LARISA M REVZINA (NPI# 1730299645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730299645 |
| Entity Type | Individual |
| Full Name | LARISA M REVZINA |
| Credential | FNP |
| Practice Address |
225 San Antonio Rd Mountain View CA 94040-1209 |
| Mailing Address |
1631 Holt Ave Los Altos CA 94024-6929 |
| Practice Telephone | 6509480804 |
| Practice Fax Number | 6509483319 |
| Mailing Telephone | 6509409686 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN555478 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
225 SAN ANTONIO RD |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip Code | 94040-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417900531 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 225 San Antonio Rd, Mountain View, CA 94040-1209 | 2006-05-18 |
| 1114478104 | Harpreet Kaur | Registered Nurse | 225 San Antonio Rd, Mountain View, CA 94040-1209 | 2016-10-14 |
| 1033583067 | Melinda Rebecca Miles | Registered Nurse | 225 San Antonio Rd, Mountain View, CA 94040-1209 | 2015-11-13 |
| 1790173607 | Leila Hinshaw | Advanced Practice Midwife | 225 San Antonio Rd, Mountain View, CA 94040-1209 | 2014-12-30 |
| 1952655177 | Nicole Waitman | Nurse Practitioner | 225 San Antonio Rd, Mountain View, CA 94040-1209 | 2012-11-09 |
| 1194941534 | Maria E Leal | Registered Nurse | 225 San Antonio Rd, Mountain View, CA 94040-1209 | 2007-04-17 |
| 1720151764 | Crystal Ann Grund | Physician Assistant | 225 San Antonio Rd, Mountain View, CA 94040-1209 | 2006-11-16 |
| 1508964743 | Julia Marie Gourd | Nurse Practitioner | 225 San Antonio Rd, Mountain View, CA 94040-1209 | 2006-09-20 |
| 1083727945 | Susan Ann Tenney | Nurse Practitioner | 225 San Antonio Rd, Mountain View, CA 94040-1209 | 2006-08-16 |
| 1891808762 | Julie S Tsai | Physician Assistant | 225 San Antonio Rd, Mountain View Health Center, Mountain View, CA 94040-1209 | 2006-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246696 | Peninsula Wellness Centre | Chiropractor | 2425 Callifornia St Ste E, Mountain View, CA 94040 | 2020-05-07 |
| 1225669674 | Mitera Inc. | Psychiatry & Neurology | 1049 El Monte Ave Ste C #633, Mountain View, CA 94040 | 2020-02-03 |
| 1144862343 | Lavon Hester Bobo | Marriage & Family Therapist | 836 W. El Camino, Mountain View, CA 94040 | 2019-10-09 |
| 1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
| 1003471129 | Jennifer Langsdorf Royer | Marriage & Family Therapist | 1059 El Monte Avenue, Suite B, Mountain View, CA 94040 | 2019-05-03 |
| 1255899332 | Joanna Lynn Quan | Social Worker | Palo Alto Medical Foundation, 701 E. El Camino Real, Mountain View, CA 94040 | 2019-03-07 |
| 1750861522 | Kelby Katz | Counselor | 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 | 2018-08-20 |
| 1861982472 | David Young Lee | Counselor | 870 E El Camino Real, Mountain View, CA 94040 | 2018-05-18 |
| 1740709260 | May Man Lowe | Pharmacist | 1517 Lloyd Way, Mountain View, CA 94040 | 2017-09-15 |
| 1134647753 | Ryan David Emery | Physical Therapist | 525 South Dr #211, Mountain View, CA 94040 | 2017-09-04 |
| Find all providers in zip 94040 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
| 1578037859 | Katie Lutz | Nurse Practitioner | 151 Calderon Ave Apt 182, Mountain View, CA 94041-1444 | 2019-01-19 |
| 1407335847 | Carla Sue Langston | Nurse Practitioner | 2110 E Main St, Mountain View, AR 72560-6439 | 2018-08-07 |
| 1801306485 | Jordan Evans Matthews | Nurse Practitioner | 2490 Hospital Dr Ste 309, Mountain View, CA 94040-4125 | 2017-10-09 |
| 1013377415 | Charles Grinder | Nurse Practitioner | 102 Mountain Place Dr Ste C, Mountain View, AR 72560 | 2016-02-26 |
| 1790142859 | Baxter Regional Health System | Nurse Practitioner | 803 W Main St., Mountain View, AR 72560 | 2016-01-20 |
| 1518337732 | Beverly Clark | Nurse Practitioner | 803 West Main Street, Mountain View, AR 72560 | 2015-09-30 |
| 1437557451 | Cheri Kai | Nurse Practitioner | 580 N Rengstorff Ave, Mountain View, CA 94043-2894 | 2014-12-08 |
| 1588905236 | Lisa Christine Gavin Kucera | Nurse Practitioner | 2485 Hospital Dr Ste 321, Mountain View, CA 94040-4103 | 2013-03-05 |
| 1326301177 | Heather Blythe Delagi | Nurse Practitioner | 465 Fairchild Dr Ste 112, Mountain View, CA 94043-2254 | 2012-06-18 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 94040 |
Please comment or provide details below to improve the information on LARISA M REVZINA.
| 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.