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).
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 |
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 |
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 |
Street Address |
20103 LAKE CHABOT RD |
City | CASTRO VALLEY |
State | CA |
Zip Code | 94546-5305 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 94546 |
Taxonomy Code | 163WC0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487252656 | Jia Ni Liu Arreola | Registered Nurse | 812 Prosperity St, Mountain House, CA 95391-1112 | 2020-10-11 |
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 |
1346850120 | Phuong Dung Thi Do | Registered Nurse | 4855 Ariva Way Apt 127, San Diego, CA 92123-2184 | 2020-08-05 |
Find all providers with the same taxonomy |
City | CASTRO VALLEY |
Zip Code | 94546 |
Please comment or provide details below to improve the information on KENNETH A HARRIS.
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.