DR. LARA CYNDEYRN FERGUSON (NPI# 1538178207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538178207 |
| Entity Type | Individual |
| Full Name | DR. LARA CYNDEYRN FERGUSON |
| Credential | PHD |
| Practice Address |
2450 Peralta Blvd Suite 106 Fremont CA 94536-3823 |
| Practice Telephone | 5107918373 |
| Practice Fax Number | 6503631513 |
| Mailing Telephone | 5107918373 |
| Mailing Fax Number | 6503631513 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY6244 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2450 PERALTA BLVD SUITE 106 |
| City | FREMONT |
| State | CA |
| Zip Code | 94536-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548286271 | Carolyn Ann Rogers | Social Worker | 2450 Peralta Blvd, Suite 212, Fremont, CA 94536-3827 | 2006-07-14 |
| 1841606241 | Stephanie Nguyen | Social Worker | 2450 Peralta Blvd, Suite 212, Fremont, CA 94536-3827 | 2014-07-07 |
| 1568531580 | Jeffrey Bromberg | Psychologist | 2450 Peralta Blvd, Suite 212, Fremont, CA 94536-3827 | 2006-11-06 |
| 1932287117 | Joann Rodrigues | Marriage & Family Therapist | 2450 Peralta Blvd, Suite 212, Fremont, CA 94536 | 2006-11-02 |
| 1457438228 | Deborah Lefferts | Marriage & Family Therapist | 2450 Peralta Blvd, Suite #212, Fremont, CA 94536 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342036 | Aria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 37179 Fremont Blvd, Fremont, CA 94536 | 2020-10-06 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
| 1972958247 | Priyanka Gwalani | Internal Medicine | 656 Mowry Ave., Fremont, CA 94536 | 2016-04-25 |
| 1700258522 | Mats Hellsten | Marriage & Family Therapist | 38950 Blacow Road, Suite D, Fremont, CA 94536 | 2015-10-21 |
| 1255727293 | Nicholas Andrew Phillips | Family Medicine | 556 Mowry Ave Ste 200, Fremont, CA 94536 | 2015-04-07 |
| 1356735120 | Anthony Chukwunonso Okereke | Pharmacist | 35829 Cabrillo Drive, Fremont, CA 94536 | 2015-03-19 |
| 1992118590 | Aaron Jake Bera | Chiropractor | 35666 Gleason Ln, Fremon, CA 94536 | 2014-06-11 |
| 1467898809 | Vijayalakshmi Natarajan | Health Educator | 4941 Roselle Cmn, Fremont, CA 94536 | 2013-05-13 |
| 1184968919 | Linda Kim | Behavioral Analyst | 3750 Tamayo St Apt 93, Fremont, CA 94536 | 2012-11-16 |
| 1346518487 | Arsen Rhoel Donesa | Dentist | 37149 Fremont Boulevard, Fremont, CA 94536 | 2011-12-04 |
| Find all providers in zip 94536 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1083163653 | Terry Soohoo | Psychologist | 40844 Mission Blvd, Fremont, CA 94539-3800 | 2016-09-23 |
| 1255776274 | Monique Thayna Nogueira | Psychologist | 46890 Rancho Higuera Rd, Fremont, CA 94539-7308 | 2013-05-03 |
| 1669744173 | Mary Larenas | Psychologist | 39198 State St, Fremont, CA 94538-1436 | 2012-01-30 |
| 1164657086 | Tsuey-jing Fan | Psychologist | 4214 Providence Ter, Fremont, CA 94538-7004 | 2009-05-21 |
| 1790947380 | Dara Goosby | Psychologist | 3340 Walnut Ave Ste 140, Fremont, CA 94538-2215 | 2008-06-25 |
| 1134318108 | Bruce Wayne Elowyn Lowe | Psychologist | 4197 Corrigan Dr, Fremont, CA 94536-5904 | 2007-10-16 |
| 1255531034 | Maureen Theresa Gatt | Psychologist | 39350 Civic Center Dr, Fremont, CA 94538-2343 | 2007-07-20 |
| 1861619710 | Karen Yeh | Psychologist | 39785 Paseo Padre Pkwy, Fremont, CA 94538-2926 | 2007-04-20 |
| 1811024748 | Tomoe Shirakawa Naoi | Psychologist | 3775 Beacon Ave Ste 224, Fremont, CA 94538-1466 | 2007-02-27 |
| Find all providers in FREMONT | ||||
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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.