JACKSON HUANG (NPI# 1730451238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730451238 |
| Entity Type | Individual |
| Full Name | JACKSON HUANG |
| Credential | NP-C |
| Practice Address |
685 Coleman Ave San Jose CA 95110 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 8009725547 |
| Mailing Telephone | 8009725547 |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP95003753 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN-2153 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 86-260 Farrington Hwy, Waianae, HI 967923128 | 8086973800 |
| Street Address |
685 COLEMAN AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427690072 | Kamaljit Kaur | Nurse Practitioner | 685 Coleman Ave, San Jose, CA 95110-2011 | 2019-10-16 |
| 1275072829 | Emily Cyriac Parathara | Registered Nurse | 685 Coleman Ave, San Jose, CA 95110-2011 | 2017-02-15 |
| 1164970844 | Inxs M Fiodembo | Nurse Practitioner | 685 Coleman Ave, San Jose, CA 95110-2011 | 2016-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876064 | Clarissa Sherrill Chan | Physician Assistant | 685 Coleman Ave Ste 20, San Jose, CA 95110 | 2017-05-01 |
| 1366895666 | Lifemoves - Autumn Satellite Clinic | Case Management | 263 N Autumn St, San Jose, CA 95110 | 2016-07-21 |
| 1487067278 | Catholic Charities of Scc | Community/Behavioral Health | 921 S 1st St, San Jose, CA 95110 | 2014-06-09 |
| 1871855916 | Act for Mental Health, Inc | Psychologist | 441 Park Avenue, San Jose, CA 95110 | 2012-06-14 |
| 1104000405 | Kaitlyn Brownell | Case Manager/Care Coordinator | 150-a S. Autumn St., San Jose, CA 95110 | 2007-12-21 |
| 1760685218 | Sharon Iwen Wang | Psychologist | 2033 Gateway Pl Fl 5, San Jose, CA 95110 | 2007-06-11 |
| 1528192036 | Wanda Broadie Alexander | Social Worker | 441 Park Ave, San Jose, CA 95110 | 2007-03-15 |
| 1750442208 | Mario Ricardo Ponce | Counselor | 70 West Hedding Street, County of Santa Clara, San Jose, CA 95110 | 2006-12-12 |
| 1467426882 | Lannie S. Zarate-reyes D.d.s., Inc. | Dentist | 579-10 Coleman Avenue, San Jose, CA 95110 | 2006-02-14 |
| 1194374827 | Little Spirits LLC | Clinic/Center | 77 N Almaden Ave, Ste #102, San Jose, CA 95110 | 2019-09-05 |
| Find all providers in zip 95110 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734365 | La K Dinh | Nurse Practitioner | 749 Story Rd Ste 20, San Jose, CA 95122-2600 | 2020-03-05 |
| 1568012144 | Mandeep Kaur Gill | Nurse Practitioner | 4735 Hamilton Ave Ste 80, San Jose, CA 95130-1769 | 2019-09-16 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1770084246 | Amisha Oza | Nurse Practitioner | 1432 W San Carlos St Ste 10, San Jose, CA 95126-5409 | 2018-02-21 |
| 1376041459 | Karina Dempsey | Nurse Practitioner | 2264 Winepol Loop, San Jose, CA 95125-6636 | 2018-01-24 |
| 1316466139 | Melinda Fike Vertin | Nurse Practitioner | 970 Glenridge Dr., San Jose, CA 95136 | 2017-09-12 |
| 1548786049 | Thai Hang Thi Tran | Nurse Practitioner | 1680 E Capitol Expy Ste 10, San Jose, CA 95121-1839 | 2017-08-16 |
| 1356862163 | Natasha Michon Ruiz | Nurse Practitioner | 2516 Samaritan Dr Ste M, San Jose, CA 95124-4108 | 2017-06-30 |
| 1598203408 | Lea Revita Lopez | Nurse Practitioner | 751 S Bascom Ave Bldg Q, Otolaryngology/head and Neck Surgery, San Jose, CA 95128-2604 | 2017-02-10 |
| 1053719492 | Marie Cardine Preval | Nurse Practitioner | 4400 The Woods Dr Apt 2033, San Jose, CA 95136-3867 | 2014-12-17 |
| Find all providers in SAN JOSE | ||||
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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.