ALEXANDER AMOCHAEU (NPI# 1740405232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740405232 |
| Entity Type | Individual |
| Full Name | ALEXANDER AMOCHAEU |
| Practice Address |
1165 Montgomery Drive Santa Rosa CA 95402 |
| Mailing Address |
216 Fst #76 Davis CA 95616 |
| Practice Telephone | 7075463210 |
| Mailing Telephone | 5306688988 |
| Mailing Fax Number | 5306681229 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1165 MONTGOMERY DRIVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669416285 | Gary Mc Calla | Emergency Medicine | 1165 Montgomery Drive, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405-4897 | 2006-06-15 |
| 1730270489 | Matthew John Haight | Anesthesiology | 1165 Montgomery Drive, Santa Rosa, CA 95405 | 2006-09-27 |
| 1306880463 | David B Campell | Emergency Medicine | 1165 Montgomery Drive, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405-4897 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154752244 | Tara Farrell | Counselor | 123 General Delivery, Santa Rosa, CA 95402-9999 | 2013-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1568069193 | Penelope L Salzgeber | Social Worker | 1815 Bodie St, Santa Rosa, CA 95403-2497 | 2020-10-06 |
| 1265039994 | Laura Holtan | Speech-Language Pathologist | 1131 Shadyslope Dr, Santa Rosa, CA 95404-2742 | 2020-10-06 |
| 1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
| 1326655911 | Natalie Womack | Massage Therapist | 1100 Coddingtown Ctr Ste 2a, Santa Rosa, CA 95401-3516 | 2020-09-28 |
| 1467069260 | Marisa Lynn Beltran Del Rio | Massage Therapist | 1510 Kona Pl, Santa Rosa, CA 95403-8605 | 2020-09-25 |
| 1679180673 | Anchor Health LLC | Hospice Care, Community Based | 891 2nd St Unit 1, Santa Rosa, CA 95404-4621 | 2020-09-24 |
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1215541487 | Jennifer Rae Fairbairn | Massage Therapist | 2470 Chanate Rd, Santa Rosa, CA 95404-2110 | 2020-09-03 |
| 1609480029 | Daphne Lynne Hartley | Occupational Therapist | 301 White Oak Dr, Santa Rosa, CA 95409-5950 | 2020-09-02 |
| Find all providers in SANTA ROSA | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996296 | Kelly Olivia Brand | Specialist/Technologist, Other | 11044 Tennessee Ave, Los Angeles, CA 90064-1966 | 2020-06-09 |
| 1417576901 | Alpha Neuro-monitoring, LLC | Specialist/Technologist, Other | 751 E Blithedale Ave # 369, Mill Valley, CA 94941-1515 | 2020-04-14 |
| 1386276624 | Pinpoint Monitoring LLC | Specialist/Technologist, Other | 73521 Jameson Rd, Palm Desert, CA 92211-2031 | 2020-02-05 |
| 1255986329 | Hope Diagnostics Inc | Specialist/Technologist, Other | 10999 Riverside Dr 204, North Hollywood, CA 91602-2239 | 2019-08-06 |
| 1982267001 | California Diagnostic Specialists, Inc. | Specialist/Technologist, Other | 9191 Westminster Ave # 209, Garden Grove, CA 92844-2751 | 2019-04-15 |
| 1083174213 | Svetlana Almeida | Specialist/Technologist, Other | 28201 La Plumosa, Laguna Niguel, CA 92677-7049 | 2019-03-22 |
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1184191256 | Satellite Medical LLC | Specialist/Technologist, Other | 3478 Buskirk Ave Ste 140, Pleasant Hill, CA 94523-4383 | 2018-10-26 |
| 1063994879 | Martin Phan | Specialist/Technologist, Other | 2995 Edison Dr, San Jose, CA 95133-2412 | 2018-08-29 |
| 1285123588 | Vincent Mattiello | Specialist/Technologist, Other | 13924 Marquesas Way Apt 2302, Marina Del Rey, CA 90292-6020 | 2018-05-02 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95402 |
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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.