ARI MAX BACHRACH


Address: 445 Bellevue Ave Ste 101c, Oakland, CA 94610-4923
Phone: 5102697609

ARI MAX BACHRACH (NPI# 1669615985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669615985
Entity Type Individual
Full Name ARI MAX BACHRACH
Credential NP
Practice Address 445 Bellevue Ave Ste 101c
Oakland
CA 94610-4923
Practice Telephone 5102697609
Mailing Telephone 4157100992
Enumeration Date 2009-04-16
Last Update Date 2019-10-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0807X Registered Nurse
Specialization: Psych/Mental Health, Child & Adolescent
746882 CA Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
23352 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1400 Veterans Blvd Fl 4, Redwood City, CA 940632612 6502994777

Office Location

Street Address 445 BELLEVUE AVE STE 101C
City OAKLAND
State CA
Zip Code 94610-4923

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1487043758 Marshall L Gold Nurse Practitioner 286 Santa Clara Ave, Oakland, CA 94610-2624 2015-01-09
1326449778 Barbara Freiheit Nurse Practitioner 405 14th St, Oakland, CA 94612-2715 2014-09-04
1639578487 Mona Kim Nurse Practitioner 1422 Harrison St, Oakland, CA 94612-3903 2014-08-18
1386919850 Chelsea Landolin Nurse Practitioner 1422 Harrison St, Oakland, CA 94612-3903 2012-03-16
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Competitor

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City OAKLAND
Zip Code 94610

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Dataset Information

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.

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