WILSON MAK (NPI# 1922427665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922427665 |
| Entity Type | Individual |
| Full Name | WILSON MAK |
| Credential | FNP |
| Practice Address |
1114 6th St Modesto CA 95354-2203 |
| Mailing Address |
737 W Childs Ave Credentialing Department Merced CA 95341-6805 |
| Practice Telephone | 2095762845 |
| Practice Fax Number | 2095768842 |
| Mailing Telephone | 2093831848 |
| Mailing Fax Number | 2093831296 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 812700 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95000312 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1114 6TH ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265415525 | Natalie Angele Mattos | Physician Assistant | 1114 6th St, Modesto, CA 95354-2203 | 2005-11-21 |
| 1679184386 | Elaina Joanne Najera | Social Worker | 1114 6th St, Modesto, CA 95354-2203 | 2020-08-14 |
| 1093379752 | Natasha Neelum Douglass | Registered Nurse | 1114 6th St, Modesto, CA 95354-2203 | 2019-04-29 |
| 1609349703 | Ankit Parikh | Pharmacist | 1114 6th St, Modesto, CA 95354-2203 | 2019-01-10 |
| 1699247155 | Theresa Nicole Creten | Physician Assistant | 1114 6th St, Modesto, CA 95354-2203 | 2018-12-21 |
| 1063919561 | Kamalpreet Kaur | Registered Nurse | 1114 6th St, Modesto, CA 95354-2203 | 2018-04-11 |
| 1679071658 | Araceli Martinez Perez | Social Worker | 1114 6th St, Modesto, CA 95354-2203 | 2018-01-25 |
| 1720592033 | Jennifer Ann O'connor | Physician Assistant | 1114 6th St, Modesto, CA 95354-2203 | 2017-11-22 |
| 1699287573 | Stacey Kneeland | Registered Nurse | 1114 6th St, Modesto, CA 95354-2203 | 2017-10-31 |
| 1124562939 | Paul Tugulumize Kiruuta | Registered Nurse | 1114 6th St, Modesto, CA 95354-2203 | 2016-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227797 | Beverly M Hodges Advanced Practice Registered Nursing Inc | Nurse Practitioner | 814 14th St Ste E, Modesto, CA 95354-1028 | 2020-08-24 |
| 1417575747 | Jyotishna Narayan | Nurse Practitioner | 1801 H St Ste C, Modesto, CA 95354-1221 | 2020-07-13 |
| 1134746019 | Michael They | Nurse Practitioner | 802 14th St Ste N, Modesto, CA 95354-1029 | 2020-06-26 |
| 1528604543 | Kristy Leann Fullard | Nurse Practitioner | 2012 Kendall Ave, Modesto, CA 95355-3280 | 2019-11-25 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1699288993 | Advance Nursing Practice Medical Group Inc | Nurse Practitioner | 1409 Lecourbe Ct, Modesto, CA 95356-8905 | 2017-11-08 |
| 1154830842 | Maria Christina Romasanta Quintana | Nurse Practitioner | 2416 La Playa Ln, Modesto, CA 95355-7952 | 2017-09-25 |
| 1538690607 | Myla Urbano | Nurse Practitioner | 2800 Floyd Ave Apt 27, Modesto, CA 95355-9464 | 2017-03-21 |
| 1467808758 | Prakriti Prashanta Janz-navarro | Nurse Practitioner | 1524 Mchenry Ave Ste 135, Modesto, CA 95350-4569 | 2016-05-05 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in MODESTO | ||||
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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.