KENNETH A HARRIS


Address: 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305
Phone: 5105371234

KENNETH A HARRIS (NPI# 1902412430) 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) 1902412430
Entity Type Individual
Full Name KENNETH A HARRIS
Credential RN, CCRN
Practice Address 20103 Lake Chabot Rd
Castro Valley
CA 94546-5305
Mailing Address 165 Coosada Ln
Coosada
AL 36020-2919
Practice Telephone 5105371234
Mailing Telephone 3342689220
Enumeration Date 2020-09-21
Last Update Date 2020-09-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
782137 CA Nursing Service Providers
N 163WG0000X Registered Nurse
Specialization: General Practice
1-105100 AL Nursing Service Providers

Other Providers KENNETH HARRIS

NPI Name Taxonomy Address Enumeration
1063778967 Kenneth Harris Marriage & Family Therapist 801 W 33rd St Unit 7972, Edmond, OK 73083-9517 2012-04-04
1790931335 Kenneth Hal Harris Pharmacist 1776 Avalon St, Klamath Falls, OR 97603-4624 2008-08-14
1669538120 Kenneth Harris Chiropractor 51 E Prospect St, Waldwick, NJ 07463-2237 2006-12-29
1811055742 Kenneth Paul Harris Respiratory Therapist, Certified 534 Brockton Ln, Schaumburg, IL 60193-2402 2006-12-04
1235145327 Kenneth Charles Harris Anesthesiology 9220 Silverwood Ct, Granite Bay, CA 95746-7242 2006-07-31
1245294255 Kenneth Lee Harris Optometrist 933 Siskiyou Blvd, Ashland, OR 97520-2143 2006-04-14
1841277845 Kenneth A Harris Specialist 611 S Chestnut Street, Suite A, Ellensburg, WA 98926 2005-12-30
1861492027 Kenneth B Harris Internal Medicine 444 Neptune Blvd, Neptune, NJ 07753-4144 2005-07-28
1881241933 Kenneth Rodle Harris IIi Student in an Organized Health Care Education/Training Program Womack Army Medical Center 2817 Reilly Road, Fort Bragg, NC 28310-0001 2019-08-23
1023499365 Kenneth Harris Counselor 24 Brookhill Dr, Newark, DE 19702-1301 2015-06-12

Office Location

Street Address 20103 LAKE CHABOT RD
City CASTRO VALLEY
State CA
Zip Code 94546-5305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134122179 Eden Medical Center General Acute Care Hospital 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2005-05-23
1417568916 Michael A Esparza Md Inc Surgery 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2020-08-10
1417596289 Linda Ann Scott-hickman Pharmacist 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2019-12-27
1821598418 Alyan Ali, M.d., Inc. Internal Medicine 20103 Lake Chabot Rd, Castro Valley, CA 94546 2018-02-20
1508374489 David C Bonovich Md Psychiatry & Neurology 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2018-01-13
1922511278 Lisa Gaye Quan Registered Nurse 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2017-11-08
1114439593 David Paul Rathmann Speech-Language Pathologist 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2017-10-25
1205378668 Jacqueline Margolese Nurse Practitioner 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 2016-11-15
1386098309 Travis Sunlum Lee Internal Medicine 20103 Lake Chabot Rd, Castro Valley, CA 94546 2016-04-15
1124480157 Faruqa Shariff Ladha Pediatrics 20103 Lake Chabot Rd, Eden Medical Center, Castro Valley, CA 94546-5305 2016-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861991234 For Your Eyes Only Ophthalmic Medical Corp. Optometrist 2687 Castro Valley Blvd., Castro Valley, CA 94546 2018-02-12
1821536954 Webster Surgery Center, Lp Clinic/Center 20998 Redwood Dr, Castro Valley, CA 94546 2017-02-09
1639506215 Jennifer Lee Pharmacist 20629 Redwood Road, Castro Valley, CA 94546 2013-09-27
1679860506 Lauren Nicole Hill Counselor 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 2011-06-29
1326330952 Jeannette Villalobos Counselor 5248 Crane Avenue, Castro Valley, CA 94546 2011-05-16
1780992560 Cherie Christine-vivona Clark Physician Assistant Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 2010-09-15
1518287218 Rite Aid Incorporation Community/Behavioral Health 3548 Castro Valley Blv, Castro Valley, CA 94546 2010-06-03
1770719940 Kristina Marie Sotto Occupational Therapist 20259 Lake Chabot Road, Castro Valley, CA 94546 2009-06-02
1861664203 Bannanje R Nayak Physical Medicine & Rehabilitation 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 2008-03-26
1205030202 Yvonne Marie Jones Social Worker 2055 Fairmont Dr., San Leandro, CA 94546 2007-06-13
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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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1861009441 Rona Juszczyk Registered Nurse 672 42nd St, Oakland, CA 94609-2339 2020-09-28
1851908354 Julia Renee Schmidt Registered Nurse 236 Valle Vista Dr, Danville, CA 94526-1653 2020-09-28
1477160232 Betsy Braley Registered Nurse 9 Messenger Ct, Chico, CA 95973-7733 2020-09-25
1578177630 Wilbert Tirtadinata Registered Nurse 1947 35th Ave, San Francisco, CA 94116-1111 2020-09-04
1225640261 Yuko Murakami Registered Nurse 1528 Hampshire St, San Francisco, CA 94110-4827 2020-08-20
1760094015 Hadia Abdelgawad Registered Nurse 3001 Pruneridge Ave, Santa Clara, CA 95051-5611 2020-08-18
1821600420 Hiram Great Diaz Diaz Registered Nurse 7916 E Woodsboro Ave, Anaheim, CA 92807-2435 2020-08-17
1972114650 Gregory James Markman Registered Nurse 2181 Trafalgar Pl, Oakland, CA 94611-3245 2020-08-14
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Competitor

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City CASTRO VALLEY
Zip Code 94546

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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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