ALLYSE WHARTON


Address: 350 30th St, Oakland, CA 94609-3424
Phone: 5104656700

ALLYSE WHARTON (NPI# 1710322664) 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) 1710322664
Entity Type Individual
Full Name ALLYSE WHARTON
Other Name ALLYSE FIDLER
Credential PA-C
Practice Address 350 30th St
Oakland
CA 94609-3424
Mailing Address 2 Embarcadero Ctr Lbby Level
Suite 100
San Francisco
CA 94111-3823
Practice Telephone 5104656700
Mailing Telephone 4155783100
Mailing Fax Number 4152910489
Enumeration Date 2013-05-06
Last Update Date 2016-07-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA22900 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 350 30TH ST
City OAKLAND
State CA
Zip Code 94609-3424

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932183472 Yi Yi Stephanie Gu Internal Medicine 350 30th St, #320, Oakland, CA 94609-3424 2005-11-29
1225561095 Jonathan R Dunham Physician Assistant 350 30th St, Suite 530, Oakland, CA 94609-3424 2017-04-07
1609317015 Baychildren's Physicians Obstetrics & Gynecology 350 30th St, Suite 208, Oakland, CA 94609-3424 2017-03-17
1417320896 Sarah Holmgren Nurse Practitioner 350 30th St, Suite 320, Oakland, CA 94609-3424 2015-11-05
1477975860 Hiva Kolodrubetz Registered Nurse 350 30th St, #320, Oakland, CA 94609-3424 2014-01-20
1578806329 Aimee Keyashian Internal Medicine 350 30th St, #320, Oakland, CA 94609-3424 2013-03-30
1265774053 Lynn Ellen Chiarello Advanced Practice Midwife 350 30th St, Suite 208, Oakland, CA 94609-3424 2013-03-20
1396001640 Jennifer Brewster Physician Assistant 350 30th St, Suite 320, Oakland, CA 94609-3424 2012-04-11
1497012777 Nicholas V Drbal Podiatrist 350 30th St, Suite 100, Oakland, CA 94609-3424 2012-04-11
1871861559 Clark S Tsai, M.d., Inc. Ophthalmology 350 30th St, Suite 444, Oakland, CA 94609-3424 2011-12-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104457159 Gerard John-charles Coughlin Student in an Organized Health Care Education/Training Program Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 2020-01-29
1417502022 Michael Knittel Registered Nurse 370 Hawthorne Ave, Oakland, CA 94609 2019-08-09
1962057562 Nicole Kjolby Registered Nurse Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 2019-08-09
1396208286 Graham Vallis Student in an Organized Health Care Education/Training Program Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 2019-04-09
1386129526 Gary Mitchell Snider Counselor 390 40th Street, Oakland, CA 94609 2018-10-02
1720568389 Lice Control Inc. Technician 6557 Shattuck Ave, Oakland, CA 94609 2018-08-14
1528559150 Jenna Marie Kincaid Behavior Technician 400 29th St., 204, Oakland, CA 94609 2018-05-18
1336656669 Nicholas Dicarlo Social Worker 465 34th St Ste 6, Oakland, CA 94609 2018-01-09
1174045744 Theodora J Marzouk Home Health Aide 3317 Elm Street, Suite 202, Oakland, CA 94609 2017-07-14
1740728922 Elena Gardella Marriage & Family Therapist 411 30th Street, Suite 412, Oakland, CA 94609 2017-02-07
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700286937 Rebecca Craft Hu Physician Assistant 400 29th St Ste 501, Oakland, CA 94609-3550 2014-08-25
1093841249 Melinda D Stoner Physician Assistant 311 N Fourth St, Ste 1, Oakland, MD 21550-1371 2007-02-24
1316472392 Amber Dawn King Physician Assistant 311 N 4th St, Oakland, MD 21550-1371 2017-04-27
1033577895 Aubree Anne Larson Physician Assistant 1411 E 31st St, Oakland, CA 94602-1018 2016-02-08
1518203652 Hoai-huong Viet Tran Physician Assistant 3600 Broadway, Oakland, CA 94611-5730 2012-12-18
1518215375 Rocio Veronica Carbona Physician Assistant 9 Pleasant St, Oakland, ME 04963-5074 2012-08-27
1801141700 Susanne Tennant Valenti Physician Assistant 747 52nd St, Oakland, CA 94609-1809 2012-07-17
1679848550 Angela Gomez Physician Assistant 275 W Macarthur, Oakland, CA 94611-5641 2012-03-12
1528344876 Melissa Kay Hutton Physician Assistant 80 Grand Ave Ste 500, Oakland, CA 94612-3756 2011-11-01
1952682320 Dena Beckner Physician Assistant 311 N 4th St, Suite 1, Oakland, MD 21550-1371 2011-08-30
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Competitor

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City OAKLAND
Zip Code 94609

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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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