MISS AISHA AMBER ERVIN


Address: 920 Grand Ave, San Rafael, CA 94901-3506
Phone: 4154996426

MISS AISHA AMBER ERVIN (NPI# 1811078074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811078074
Entity Type Individual
Full Name MISS AISHA AMBER ERVIN
Credential RN
Practice Address 920 Grand Ave
San Rafael
CA 94901-3506
Mailing Address 729 Sir Francis Drake Blvd
Kentfield
CA 94904-1627
Practice Telephone 4154996426
Mailing Telephone 4152580388
Enumeration Date 2006-10-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
664991 CA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA REGISTERED NURSE 664991 01
CA PUBLIC HEALTH NURSE 69495 01

Office Location

Street Address 920 GRAND AVE
City SAN RAFAEL
State CA
Zip Code 94901-3506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174096937 Emilia Olavarrieta Rehabilitation Practitioner 920 Grand Ave, San Rafael, CA 94901-3506 2019-01-04
1245725290 Irish Krings Rehabilitation Practitioner 920 Grand Ave, San Rafael, CA 94901-3506 2018-06-22
1376051532 Mark Alden Parker Counselor 920 Grand Ave, San Rafael, CA 94901-3506 2018-01-22
1659448074 County of Marin Clinical Medical Laboratory 920 Grand Ave, San Rafael, CA 94901-3506 2006-11-29
1437225679 County of Marin Clinic/Center 920 Grand Ave, San Rafael, CA 94901-3506 2006-11-28
1043385461 Catherine Davis Registered Nurse 920 Grand Ave, San Rafael, CA 94901-3506 2006-11-21
1245300219 Carol Jean Cady Registered Nurse 920 Grand Ave, San Rafael, CA 94901-3506 2006-11-08
1326118647 Wendy A Sanchez Registered Nurse 920 Grand Ave, San Rafael, CA 94901-3506 2006-11-08
1437230752 Fred Sydney Schwartz General Practice 920 Grand Ave, San Rafael, CA 94901-3506 2006-10-17
1831285444 Carolyn M. Shore Internal Medicine 920 Grand Ave, Marin County Health Clinics, San Rafael, CA 94901-3506 2006-10-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780207134 Marianne Haissman Stefancic Marriage & Family Therapist 409 Forbes Ave., San Rafael, CA 94901 2020-05-20
1093292765 Marin Community Clinic Clinic/Center 411 4th Strteet, Suite A, San Rafael, CA 94901 2018-07-25
1275052516 Laura Ellen Silverstein Marriage & Family Therapist 600 Fifth Avenue, San Rafael, CA 94901 2017-09-19
1689101107 Marin Family Recovery Clinic/Center 1209 Third St. Ste 4, San Rafael, CA 94901 2017-05-15
1376070011 Tencia Beavers-sanchez Counselor 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 2017-05-12
1326584905 Jamie Waterman Emergency Medical Technician, Basic 675 Sir Francis Drake Blvd, Kentfield, CA 94901 2017-01-06
1295270676 Stephen Marks Counselor 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 2016-12-21
1497299812 Vesna Sturman Psychologist 712 D St Ste L, San Rafael, CA 94901 2016-12-05
1063955771 Carol Dutton Hollenberg Behavior Technician 503 D St., San Rafael, CA 94901 2016-11-29
1083069447 Bay Area Community Resources Community/Behavioral Health 103 Shoreline Parkway, San Rafael, CA 94901 2016-05-04
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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558678631 Donna West Registered Nurse 899 Northgate Dr Ste 415, San Rafael, CA 94903-3667 2010-09-09
1902045701 Mirta M Cuevas Registered Nurse 899 Northgate Dr Ste 100, San Rafael, CA 94903-3664 2009-02-18
1861856072 Beth Grant Registered Nurse 3240 Kerner Blvd, San Rafael, CA 94901-4840 2016-04-13
1891934907 Shanna Marie Cronan Registered Nurse 899 Northgate Dr, 104, San Rafael, CA 94903-3636 2009-02-12
1861639734 Rebecca Koski Siiteri Registered Nurse 3260 Kerner Blvd, San Rafael, CA 94901-4861 2009-01-14
1942482260 Elizabeth Pope Registered Nurse 899 Northgate Dr, Suite 100, San Rafael, CA 94903-3636 2007-11-28
1326118647 Wendy A Sanchez Registered Nurse 920 Grand Ave, San Rafael, CA 94901-3506 2006-11-08
1699855429 Teresa Ellen Somers Registered Nurse 3260 Kerner Blvd, San Rafael, CA 94901-4861 2006-10-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497361430 Marilyn Dormubari Sunday Registered Nurse 7511 Clear Lake Aly, Sacramento, CA 95829-8743 2020-09-16
1992315451 Michelle Patino Registered Nurse 615b 2nd St, Petaluma, CA 94952-5123 2020-08-08
1144846080 Paloma Beope Soriano Registered Nurse 4302 Valeta St, San Diego, CA 92107-1510 2020-06-16
1942822747 Holly Sears Chisholm Registered Nurse 9619 Cuyamaca St # 19428, Santee, CA 92071-2674 2020-05-14
1952937658 Mariam Gbaty Soumahoro Registered Nurse 3800 Silver Spur Way, Sacramento, CA 95841-4411 2020-03-14
1194350967 Letisha Kathleen Kingsbury Registered Nurse 724 Granada Dr, Vista, CA 92083-4731 2020-03-11
1215576236 Jocelyn Raquel Raedeker-freitas Registered Nurse 3165 B St, San Diego, CA 92102-2359 2019-12-23
1861030710 Michelle Galang Registered Nurse 658 Rainbow Dr, Chula Vista, CA 91911-6844 2019-12-11
1023655172 David Delgado Registered Nurse 27425 Bolandra Ct, Temecula, CA 92591-6123 2019-12-09
1104473297 Shokoufeh Shokri Registered Nurse 2951 Mainway Dr, Los Alamitos, CA 90720-4646 2019-08-22
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Competitor

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City SAN RAFAEL
Zip Code 94901

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Dataset Information

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.

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