MR. PAUL M DERTIEN (NPI# 1902016363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902016363 |
| Entity Type | Individual |
| Full Name | MR. PAUL M DERTIEN |
| Practice Address |
995 Potrero Ave Ward 93 San Francisco CA 94110-2859 |
| Mailing Address |
3769 Cesar Chavez Apt A San Francisco CA 94110-4316 |
| Practice Telephone | 4152068412 |
| Mailing Telephone | 4156482661 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
995 POTRERO AVE WARD 93 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902887847 | Katerina A Christopoulos | Internal Medicine | 995 Potrero Ave, Ward 84, San Francisco, CA 94110-2859 | 2005-11-08 |
| 1679112098 | Christina Chai | Dietitian, Registered | 995 Potrero Ave, Bldg 80, Ward 81, San Francisco, CA 94110 | 2020-01-02 |
| 1093208225 | Cameo Chanel Taylor | Specialist | 995 Potrero Ave, San Francisco, CA 94110-2859 | 2018-06-12 |
| 1033608021 | Jennifer Quilaquil Siruno | Registered Nurse | 995 Potrero Ave, San Francisco, CA 94110-2859 | 2018-05-04 |
| 1407353741 | Laura Yin | Registered Nurse | 995 Potrero Ave, Ward 93, San Francisco, CA 94110 | 2018-04-12 |
| 1649704487 | Irene Ly | Family Medicine | 995 Potrero Ave, San Francisco, CA 94110-2859 | 2017-04-19 |
| 1356887723 | Annie Lee | Registered Nurse | 995 Potrero Ave, San Francisco, CA 94110-2859 | 2017-01-10 |
| 1417492547 | Ying Hang Zhang | Registered Nurse | 995 Potrero Ave, Bldg 90 4th Floor, San Francisco, CA 94110-2859 | 2016-12-28 |
| 1669836490 | Ashley Moss | Community Health Worker | 995 Potrero Ave, Bldg 90 5th Floor Rm 503, San Francisco, CA 94110 | 2016-04-07 |
| 1003279019 | Yakira Teitel | Student in an Organized Health Care Education/Training Program | 995 Potrero Ave, Building 80, 1st and 5th Floors, San Francisco, CA 94110-2859 | 2016-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1619581956 | Jamie Marion Brown | Counselor | 1233 Noriega St Apt 4, San Francisco, CA 94122-4455 | 2020-09-03 |
| 1154931970 | Dagmawit Aberham Negash I | Counselor | 1735 Mission St. San Francisco, Ca, San Francisco, CA 94103-2417 | 2020-08-06 |
| 1710503420 | Seville Christian | Counselor | 75 Dore St Apt 107, San Francisco, CA 94103-3892 | 2020-06-18 |
| 1326673773 | Jeffrey Douglas Washington | Counselor | 1040 Sutter St Apt 56, San Francisco, CA 94109-5833 | 2020-03-05 |
| 1801429253 | Domenique Marie Stern | Counselor | 1049 Market St Apt 603, San Francisco, CA 94103-1635 | 2020-02-13 |
| 1487123436 | Judith St Louis-schmidt | Counselor | 735 Taylor St # 208, San Francisco, CA 94108-3807 | 2018-11-20 |
| 1114405495 | Angela Christina Thomas | Counselor | 1633 Newcomb Ave, San Francisco, CA 94124-2318 | 2018-07-30 |
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1265923353 | Benjamin Adam Schaeffer | Counselor | 440 Potrero Ave Fl 2, San Francisco, CA 94110-1430 | 2018-05-23 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
Please comment or provide details below to improve the information on MR. PAUL M DERTIEN.
| 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.