers, Martinez, CA 94553-3156 | 2006-12-11 |
| 1821157959 | Christina Berger | Nurse Practitioner | 2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers, Martinez, CA 94553-3156 | 2006-12-06 |
| 1962572867 | Ogo Mbanugo | Obstetrics & Gynecology | 2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers, Martinez, CA 94553-3156 | 2006-11-08 |
| 1679643589 | James Carpenter | Pediatrics | 2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers, Martinez, CA 94553-3156 | 2006-11-08 |
| 1023188935 | Pradeep Kumar | Psychiatry & Neurology | 2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers, Martinez, CA 94553-3156 | 2006-11-08 |
| 1801966718 | Daniel Lively | Internal Medicine | 2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers, Martinez, CA 94553-3156 | 2006-11-08 |
| 1396820379 | Thomas Joseph Smith | Family Medicine | 2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers, Martinez, CA 94553-3156 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946804 | Michael Lee Taylor | Student in an Organized Health Care Education/Training Program | 1411 Ridgewood Dr, Martinez, CA 94553-4221 | 2020-06-09 |
| 1225514755 | Helena Lucas Frischtak | Student in an Organized Health Care Education/Training Program | 2500 Alhambra Ave Ofc, Martinez, CA 94553-3156 | 2018-07-18 |
| 1568996452 | Tony Joseph Zahner | Student in an Organized Health Care Education/Training Program | 115 De Normandie Way, Martinez, CA 94553-3006 | 2017-04-18 |
| 1629519376 | Chizara Ahuama-jonas | Student in an Organized Health Care Education/Training Program | 407 Bloedel Reserve Way, Apt 203, Martinez, GA 30907-7352 | 2017-03-14 |
| 1821459777 | Jason Hobbs | Student in an Organized Health Care Education/Training Program | 606 High Hampton Dr, Martinez, GA 30907-9151 | 2016-03-18 |
| 1134511546 | Brian Lee Sellers | Student in an Organized Health Care Education/Training Program | 3246 Riverstone Dr, Martinez, GA 30907-9291 | 2015-02-22 |
| 1982213161 | Radha Sampley | Student in an Organized Health Care Education/Training Program | 200 Muir Rd, Martinez, CA 94553-4614 | 2020-07-23 |
| 1306464763 | Isabel Arellano Cuervo | Student in an Organized Health Care Education/Training Program | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2020-07-11 |
| 1154948925 | Kyra Ray | Student in an Organized Health Care Education/Training Program | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2020-06-28 |
| 1346866589 | Nery Magdalena Guerrero | Student in an Organized Health Care Education/Training Program | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2020-06-23 |
| Find all providers in MARTINEZ | ||||
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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.