BROOKE LYNN MERRIN (NPI# 1497121776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497121776 |
| Entity Type | Individual |
| Full Name | BROOKE LYNN MERRIN |
| Credential | P.A. |
| Practice Address |
3912 Rivermark Plz Santa Clara CA 95054-4155 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 8009725547 |
| Mailing Telephone | 8009725547 |
| Mailing Fax Number | 3309653790 |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 54138 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 685 Coleman Ave, San Jose, CA 951102000 | 8009725547 | 3309653790 |
| Street Address |
3912 RIVERMARK PLZ |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95054-4155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942734777 | Melissa Skalski | Registered Nurse | 3912 Rivermark Plz, Santa Clara, CA 95054-4155 | 2017-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629621552 | Pushpa Bhandari | Behavior Technician | 3170 De Lacruz Blvd, Suite 107, Santa Clara, CA 95054 | 2019-07-19 |
| 1275001679 | Janet Johnston-tyler | Counselor | 4655 Old Ironsides Dr., Suite 170, Santa Clara, CA 95054 | 2018-11-05 |
| 1184106643 | Sunshine Acupuncture & Healthcare | Acupuncturist | 3350 Scott Blvd., #28-2, Santa Clara, CA 95054 | 2018-08-31 |
| 1538654496 | Molly Delaney | Speech-Language Pathologist | 4701 Patrick Henry Dr., Bldg 23 Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1255826111 | Jordan Moore | Speech-Language Pathologist | 4701 Patrick Henry Dr., Bldg 23, Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1073008934 | Tanya Guerrero | Speech-Language Pathologist | 4701 Patrick Henry Drive., Bldg 23, Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1366931305 | Jacqueline Genna | Speech-Language Pathologist | 4701 Patrick Henry Drive, Bldg 23 Suite D, Santa Clara, CA 95054 | 2018-05-04 |
| 1386131886 | Angel Raynetta Stevens | Behavior Technician | 3170 Dela Cruz Blvd., Ste 107, Santa Clara, CA 95054 | 2018-04-19 |
| 1528567468 | Ledia Mati | Chiropractor | 3700 Thomas Rd Ste 207, Santa Clara, CA 95054 | 2018-02-06 |
| 1982133310 | Hien Tue Nguyen | Pharmacist | 3970 Rivermark Plaza, Santa Clara, CA 95054 | 2017-06-08 |
| Find all providers in zip 95054 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552987 | Katherine Tran | Physician Assistant | 3777 Inglewood Dr, Santa Clara, CA 95054-2139 | 2020-09-10 |
| 1376158907 | Madeleine Ma | Physician Assistant | 1825 Civic Center Dr Ste 25, Santa Clara, CA 95050-7302 | 2020-09-10 |
| 1235647298 | Alicia-jay Justo Esposo | Physician Assistant | 4699 Snead Dr, Santa Clara, CA 95054-1651 | 2018-01-11 |
| 1467965806 | Safieh Z. Saib | Physician Assistant | 1795 Catherine St, Santa Clara, CA 95050-4627 | 2017-11-07 |
| 1770998445 | Joanne Marie D Gloria | Physician Assistant | 814 Maryann Dr Apt 6, Santa Clara, CA 95050-5057 | 2014-06-21 |
| 1881819548 | Lisa Cunanan Yepez | Physician Assistant | 700 Lawrence Expy Dept 212, Santa Clara, CA 95051-5173 | 2007-04-16 |
| 1588729115 | Mike - Baker | Physician Assistant | 900 Kiely Blvd Building D, Santa Clara, CA 95051-5386 | 2006-12-26 |
| 1164089371 | Nicola Joan Juri | Physician Assistant | 900 Lafayette St Ste 105, Santa Clara, CA 95050-4966 | 2019-05-22 |
| 1053881748 | Melanie Lau | Physician Assistant | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2018-11-26 |
| 1356819874 | Eric D Nguyen | Physician Assistant | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2018-11-02 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95054 |
Please comment or provide details below to improve the information on BROOKE LYNN MERRIN.
| 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.