DOUGLAS TOM IMURA (NPI# 1790213767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790213767 |
| Entity Type | Individual |
| Full Name | DOUGLAS TOM IMURA |
| Practice Address |
505 Cypress Ave South San Francisco CA 94080-2922 |
| Mailing Address |
300 Harbor Blvd Bldg E Belmont CA 94002-4018 |
| Practice Telephone | 6503806149 |
| Practice Fax Number | 6509525846 |
| Mailing Telephone | 6503806149 |
| Mailing Fax Number | 6509525846 |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| Street Address |
505 CYPRESS AVE |
| City | SOUTH SAN FRANCISCO |
| State | CA |
| Zip Code | 94080-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659545077 | Lee T Cates | Case Manager/Care Coordinator | 505 Cypress Ave, South San Francisco, CA 94080-2922 | 2008-04-16 |
| 1477167328 | Jessica Renee Zarubin | Community Health Worker | 505 Cypress Ave, South San Francisco, CA 94080-2922 | 2020-09-08 |
| 1174141469 | Matthew James Sowiski | Community Health Worker | 505 Cypress Ave, South San Francisco, CA 94080-2922 | 2020-07-13 |
| 1629699301 | Keianna Auset Pierce | Community Health Worker | 505 Cypress Ave, South San Francisco, CA 94080-2922 | 2020-05-04 |
| 1972130623 | Julissa Marie Alvarez | Community Health Worker | 505 Cypress Ave, South San Francisco, CA 94080-2922 | 2020-03-24 |
| 1194361733 | Liam Newton Dunn | Counselor | 505 Cypress Ave, South San Francisco, CA 94080-2922 | 2019-11-19 |
| 1811532799 | Yolanda Thaxton | Community Health Worker | 505 Cypress Ave, South San Francisco, CA 94080-2922 | 2019-11-14 |
| 1528629615 | Savannah Wilson | Community Health Worker | 505 Cypress Ave, South San Francisco, CA 94080-2922 | 2019-06-27 |
| 1740657394 | Cameron Geisler | Community Health Worker | 505 Cypress Ave, South San Francisco, CA 94080-2922 | 2015-08-31 |
| 1811388168 | Melisia Shanklin | Counselor | 505 Cypress Ave, South San Francisco, CA 94080-2922 | 2015-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
| 1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
| 1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
| 1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
| 1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
| 1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
| 1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
| 1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
| 1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
| 1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
| Find all providers in zip 94080 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625912 | Katriona Lorraine Reilly-amtoft | Community Health Worker | 513 Park Way, South San Francisco, CA 94080-2644 | 2020-06-25 |
| 1477167328 | Jessica Renee Zarubin | Community Health Worker | 505 Cypress Ave, South San Francisco, CA 94080-2922 | 2020-09-08 |
| 1699389254 | Louise Irene Bracy | Community Health Worker | 170 S Spruce Ave, South San Francisco, CA 94080-4557 | 2020-09-01 |
| 1174141469 | Matthew James Sowiski | Community Health Worker | 505 Cypress Ave, South San Francisco, CA 94080-2922 | 2020-07-13 |
| 1689299216 | Maria Nathali Ildefonso Salas | Community Health Worker | 170 S Spruce Ave Ste 200, South San Francisco, CA 94080-4557 | 2020-06-09 |
| 1346865177 | Sheris Mendiola | Community Health Worker | 170 S Spruce Ave Ste 200, South San Francisco, CA 94080-4557 | 2020-06-08 |
| 1891317061 | Ivan Ayebale | Community Health Worker | 170 S Spruce Ave Ste 200, South San Francisco, CA 94080-4557 | 2020-05-11 |
| 1629699301 | Keianna Auset Pierce | Community Health Worker | 505 Cypress Ave, South San Francisco, CA 94080-2922 | 2020-05-04 |
| 1972130623 | Julissa Marie Alvarez | Community Health Worker | 505 Cypress Ave, South San Francisco, CA 94080-2922 | 2020-03-24 |
| 1326687435 | Rachel Vicman Aceberos | Community Health Worker | 170 S Spruce Ave Ste 200, South San Francisco, CA 94080-4557 | 2020-01-06 |
| Find all providers in SOUTH SAN FRANCISCO | ||||
| City | SOUTH SAN FRANCISCO |
| Zip Code | 94080 |
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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.