TAMMY DEVINCENTIS (NPI# 1609022359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609022359 |
| Entity Type | Individual |
| Full Name | TAMMY DEVINCENTIS |
| Credential | FNP |
| Practice Address |
55 E Julian St San Jose CA 95112-4007 |
| Mailing Address |
5671 Santa Teresa Blvd Ste 105 San Jose CA 95123-6512 |
| Practice Telephone | 4089182600 |
| Practice Fax Number | 4087951129 |
| Mailing Telephone | 4088421017 |
| Mailing Fax Number | 4088424186 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2011-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
17593 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
55 E JULIAN ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718678 | Hsin-pei Liu | Obstetrics & Gynecology | 55 E Julian St, San Jose, CA 95112-4007 | 2005-05-27 |
| 1194344325 | Esteban Gallegos | Student in an Organized Health Care Education/Training Program | 55 E Julian St, San Jose, CA 95112-4007 | 2020-04-08 |
| 1174157028 | Ashley Ortiz | Student in an Organized Health Care Education/Training Program | 55 E Julian St, San Jose, CA 95112-4007 | 2020-03-01 |
| 1083116214 | Victoria Lai | Dentist | 55 E Julian St, San Jose, CA 95112-4007 | 2018-03-04 |
| 1720527393 | Thu Le | Student in an Organized Health Care Education/Training Program | 55 E Julian St, San Jose, CA 95112-4007 | 2017-02-15 |
| 1245779883 | Kamille Serranzana Mercado | Student in an Organized Health Care Education/Training Program | 55 E Julian St, San Jose, CA 95112-4007 | 2017-02-15 |
| 1164880662 | Janice Lee | Student in an Organized Health Care Education/Training Program | 55 E Julian St, San Jose, CA 95112-4007 | 2016-01-29 |
| 1063830958 | Shuzing Tsung | Nurse Practitioner | 55 E Julian St, San Jose, CA 95112-4007 | 2014-03-28 |
| 1164701298 | Monika Dahiya | Dentist | 55 E Julian St, St. James Clinic, San Jose, CA 95112-4007 | 2011-08-07 |
| 1467753855 | Lily Feng | Optometrist | 55 E Julian St, San Jose, CA 95112-4007 | 2010-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720580160 | Dana Janine Schroeder | Nurse Practitioner | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2018-03-01 |
| 1477079820 | Glenys Ndaka Hunter | Nurse Practitioner | 2110 Mckee Rd, San Jose, CA 95116-1427 | 2017-08-17 |
| 1417015702 | Zheling Chen | Nurse Practitioner | 55 E Julian St, San Jose, CA 95112-4007 | 2006-12-05 |
| 1932178878 | Katherine M Contento | Nurse Practitioner | 751 S Bascom Ave, Ob/gyn Dept, San Jose, CA 95128-2604 | 2006-03-14 |
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|---|---|---|---|---|
| 1235738782 | Peninsula Healthcare Center | Nurse Practitioner | 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 | 2020-10-25 |
| 1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
| 1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
| 1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
| 1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
| 1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
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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.