REVELCARE LLC (NPI# 1851811822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851811822 |
Entity Type | Organization |
Organization Name | REVELCARE LLC |
Practice Address |
11040 Bollinger Canyon Rd Ste 839 San Ramon CA 94582 |
Practice Telephone | 8444385228 |
Practice Fax Number | 8448207071 |
Mailing Telephone | 8444385228 |
Mailing Fax Number | 8448207071 |
Enumeration Date | 2017-06-21 |
Last Update Date | 2017-06-21 |
Authorized Official Name | ASHISH GUPTA (PARTNER) |
Authorized Official Telephone | 6505151391 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
11040 BOLLINGER CANYON RD STE 839 |
City | SAN RAMON |
State | CA |
Zip Code | 94582 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609075910 | H. Derick Phan | Dentist | 11040 Bollinger Canyon Rd, Suite K, San Ramon, CA 94582-4959 | 2007-07-16 |
1093206815 | Henry Ma | Dentist | 11040 Bollinger Canyon Rd, San Ramon, CA 94582-4969 | 2018-05-29 |
1275856817 | Jenny Yoo | Dentist | 11040 Bollinger Canyon Rd, Suite I, San Ramon, CA 94582-4969 | 2010-03-10 |
1215160106 | Tiffany Louie Hong | Dentist | 11040 Bollinger Canyon Rd, Suite I, San Ramon, CA 94582-4969 | 2009-08-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184252710 | John Paul Yap | Student in an Organized Health Care Education/Training Program | 741 Roseum Ct, San Ramon, CA 94582 | 2020-03-30 |
1740762103 | Gilan Mansour | Pharmacist | 7108 Watsonia Dr, San Ramon, CA 94582 | 2018-09-03 |
1235635624 | Justin Michael Chan | Pharmacist | 11440 Windemere Parkway, San Ramon, CA 94582 | 2018-04-04 |
1033643317 | Ebony Shaunte Berry | Behavior Technician | 3201 Crestfield Dr, San Ramon, CA 94582 | 2017-04-13 |
1558729202 | Hoa Trang | Pharmacist | 2053 Poinsettia Street, San Ramon, CA 94582 | 2016-02-09 |
1922364652 | Aruna Somani | Internal Medicine | 6400 Main Branch Road, San Ramon, CA 94582 | 2012-04-06 |
1790061364 | Darren Dong-shung Gae | Pharmacist | 11440 Windemere Pkwy, San Ramon, CA 94582 | 2011-10-27 |
1134457112 | Azmeena Amir Hashem | Nurse Practitioner | 3085 Lakemont Dr Unit 3, San Ramon, CA 94582 | 2009-12-02 |
1619985892 | Rashpal S. Deol | Dentist | 500 Bollinger Canyon Way Ste 8.5, San Ramon, CA 94582 | 2006-08-04 |
1023553542 | Alan Phan | Pharmacist | 11440 Windemere Pkwy, San Ramon, CA 94582 | 2016-12-20 |
Find all providers in zip 94582 |
Taxonomy Code | 246RP1900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Phlebotomy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669071882 | Gerardo Quinones Sr. | Technician, Pathology | 839 Illinois Ave., Colton, CA 92324-9232 | 2020-10-19 |
1467065300 | Rachel Perez | Technician, Pathology | 12569 Avenue 80, Pixley, CA 93256-9715 | 2020-08-29 |
1619586930 | Onestop Mobile Phlebotomy | Technician, Pathology | 4214 E Los Angeles Ave Apt 2, Simi Valley, CA 93063-3373 | 2020-07-23 |
1376151217 | Marco Dimailig | Technician, Pathology | 624 S Berendo St Apt 404, Los Angeles, CA 90005-1749 | 2020-07-16 |
1033735535 | Gentle Butterfly Phlebotomy Services LLC | Technician, Pathology | 568 Hacienda Ave, Perris, CA 92571-2810 | 2020-06-19 |
1861016958 | Jonathan Godes | Technician, Pathology | 878 Compass Way, San Diego, CA 92154-5839 | 2020-06-03 |
1467076067 | Darlene Bennett | Technician, Pathology | 8450 Carob St, Fontana, CA 92335-1221 | 2020-05-31 |
1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
1699395202 | Tanya M Atelian | Technician, Pathology | 195 E Mountain Dr, Santa Barbara, CA 93108-1025 | 2020-04-23 |
1811528490 | Pamela L Carter | Technician, Pathology | 27668 Dogwood St, Murrieta, CA 92562-4377 | 2020-01-31 |
Find all providers with the same taxonomy |
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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.