FRONTLINE ULTRASOUND (NPI# 1922642370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922642370 |
Entity Type | Organization |
Organization Name | FRONTLINE ULTRASOUND |
Practice Address |
1720 Florida St Vallejo CA 94590-5317 |
Practice Telephone | 5108160741 |
Mailing Telephone | 5108160741 |
Enumeration Date | 2019-10-29 |
Last Update Date | 2019-10-29 |
Authorized Official Name | DARNELL M NESBITT (OWNER/MANAGER) |
Authorized Official Telephone | 5108160741 |
Authorized Official Credential | RDMS,RVT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FRONTLINE ULTRASOUND | 1720 Florida St, Vallejo, CA 94590-5317 |
Street Address |
1720 FLORIDA ST |
City | VALLEJO |
State | CA |
Zip Code | 94590-5317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083102503 | Darnell M Nesbitt | Radiology | 1720 Florida St, Vallejo, CA 94590-5317 | 2018-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
Find all providers in zip 94590 |
Taxonomy Code | 261QR0208X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology, Mobile |
Definition to come... |
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1811460801 | Bay Ultrasound, LLC | Clinic/Center | 3155 Kearney St # 109, Fremont, CA 94538-2268 | 2019-01-02 |
1841760931 | Mobile 3d Imaging, LLC | Clinic/Center | 14437 Meridian Pkwy, Riverside, CA 92518-3007 | 2018-11-30 |
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.