JEFFREY RYAN LARSEN (NPI# 1598830655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598830655 |
| Entity Type | Individual |
| Full Name | JEFFREY RYAN LARSEN |
| Credential | HS3 |
| Practice Address |
599 Tomales Rd Petaluma CA 94952-5002 |
| Mailing Address |
2 Alta Vista Ct Apt E Novato CA 94949-6531 |
| Practice Telephone | 7077657200 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | DC | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487143772 | Jeffrey Larsen | Pharmacist | 1516 E Saint Patrick St, Rapid City, SD 57703-4136 | 2018-05-02 |
| 1720458318 | Jeffrey Coleman Larsen | Pharmacist | 1131 University Blvd Ne, Suite G, Albuquerque, NM 87102-1728 | 2015-09-25 |
| 1184937484 | Jeffrey Kent Larsen | Counselor | 2801 Camino Del Rio S, Suite 202, San Diego, CA 92108-3800 | 2010-07-15 |
| 1609062363 | Jeffrey A Larsen | Surgery | 300 Stonecrest Blvd, Suite 360, Smyrna, TN 37167-6818 | 2007-09-17 |
| 1922045053 | Jeffrey A Larsen | Nurse Anesthetist, Certified Registered | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2006-05-31 |
| Street Address |
599 TOMALES RD |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831167717 | Randall Carl Lucas | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2006-03-08 |
| 1164069480 | Eliza Zetino | Dental Assistant | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2019-12-05 |
| 1467698662 | Jami Rene Moore | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-18 |
| 1740426931 | Maureen Huber | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-18 |
| 1831334168 | Yamil N Vazquez | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952 | 2008-12-16 |
| 1740425073 | Ryan Richard Jablonowski | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-16 |
| 1417192840 | Ashton L. Atkins | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-15 |
| 1053556480 | Rachel Elaine Burton | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-15 |
| 1962647396 | Nichole Danielle Mccarthy | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-15 |
| 1407091838 | William Matthew Hilt | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023158870 | Jerry W Horner II | Technician, Other | 599 Tomale Rd, Bldg 125 Room 106, Petaluma, CA 94952 | 2007-02-08 |
| 1801965876 | Joanne C Kurek | Technician, Other | 599 Tomales Road, Petaluma, CA 94952 | 2006-11-06 |
| 1417033390 | Michael Andrew Aviles | Technician, Other | Ralph Nix Clinic, 599 Tomales Ave., Petaluma, CA 94952 | 2006-10-31 |
| 1831167717 | Randall Carl Lucas | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2006-03-08 |
| 1770992802 | Sebastian Chevrolet | Technician, Other | 3480 Bodega Ave, Petaluma, CA 94952-1604 | 2014-08-02 |
| 1699182154 | William Kendall | Technician, Other | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2014-07-16 |
| 1467698662 | Jami Rene Moore | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-18 |
| 1740426931 | Maureen Huber | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-18 |
| 1831334168 | Yamil N Vazquez | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952 | 2008-12-16 |
| 1740425073 | Ryan Richard Jablonowski | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-16 |
| Find all providers in PETALUMA | ||||
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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.