DR. IGOR GRUNA MOCORRO (NPI# 1780283143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780283143 |
Entity Type | Individual |
Full Name | DR. IGOR GRUNA MOCORRO |
Credential | DNP, MPH, FNP-BC |
Practice Address |
375 Laguna Honda Blvd San Francisco CA 94116-1499 |
Mailing Address |
126 Dolphin Ct San Francisco CA 94124-2945 |
Practice Telephone | 4156992402 |
Practice Fax Number | 4156825668 |
Mailing Telephone | 4158185654 |
Enumeration Date | 2020-10-17 |
Last Update Date | 2020-10-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 765153 | CA | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95015593 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
375 LAGUNA HONDA BLVD |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94116-1499 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154324622 | City & County of San Francisco | Home Health | 375 Laguna Honda Blvd, Unit F5, San Francisco, CA 94116-1411 | 2005-05-27 |
1871122671 | Joanna Bianca Codilla Serrano | Occupational Therapist | 375 Laguna Honda Blvd, San Francisco, CA 94116-1411 | 2020-04-03 |
1912536715 | Katherine Tecson Espina | Occupational Therapist | 375 Laguna Honda Blvd, San Francisco, CA 94116-1411 | 2020-04-03 |
1124580089 | Stephen Peter Dempsey | Specialist | 375 Laguna Honda Blvd, San Francisco, CA 94116-1499 | 2019-04-01 |
1023507084 | Alexandra Jouk | Psychologist | 375 Laguna Honda Blvd, San Francisco, CA 94116 | 2018-05-05 |
1972000347 | Trevor D'sa | Community Health Worker | 375 Laguna Honda Blvd, San Francisco, CA 94116-1411 | 2018-04-11 |
1669973582 | Roxana Martinez Gomez | Community Health Worker | 375 Laguna Honda Blvd, San Francisco, CA 94116-1411 | 2018-02-26 |
1659872570 | Christina Huang | Community Health Worker | 375 Laguna Honda Blvd, San Francisco, CA 94116-1411 | 2018-02-26 |
1477070472 | Emily Kini Weaver | Physical Therapist | 375 Laguna Honda Blvd, San Francisco, CA 94116-1411 | 2017-08-29 |
1780126409 | Charmaine Lee | Physical Therapist | 375 Laguna Honda Blvd, San Francisco, CA 94116-1411 | 2016-11-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386275972 | Eric Lee | Behavior Technician | 2000 43rd Ave, San Francisco, CA 94116 | 2020-01-31 |
1376103176 | Young-in Kim | Physical Therapist | 3401 Taraval St, San Francisco, CA 94116 | 2019-06-14 |
1952806408 | Ramirez & Xia Dental Corp. | Dentist | 2409 Taraval St., San Francisco, CA 94116 | 2018-03-27 |
1043739337 | Cindi Lam | Community Health Worker | 375 Laguna Honda Blvd., B200, San Francisco, CA 94116 | 2017-09-18 |
1043735442 | Tammy Marie Buhler | Community Health Worker | 1990 41st Avenue, San Francisco, CA 94116 | 2017-08-07 |
1457875015 | Janet Bilafer-steiner | Nurse Practitioner | 2935 Travel Street, San Francisco, CA 94116 | 2017-07-26 |
1790225811 | Christopher Valles-martinez | Counselor | 1801 Vicente St, San Francisco, CA 94116 | 2017-03-08 |
1033659578 | Emiko Perez | Technician, Other | 2235 31st Ave, San Francisco, CA 94116 | 2017-03-02 |
1982070249 | Elizabeth Ancker | Counselor | 1800 Vicente Street, San Francisco, CA 94116 | 2015-08-20 |
1922432608 | Toby Wai Chang | Pharmacist | 2354 32nd Ave, San Francisco, CA 94116 | 2013-08-29 |
Find all providers in zip 94116 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801402524 | Olga Maria Fernandez | Nurse Practitioner | 2710 Cabrillo St Apt 204, San Francisco, CA 94121-3564 | 2020-09-17 |
1912518572 | Tony Terrel Curtis | Nurse Practitioner | 357 19th Ave, San Francisco, CA 94121-2304 | 2020-08-16 |
1083230353 | Haley Rose Horner | Nurse Practitioner | 14 Mint Plz Ste 110, San Francisco, CA 94103-1884 | 2020-06-22 |
1619593365 | Neelam Patel | Nurse Practitioner | 49 Stevenson St, San Francisco, CA 94105-2909 | 2020-06-18 |
1275162471 | Janette Marie Trapp | Nurse Practitioner | 1010 16th St Apt 253, San Francisco, CA 94107-3720 | 2020-04-08 |
1215566922 | Sarah Fihn | Nurse Practitioner | 863 Waller St Apt 9, San Francisco, CA 94117-3163 | 2020-04-04 |
1518597350 | Bryan Alan Garcia | Nurse Practitioner | 547 5th Ave, San Francisco, CA 94118-3928 | 2020-01-21 |
1154960334 | Alan K Tam | Nurse Practitioner | 950 Stockton St Ste 202, San Francisco, CA 94108-1619 | 2020-01-05 |
1033754858 | Stephanie D Calabrese | Nurse Practitioner | 1961 Sutter St Apt 3, San Francisco, CA 94115-3136 | 2019-11-15 |
1831748938 | Denisse Aurora Porter | Nurse Practitioner | 240 Shotwell St # 1323, San Francisco, CA 94110-1323 | 2019-09-11 |
Find all providers in SAN FRANCISCO |
City | SAN FRANCISCO |
Zip Code | 94116 |
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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.