MARIKO ELIZABETH LIGHTNER (NPI# 1750820965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750820965 |
| Entity Type | Individual |
| Full Name | MARIKO ELIZABETH LIGHTNER |
| Credential | FNP |
| Practice Address |
4626 Willow Rd Pleasanton CA 94588-8517 |
| Practice Telephone | 8666237600 |
| Mailing Telephone | 8666237600 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 95053145 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95006095 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4626 WILLOW RD |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-8517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801891932 | Alexandra M Burgar | Orthopaedic Surgery | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8517 | 2005-06-16 |
| 1215534052 | Jeffrey Liang | Physical Therapist | 4626 Willow Rd, Pleasanton, CA 94588-8517 | 2020-10-05 |
| 1972971141 | Aaron Platfoot | Specialist | 4626 Willow Rd, Pleasanton, CA 94588-8517 | 2015-09-04 |
| 1821466087 | Naomi Patel | Peer Specialist | 4626 Willow Rd, Pleasanton, CA 94588-8517 | 2015-09-04 |
| 1346649480 | Hacienda Outpatient Surgery Center, LLC | Clinic/Center | 4626 Willow Rd, Suite 100, Pleasanton, CA 94588-8517 | 2014-08-14 |
| 1871903286 | Jennifer Miller | Physical Therapist | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8517 | 2014-05-07 |
| 1679869515 | Anthony J. Porter Jr. | Orthopaedic Surgery | 4626 Willow Rd, Pleasanton, CA 94588 | 2011-06-20 |
| 1861634131 | Leslie A Desrosiers | Physical Therapist | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-2710 | 2009-04-01 |
| 1780853044 | Hacienda Surgery Center, LLC | Clinic/Center | 4626 Willow Rd, Pleasanton, CA 94588-2710 | 2008-02-20 |
| 1184808156 | Tri-valley Orthopedic and Sports Medical Group Inc | Physical Therapist | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-2710 | 2007-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235793506 | Jostlin Denisha Jenkins-key | Nurse Practitioner | 5606 Owens Dr Apt 106, Pleasanton, CA 94588-4677 | 2019-04-23 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1871027276 | Susan Xiaoping Han | Nurse Practitioner | 215 Abbie St, Pleasanton, CA 94566-7343 | 2017-04-12 |
| 1033481957 | Desiree Dawn Quinn | Nurse Practitioner | 5000 Hopyard Rd #100, Team Health, Pleasanton, CA 94588 | 2012-02-08 |
| 1114235934 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 1320 W Oaklawn Rd, Suite H, Pleasanton, TX 78064-4315 | 2010-09-14 |
| 1972828515 | Stacia Erin Souter | Nurse Practitioner | 7901 Stoneridge Dr Ste 230, Pleasanton, CA 94588-3371 | 2010-04-06 |
| 1760537617 | Shannon Renee Clark | Nurse Practitioner | 3128 Santa Rita Rd, Suite C, Pleasanton, CA 94566-8300 | 2007-01-23 |
| 1710512124 | Mamata Patel | Nurse Practitioner | 5565 W Las Positas Blvd Ste 260, Pleasanton, CA 94588-5807 | 2020-03-05 |
| 1386276632 | Paul Turner | Nurse Practitioner | 310 W Oaklawn Rd, Pleasanton, TX 78064-4033 | 2020-02-05 |
| 1114573599 | Emily Kate Schorr | Nurse Practitioner | 220 W Goodwin St Ste A, Pleasanton, TX 78064-4119 | 2019-08-12 |
| Find all providers in PLEASANTON | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
Please comment or provide details below to improve the information on MARIKO ELIZABETH LIGHTNER.
| 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.