IMAFIDON EDOGUN (NPI# 1821626078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821626078 |
| Entity Type | Individual |
| Full Name | IMAFIDON EDOGUN |
| Practice Address |
16263 Maubert Ave San Leandro CA 94578-2109 |
| Practice Telephone | 5104610391 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
16263 MAUBERT AVE |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519127 | Manveer Kaur Ubhi | Student in an Organized Health Care Education/Training Program | 16859 Robey Dr, San Leandro, CA 94578-1512 | 2020-05-08 |
| 1790310308 | Ambrosio Rico Santillan | Student in an Organized Health Care Education/Training Program | 675 Dutton Ave, San Leandro, CA 94577-2030 | 2020-03-04 |
| 1962059147 | Christopher Tat | Student in an Organized Health Care Education/Training Program | 2265 Aquatic Ct, San Leandro, CA 94579-2782 | 2019-08-21 |
| 1104322700 | Marwan Al Aoudi | Student in an Organized Health Care Education/Training Program | 674 Hollyhock Dr, San Leandro, CA 94578-3817 | 2018-04-03 |
| 1679958649 | Lolita Nunn | Student in an Organized Health Care Education/Training Program | 321 Cove Ct, San Leandro, CA 94578-4625 | 2015-07-20 |
| 1285067207 | Stephanie Young | Student in an Organized Health Care Education/Training Program | 2500 Fairmont Dr Fl 1, San Leandro, CA 94578-1005 | 2013-08-13 |
| 1528307477 | Aikaterini Tsapanidov | Student in an Organized Health Care Education/Training Program | 3081 Teagarden, Davis Street Family Resource Center, San Leandro, CA 94577 | 2013-02-12 |
| 1053502906 | Liza Hecht | Student in an Organized Health Care Education/Training Program | Girls Incorporated of Alameda County, 13666 East 14th Street, San Leandro, CA 94578 | 2007-08-06 |
| 1962017756 | Emil Kim | Student in an Organized Health Care Education/Training Program | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2020-09-09 |
| 1417568593 | Kiara Quintanar | Student in an Organized Health Care Education/Training Program | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-08-12 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
Please comment or provide details below to improve the information on IMAFIDON EDOGUN.
| 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.