LUCAS MICHAEL GARRISON


Address: 1266 14th St, Oakland, CA 94607-2205
Phone: 5102734700

LUCAS MICHAEL GARRISON (NPI# 1528557378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528557378
Entity Type Individual
Full Name LUCAS MICHAEL GARRISON
Practice Address 1266 14th St
Oakland
CA 94607-2205
Mailing Address 1122 University Ave
Berkeley
CA 94702-1699
Practice Telephone 5102734700
Mailing Telephone 3098683809
Enumeration Date 2018-05-08
Last Update Date 2019-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041S0200X Social Worker
Specialization: School
CA Behavioral Health & Social Service Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
2116 Broadway, Oakland, CA 946122310 5108994100

Office Location

Street Address 1266 14TH ST
City OAKLAND
State CA
Zip Code 94607-2205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831281468 Stephanie Annlee Plahn Marriage & Family Therapist 1266 14th St, Oakland, CA 94607-2205 2006-09-29
1588262802 Avani Mody Student in an Organized Health Care Education/Training Program 1266 14th St, Oakland, CA 94607-2247 2020-10-09
1427665173 Kara Ory Student in an Organized Health Care Education/Training Program 1266 14th St, Oakland, CA 94607-2247 2020-09-27
1952912735 Samantha Amaya-mejia Student in an Organized Health Care Education/Training Program 1266 14th St, Oakland, CA 94607-2247 2020-08-13
1538778469 Purevsuren Basanjav Student in an Organized Health Care Education/Training Program 1266 14th St, Oakland, CA 94607-2247 2020-07-27
1780292144 Julia Andrea Vielma Student in an Organized Health Care Education/Training Program 1266 14th St, Oakland, CA 94607-2247 2020-07-21
1790393668 Tansy Aubrey Stark Student in an Organized Health Care Education/Training Program 1266 14th St, Oakland, CA 94607-2247 2020-07-16
1831717685 Justin Nguyen Student in an Organized Health Care Education/Training Program 1266 14th St, Oakland, CA 94607-2247 2020-07-08
1245857473 Ernest Dean Craven-neeley Student in an Organized Health Care Education/Training Program 1266 14th St, Oakland, CA 94607-2247 2020-07-04
1710511977 Charlene Smalls Counselor 1266 14th St, Oakland, CA 94607-2247 2020-02-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851990832 Casey Domine Nurse Practitioner 1750 10th St., Apt. A, Oakland, CA 94607 2020-10-21
1992303226 Sonia Maria Sui Ying Poon Harris Pharmacist 388 9th Street Ste 108, Oakland, CA 94607 2020-10-09
1962029595 Yuan Yan Student in an Organized Health Care Education/Training Program 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 2020-06-30
1093339962 Alameda County Probation Department Case Manager/Care Coordinator 1111 Jackson St., Oakland, CA 94607 2020-06-05
1053947812 Deanna Karraa Registered Nurse 1111 Jackson 6th Floor, Oakland, CA 94607 2020-03-12
1952942575 Roots Community Health Center Family Medicine 583 5th St Ste A, Oakland, CA 94607 2019-10-04
1568927994 Lynsey Scott Counselor Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 2019-02-11
1366930182 Options Recovery Services Community/Behavioral Health 614 Alice St, Oakland, CA 94607 2018-04-26
1255845640 Adrienne My-tram Nguyen, Dds - Inc Dentist 475 8th Street, Oakland, CA 94607 2017-11-22
1912422528 Maria H Cho Registered Nurse 2511 Market St, Oakland, CA 94607 2017-08-04
Find all providers in zip 94607

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750988762 Mohini Gadre Student in an Organized Health Care Education/Training Program Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 2020-10-02
1063028454 Abduljabbar Alhammoud Student in an Organized Health Care Education/Training Program Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 2020-09-21
1316553290 Yohannes Fesseha Gebrehiwet Student in an Organized Health Care Education/Training Program 2221 9th Ave, Oakland, CA 94606-2613 2020-09-16
1700490729 Briauna J Taylor Student in an Organized Health Care Education/Training Program 1638 47th Ave, Oakland, CA 94601-5273 2020-09-08
1578174116 Jenae Monasterial Student in an Organized Health Care Education/Training Program 1722 Clemens Rd, Oakland, CA 94602-1802 2020-08-16
1205447299 Brendan Mulligan Student in an Organized Health Care Education/Training Program 530 24th St Apt 202, Oakland, CA 94612-1723 2020-08-12
1962029595 Yuan Yan Student in an Organized Health Care Education/Training Program 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 2020-06-30
1043836778 Ali Khavari Student in an Organized Health Care Education/Training Program 450 30th St Ste 2860, Oakland, CA 94609-3302 2020-06-18
1952925208 Melodee Edith Au Student in an Organized Health Care Education/Training Program 2445 Telegraph Ave Apt 305, Oakland, CA 94612-2426 2020-06-02
1871116913 Stew Ellington Student in an Organized Health Care Education/Training Program 420 Avon St, Oakland, CA 94618-1024 2020-05-23
Find all providers in OAKLAND

Competitor

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City OAKLAND
Zip Code 94607

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Dataset Information

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.

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