ALLYSE WHARTON (NPI# 1710322664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA22900 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
350 30TH ST |
City | OAKLAND |
State | CA |
Zip Code | 94609-3424 |
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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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 Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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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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.