KEATON WILLIAM COOLEY-RIEDERS (NPI# 1508491630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508491630 |
| Entity Type | Individual |
| Full Name | KEATON WILLIAM COOLEY-RIEDERS |
| Practice Address |
1001 Health Sciences Rd Irvine CA 92617-3054 |
| Mailing Address |
1906 Clay St Newport Beach CA 92663-5341 |
| Practice Telephone | 9498246119 |
| Mailing Telephone | 5304480395 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
95049043 | CA | Nursing Service Providers |
| Street Address |
1001 HEALTH SCIENCES RD |
| City | IRVINE |
| State | CA |
| Zip Code | 92617-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164878534 | Sadaf Sareshwala | Family Medicine | 1001 Health Sciences Rd, Irvine, CA 92697-3054 | 2016-05-04 |
| 1346861457 | Lydia Romanovna Kirillova | Student in an Organized Health Care Education/Training Program | 1001 Health Sciences Rd, Irvine, CA 92617-3054 | 2020-04-29 |
| 1003444969 | Danielle Zezoff | Student in an Organized Health Care Education/Training Program | 1001 Health Sciences Rd, Irvine, CA 92617-3054 | 2020-03-27 |
| 1538793302 | Emily Frisch | Student in an Organized Health Care Education/Training Program | 1001 Health Sciences Rd, Irvine, CA 92617-3054 | 2020-03-02 |
| 1528692449 | Katherine Moran | Student in an Organized Health Care Education/Training Program | 1001 Health Sciences Rd, Irvine, CA 92617-3054 | 2020-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547260 | Christopher Michael Amato | Physical Therapist | 69313 Verano Place, Irvine, CA 92617 | 2017-09-09 |
| 1790333227 | Discovery Genomics, Inc. | Clinical Medical Laboratory | 130 Theory Ste 150, Irvine, CA 92617-3028 | 2019-08-28 |
| 1164913539 | Mohammad Riazi Esfahani | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2018-05-22 |
| 1699126425 | Aman Mittal | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2016-06-22 |
| 1346501137 | Kevin Jwo | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2012-06-07 |
| 1841550217 | Sean Tsao | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2012-05-20 |
| 1205153939 | Ken Lin | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2010-04-20 |
| 1285646398 | Robert Wade Crow | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2006-08-13 |
| 1780863134 | Carmen Lillian Arriola | Family Medicine | 5201 California Ave, Suite 100, Irvine, CA 92617-3096 | 2007-11-01 |
| 1376998732 | Janet Solis | Family Medicine | 307 Verano Pl, Irvine, CA 92617-3107 | 2016-05-04 |
| Find all providers in zip 92617 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252656 | Jia Ni Liu Arreola | Registered Nurse | 812 Prosperity St, Mountain House, CA 95391-1112 | 2020-10-11 |
| 1861009441 | Rona Juszczyk | Registered Nurse | 672 42nd St, Oakland, CA 94609-2339 | 2020-09-28 |
| 1851908354 | Julia Renee Schmidt | Registered Nurse | 236 Valle Vista Dr, Danville, CA 94526-1653 | 2020-09-28 |
| 1477160232 | Betsy Braley | Registered Nurse | 9 Messenger Ct, Chico, CA 95973-7733 | 2020-09-25 |
| 1578177630 | Wilbert Tirtadinata | Registered Nurse | 1947 35th Ave, San Francisco, CA 94116-1111 | 2020-09-04 |
| 1225640261 | Yuko Murakami | Registered Nurse | 1528 Hampshire St, San Francisco, CA 94110-4827 | 2020-08-20 |
| 1760094015 | Hadia Abdelgawad | Registered Nurse | 3001 Pruneridge Ave, Santa Clara, CA 95051-5611 | 2020-08-18 |
| 1821600420 | Hiram Great Diaz Diaz | Registered Nurse | 7916 E Woodsboro Ave, Anaheim, CA 92807-2435 | 2020-08-17 |
| 1972114650 | Gregory James Markman | Registered Nurse | 2181 Trafalgar Pl, Oakland, CA 94611-3245 | 2020-08-14 |
| 1346850120 | Phuong Dung Thi Do | Registered Nurse | 4855 Ariva Way Apt 127, San Diego, CA 92123-2184 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.