MR. VINCENT THOMAS ELLIOTT (NPI# 1649249178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649249178 |
| Entity Type | Individual |
| Full Name | MR. VINCENT THOMAS ELLIOTT |
| Credential | RN, MSN |
| Practice Address |
121 Piccadilly Pl San Bruno CA 94066-2117 |
| Mailing Address |
121- H Piccadilly Place San Bruno CA 94066-2117 |
| Practice Telephone | 6509526692 |
| Mailing Telephone | 6509526692 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
RN 310069 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
121 PICCADILLY PL |
| City | SAN BRUNO |
| State | CA |
| Zip Code | 94066-2117 |
| 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 | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868403 | Ricardo Ignacio Lanza Jr. | Clinical Nurse Specialist | 11947 York Ave Apt C, Hawthorne, CA 90250-3266 | 2020-07-06 |
| 1033612965 | Jasmine Nelson | Clinical Nurse Specialist | 12240 Hesperia Rd Ste A, Victorville, CA 92395-8309 | 2018-03-16 |
| 1679962633 | Pamoja Enterprise Inc | Clinical Nurse Specialist | 3400 W Ball Rd Ste 100b, Anaheim, CA 92804-3735 | 2015-01-14 |
| 1871835223 | Gwen Faulkner | Clinical Nurse Specialist | 1356 Cloud Ave, Menlo Park, CA 94025-6048 | 2013-03-25 |
| 1811147804 | Tina Christine Dulaine | Clinical Nurse Specialist | 1750a South Lewis Rd, Camarillo, CA 93012 | 2008-09-25 |
| 1053406025 | Mary Ann Offenheiser | Clinical Nurse Specialist | 30240 Rancho Viejo Rd Ste C1, San Juan Capistrano, CA 92675-1515 | 2006-10-04 |
| 1093814592 | Diane Myers | Clinical Nurse Specialist | 1701 Andreas Estates Pl, Royal Oaks, CA 95076-9321 | 2006-09-21 |
| 1093721003 | Paula Elaine Carmona | Clinical Nurse Specialist | 5202 Cobb Pl, San Diego, CA 92117-1228 | 2006-07-31 |
| 1184257545 | Jessica Moran Family Cousneling A Professional Corporation Inc | Clinical Nurse Specialist | 330 Rancheros Dr Ste 208, San Marcos, CA 92069-2978 | 2020-02-13 |
| 1447801097 | Pamoja Advanced Nursing Practice Inc | Clinical Nurse Specialist | 3400 W Ball Rd Ste 100b, Anaheim, CA 92804-3735 | 2019-09-25 |
| 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.