SHELLEY BRUNKAN (NPI# 1508416207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508416207 |
| Entity Type | Individual |
| Full Name | SHELLEY BRUNKAN |
| Credential | PA-C |
| Practice Address |
227 Giddings Ct San Jose CA 95139-1421 |
| Practice Telephone | 4085049943 |
| Mailing Telephone | 4085049943 |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2019-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
227 GIDDINGS CT |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95139-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205234887 | Suparna R. Ashrani | Dentist | 7174 Santa Teresa Blvd., St-a-4, San Jose, CA 95139 | 2014-12-12 |
| 1265830103 | Seema Bansal | Dentist | 7174 Santa Teresa Blvd., St - A-4, San Jose, CA 95139 | 2014-12-09 |
| 1992104004 | Bahareh Bakhtiari | Dentist | 7028 Via Barranca, San Jose, CA 95139-1118 | 2014-08-14 |
| 1407297195 | Melissa Frances Belinsky | Dental Assistant | 73 Laconia Ct, San Jose, CA 95139-1230 | 2013-07-10 |
| 1306381538 | Yasaman Khadivi | Dietitian, Registered | 7378 Pegasus Way, San Jose, CA 95139-1241 | 2016-12-25 |
| 1902976525 | Cayla Renee Flowers | Specialist | 40 Cheltenham Way, San Jose, CA 95139-1263 | 2006-11-09 |
| 1770617631 | Deborah Ann Narcisso | Dental Hygienist | 7433 Tulare Hill Dr, San Jose, CA 95139-1271 | 2007-03-15 |
| 1669750089 | Sanford Skolnik | Chiropractor | 7209 Rosencrans Way, San Jose, CA 95139-1308 | 2011-08-02 |
| 1710316864 | Tiffany Diane Irving | Marriage & Family Therapist | 7052 Santa Teresa Blvd # 197, San Jose, CA 95139-1348 | 2013-11-08 |
| 1326438813 | Amalia Zacher | Special Hospital | 7160 Santa Teresa Blvd, San Jose, CA 95139-1349 | 2015-02-04 |
| Find all providers in zip 95139 | ||||
| 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 |
|---|---|---|---|---|
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1881210029 | Jeremy Nathan Birch | Physician Assistant | 1287 San Moritz Dr, San Jose, CA 95132-2754 | 2020-06-23 |
| 1609491158 | Kaitlin Aquino | Physician Assistant | 1382 Bing Dr, San Jose, CA 95129-4703 | 2020-06-10 |
| 1275152282 | Heema K Bhagat | Physician Assistant | 6967 Sessions Dr, San Jose, CA 95119-1335 | 2020-04-09 |
| 1013557925 | Kassaundra Cervantes | Physician Assistant | 2114 Mckee Rd, San Jose, CA 95116-1427 | 2020-01-08 |
| 1053960724 | Caroline Luczak | Physician Assistant | 88 E San Fernando St, San Jose, CA 95113-2535 | 2019-09-05 |
| 1336704402 | Irene Rummel | Physician Assistant | 1227 Gehrig Ave, San Jose, CA 95132-2714 | 2019-05-04 |
| 1801350749 | Brenda H.t. Nguyen | Physician Assistant | 1102 Brooks Range Lndg, San Jose, CA 95131-3803 | 2019-01-24 |
| 1477021848 | Christina Ly | Physician Assistant | 1569 Lexann Ave Ste 206, San Jose, CA 95121-1795 | 2018-11-05 |
| 1982182028 | Jennifer Yeh | Physician Assistant | 5528 Bigoak Dr, San Jose, CA 95129-3107 | 2018-07-31 |
| Find all providers in SAN JOSE | ||||
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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.