MAILE CONCOLINO MATIER (NPI# 1497851653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497851653 |
Entity Type | Individual |
Full Name | MAILE CONCOLINO MATIER |
Credential | F.N.P. |
Practice Address |
2222 Bancroft Ext # 4300 Berkeley CA 94720-4300 |
Mailing Address |
101 Dale Ave Piedmont CA 94610-1013 |
Practice Telephone | 5106439134 |
Practice Fax Number | 5106423520 |
Mailing Telephone | 5106523217 |
Enumeration Date | 2006-09-15 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3183 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2222 BANCROFT EXT # 4300 |
City | BERKELEY |
State | CA |
Zip Code | 94720-4300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801921218 | Harris Avery Masket | Internal Medicine | 2222 Bancroft Ext # 4300, Berkeley, CA 94720-4300 | 2007-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
Find all providers in zip 94720 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861967622 | Liliana Teves Sierra | Nurse Practitioner | 837 Addison St, Berkeley, CA 94710 | 2018-10-09 |
1295210995 | Brian Christopher Vassalo | Nurse Practitioner | 1528 Woolsey St Apt D, Berkeley, CA 94703-2353 | 2018-09-27 |
1942710140 | Laila Rania Tannura | Nurse Practitioner | 837 Addison St., Berkeley, CA 94710 | 2017-10-03 |
1275063323 | Alice Mak | Nurse Practitioner | 3154 College Ave Apt 2, Berkeley, CA 94705-2747 | 2017-06-12 |
1174996839 | Niccole Blanchet | Nurse Practitioner | 3095 Telegraph Ave, Berkeley, CA 94705-2035 | 2015-11-03 |
1497996953 | Tamra Leigh Groode | Nurse Practitioner | 2701 Martin Luther King Jr Way, Berkeley, CA 94703-2165 | 2009-03-13 |
1306066576 | Gretchen Leslie Meyer | Nurse Practitioner | 2016 Delaware St # A, Berkeley, CA 94709-2122 | 2007-04-27 |
1285765313 | Mythilla Karunaratne | Nurse Practitioner | 2999 Regent St Ste 425, Berkeley, CA 94705-2119 | 2007-03-08 |
1144358532 | Pam Elizabeth Cameron | Nurse Practitioner | University Health Servcices 2222 Bancroft Way, Berkeley, CA 94720-4300 | 2007-02-28 |
1366083545 | Jamba Dolkar Tenzing | Nurse Practitioner | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2019-09-30 |
Find all providers in BERKELEY |
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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.