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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
2116 Broadway, Oakland, CA 946122310 | 5108994100 |
Street Address |
1266 14TH ST |
City | OAKLAND |
State | CA |
Zip Code | 94607-2205 |
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 |
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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 Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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] |
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 |
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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.