KALISSA MARIE CAMPBELL (NPI# 1639643554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639643554 |
| Entity Type | Individual |
| Full Name | KALISSA MARIE CAMPBELL |
| Other Name | KALISSA MARIE BANDINI |
| Practice Address |
931 San Bruno Ave W Rm 2 San Bruno CA 94066-3435 |
| Mailing Address |
1175 Park Pl Apt 229 San Mateo CA 94403-1584 |
| Practice Telephone | 4156813211 |
| Mailing Telephone | 7752337019 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | CA | Other Service Providers |
| Street Address |
931 SAN BRUNO AVE W RM 2 |
| City | SAN BRUNO |
| State | CA |
| Zip Code | 94066-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710471214 | Jason Chug | Counselor | 931 San Bruno Ave W Rm 2, San Bruno, CA 94066-3435 | 2018-06-18 |
| 1992289912 | Kristina Marie Becker | Counselor | 931 San Bruno Ave W Rm 2, San Bruno, CA 94066-3435 | 2018-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392468 | Harold Relosimon | Behavior Technician | 901 Sneath Lane, Suite 105, San Bruno, Ca 94066, San Bruno, CA 94066 | 2019-12-09 |
| 1093365926 | Liana Greene | Behavior Technician | 1001 Sneath Lane #200, San Bruno, CA 94066 | 2019-09-12 |
| 1568018406 | Susan Page Gadegone | Community Health Worker | 931 San Bruno West Avenue Suite 2, San Bruno, CA 94066 | 2019-08-15 |
| 1184198780 | Sonya Oey Kramer | Pharmacist | 10 Bayhill Drive, San Bruno, CA 94066 | 2019-01-16 |
| 1316410350 | Brennen Marques Mcdowell | Behavioral Analyst | 101 Sneath Lane Ste. 200, 200, San Bruno, CA 94066 | 2019-01-02 |
| 1306317649 | Jacqueline R Lalucis | Behavior Technician | 751 Camino Plaza, San Bruno, Ca 94066, A, San Bruno, CA 94066 | 2018-12-16 |
| 1992275952 | Kenny Malunay | Behavior Technician | 75a El Camino Plaza, San Bruno, CA 94066 | 2018-12-03 |
| 1396236584 | Mariela Pena Yerena | Behavior Technician | 751 El Camino Plaza, Suite A, San Bruno, CA 94066 | 2018-05-23 |
| 1568845816 | Paula Leeanne Park | Physical Therapist | 106 Quail Point Cir, San Bruno, CA 94066 | 2015-07-06 |
| 1275921231 | C & C's Care Home | Assisted Living Facility | 2700 Oakmont Dr., San Bruno, CA 94066 | 2014-12-29 |
| Find all providers in zip 94066 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568018406 | Susan Page Gadegone | Community Health Worker | 931 San Bruno West Avenue Suite 2, San Bruno, CA 94066 | 2019-08-15 |
| 1578070876 | Elizabeth Avina | Community Health Worker | 325 Chapman Ave Apt 1, San Bruno, CA 94066-4960 | 2018-01-08 |
| 1962033191 | Marisol Aguilar | Community Health Worker | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-01-27 |
| 1710454988 | Anthony Perez | Community Health Worker | 901 Sneath Ln Ste 105, San Bruno, CA 94066-2415 | 2018-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376400 | Rosa Maria Narvaez | Community Health Worker | 1206 Valencia St Apt 9, San Francisco, CA 94110-3097 | 2020-11-06 |
| 1134720238 | Hilda Rodriguez | Community Health Worker | 397 W 53rd St, San Bernardino, CA 92407-2612 | 2020-11-04 |
| 1952902132 | Maria G Martinez | Community Health Worker | 6260 Hetty St, Fontana, CA 92336-1036 | 2020-11-04 |
| 1568063725 | Darlene My Phan | Community Health Worker | 661 Clearwater Creek Dr, Newbury Park, CA 91320-4976 | 2020-11-04 |
| 1477150142 | Jennifer Messer | Community Health Worker | 14344 Cajon Ave Ste 102-103, Victorville, CA 92392-4300 | 2020-10-06 |
| 1083224604 | Vilma Rizzo | Community Health Worker | 1318 Gateview Ave, San Francisco, CA 94130-1418 | 2020-08-07 |
| 1922625912 | Katriona Lorraine Reilly-amtoft | Community Health Worker | 513 Park Way, South San Francisco, CA 94080-2644 | 2020-06-25 |
| 1962024489 | Chyvonne Washington | Community Health Worker | 2000 Alameda De Las Pulgas Ste 230, San Mateo, CA 94403-7200 | 2020-05-07 |
| 1326668336 | Iris Teresa Merlos | Community Health Worker | 22046 Saticoy St, Canoga Park, CA 91303-1132 | 2020-04-20 |
| 1164055836 | Leonardo A Camacho | Community Health Worker | 154 Capp St Ste A, San Francisco, CA 94110-1210 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
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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.