JOHN BOREN HALLETT (NPI# 1619436995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619436995 |
| Entity Type | Individual |
| Full Name | JOHN BOREN HALLETT |
| Practice Address |
4860 Y St Ste 2500 Sacramento CA 95817-2307 |
| Practice Telephone | 9167346978 |
| Practice Fax Number | 9167346666 |
| Mailing Telephone | 9167346978 |
| Mailing Fax Number | 9167346666 |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2019-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417931809 | John William Hallett Jr. | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2005-11-30 |
| Street Address |
4860 Y ST STE 2500 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356324974 | Lois Elaine Waetjen | Obstetrics & Gynecology | 4860 Y St Ste 2500, Sacramento, CA 95817-2307 | 2005-11-29 |
| 1124655188 | Abigail Kaye | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 2500, Sacramento, CA 95817-2307 | 2020-03-26 |
| 1760019210 | Catherine Kelsall Dodson | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 2500, Sacramento, CA 95817-2307 | 2020-03-25 |
| 1538796826 | Katherine Clair Ammons Van Deventer | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 2500, Sacramento, CA 95817-2307 | 2020-03-25 |
| 1306473160 | Sarah Katherine Pfeil | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 2500, Sacramento, CA 95817-2307 | 2020-03-23 |
| 1417583550 | Elizabeth Meena Shirazi | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 2500, Sacramento, CA 95817-2307 | 2020-03-20 |
| 1376003848 | Taylor C Howard | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 2500, Sacramento, CA 95817-2307 | 2019-03-21 |
| 1669931887 | Katherine Sue Bates | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 2500, Sacramento, CA 95817-2307 | 2019-03-18 |
| 1205395423 | Roxana Mohhebali | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 2500, Sacramento, CA 95817-2307 | 2019-03-18 |
| 1508325770 | Britta Kathleen Stjern | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 2500, Sacramento, CA 95817-2307 | 2019-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| 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 |
|---|---|---|---|---|
| 1629676820 | Laraine K Koen | Student in an Organized Health Care Education/Training Program | 123 Brookshire Lane, Sacramento, CA 95820 | 2020-10-12 |
| 1811504533 | Joanna Ortega | Student in an Organized Health Care Education/Training Program | 3956 2nd Ave Unit C, Sacramento, CA 95817-3006 | 2020-09-27 |
| 1922615632 | Joshua Bloomstein | Student in an Organized Health Care Education/Training Program | 4610 X St # 6, Sacramento, CA 95817-2200 | 2020-09-26 |
| 1528674892 | Ariela Mascarinas | Student in an Organized Health Care Education/Training Program | 5131 Andrea Blvd Apt 27, Sacramento, CA 95842-2512 | 2020-09-21 |
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1053921569 | Asha Rachel Ellman-kassing | Student in an Organized Health Care Education/Training Program | 3053 Freeport Blvd # 427, Sacramento, CA 95818-4346 | 2020-08-10 |
| 1972113066 | Keely Rodriguez | Student in an Organized Health Care Education/Training Program | 18 Outer Banks Pl, Sacramento, CA 95835-2469 | 2020-08-04 |
| 1639788425 | Duy Nguyen | Student in an Organized Health Care Education/Training Program | 4101 Innovator Dr Apt 626, Sacramento, CA 95834-3861 | 2020-07-28 |
| 1023626314 | Veronica Gabriella Garcia Spandler | Student in an Organized Health Care Education/Training Program | 1510 16th St Apt 513, Sacramento, CA 95814-6041 | 2020-07-22 |
| 1235755620 | Hannah Greeley | Student in an Organized Health Care Education/Training Program | 4851 Kokomo Dr Apt 7523, Sacramento, CA 95835-1846 | 2020-06-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.