MR. DERRICK HARDY (NPI# 1477826212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477826212 |
Entity Type | Individual |
Full Name | MR. DERRICK HARDY |
Practice Address |
3819 Wild Rose Ln Stockton CA 95206 |
Practice Telephone | 2099839113 |
Mailing Telephone | 2099839113 |
Enumeration Date | 2012-02-09 |
Last Update Date | 2012-02-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | Other Service Providers |
Street Address |
3819 WILD ROSE LN |
City | STOCKTON |
State | CA |
Zip Code | 95206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760001051 | Family Support Home Care LLC | Home Health | 1872 Gordon Verner Cir, Stockton, CA 95206 | 2020-04-16 |
1003477837 | Mohit Kumar Gosai | Counselor | 2419 Ophir Street, Stockton, CA 95206 | 2019-06-24 |
1609336882 | Monica Fuentes-rodriguez | Licensed Psychiatric Technician | 7000 N Michael Canlis Blv, Stockton, CA 95206 | 2019-03-22 |
1013431972 | Esmeralda Garcia | Behavior Technician | 4508 Janell Ln, Stockton, CA 95206 | 2017-08-01 |
1437672722 | Margie Belinda Nudo Aquino | Nurse Practitioner | 3518 Cape York Ct., Stockton, CA 95206 | 2017-07-19 |
1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
1891175592 | Tracy Ford | Case Manager/Care Coordinator | 1839 S El Dorado Street, Stockton, CA 95206 | 2015-06-08 |
1053533117 | Roman Robles | Acupuncturist | 10 E Martin Luther King Jr., Stockton, CA 95206 | 2007-05-02 |
1568686830 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1117 S Grant Street, Stockton, CA 95206 | 2007-04-11 |
1013078187 | Charter Way Pharmacy | Pharmacy | 201 W Charter Wy, Stockton, CA 95206 | 2006-12-13 |
Find all providers in zip 95206 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548868979 | Yesenia Castillo | Driver | 2668 Inman Ave, Stockton, CA 95204-2649 | 2020-10-16 |
1841801636 | Sheila Renee Hill | Driver | 1931 Cedar Ridge Dr Apt 23, Stockton, CA 95207-4635 | 2020-08-14 |
1801449871 | Olalekan Monsuru Ejalonibu | Driver | 1929 Picasso Way, Stockton, CA 95206-6052 | 2019-07-18 |
1922668474 | Joyce Isabel Aguon | Driver | 1149 N El Dorado St Fl 1, Stockton, CA 95202-1305 | 2019-06-17 |
1588170617 | Judith Williams | Driver | 1149 N El Dorado St Fl 2, Stockton, CA 95202-1305 | 2017-12-27 |
1083148258 | Kandi Vargas | Driver | 1149 N. California Street, Stockton, CA 95202 | 2017-04-14 |
1275089252 | Hugo Rioshernandez | Driver | 6876 Annapolis Quay Cir, Stockton, CA 95219-3109 | 2016-08-30 |
1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
1083092480 | Margie Macale | Driver | 10955 Tramore Ln, Stockton, CA 95209-4259 | 2015-05-18 |
1891008538 | Salih Saad Albarasi | Driver | 1130 S Pilgrim St, Suite 14, Stockton, CA 95205-6929 | 2010-07-22 |
Find all providers in STOCKTON |
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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.