DR. BLUFORD BRADFORD HESTIR III (NPI# 1952466344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952466344 |
Entity Type | Individual |
Full Name | DR. BLUFORD BRADFORD HESTIR III |
Credential | PH.D. |
Practice Address |
10 Douglas Dr Suite 140 Martinez CA 94553-4077 |
Mailing Address |
3127 Berlin Way Oakland CA 94602-3604 |
Practice Telephone | 9253131150 |
Practice Fax Number | 9253131163 |
Mailing Telephone | 5105350498 |
Enumeration Date | 2006-12-26 |
Last Update Date | 2010-10-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | PSY18093 | CA | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY18093 | CA | Behavioral Health & Social Service Providers |
Y | 103TF0200X |
Psychologist Specialization: Forensic |
PSY18093 | CA | Behavioral Health & Social Service Providers |
N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PSY18093 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CLINICIAN STAFF NUMBER | 1235 | 01 |
Street Address |
10 DOUGLAS DR SUITE 140 |
City | MARTINEZ |
State | CA |
Zip Code | 94553-4077 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043296247 | Thomas Edward Gamsky | Internal Medicine | 10 Douglas Dr, Martinez, CA 94553-4077 | 2005-12-20 |
1295991602 | Lou Anthony Bordisso | Marriage & Family Therapist | 10 Douglas Dr, Suite 140, Martinez, CA 94553-4077 | 2008-08-05 |
1750509162 | Contra Costa County | Community/Behavioral Health | 10 Douglas Dr, Suite 140, Martinez, CA 94553-4077 | 2007-04-23 |
1487709820 | Amanda Elizabeth Dold | Marriage & Family Therapist | 10 Douglas Dr, Martinez, CA 94553-4077 | 2007-01-24 |
1093867616 | Angel Johnson | Counselor | 10 Douglas Dr, Suite 140, Martinez, CA 94553-4077 | 2007-01-16 |
1891884847 | Robert Howard Mead Jr. | Marriage & Family Therapist | 10 Douglas Dr, Suite 140, Martinez, CA 94553-4077 | 2006-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
Find all providers in zip 94553 |
Taxonomy Code | 103TF0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Forensic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962049130 | Ashley Cohen | Psychologist | 320 Linda Dr, Hollister, CA 95023-6646 | 2019-12-05 |
1174185540 | Daisy Covarrubias | Psychologist | 9727 Diana Ave, Riverside, CA 92503-4281 | 2019-07-05 |
1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
1982169587 | Jocelyn Roland | Psychologist | 2937 Veneman Ave Ste B125, Modesto, CA 95356-0690 | 2019-02-07 |
1265997936 | Shanda Angioli | Psychologist | 4640 Cass St # 90422, San Diego, CA 92109-2804 | 2019-02-06 |
1841755626 | Brianna Marie Alcantar | Psychologist | 855 E Laurel Dr Bldg H, Salinas, CA 93905-1300 | 2019-02-05 |
1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
1003308446 | Kiara Dixon | Psychologist | 15501 San Pablo Ave # G-317, Richmond, CA 94806-5848 | 2018-06-01 |
1700322633 | Lindsay Heber | Psychologist | 28204 Picadilly Pl, Castaic, CA 91384-3830 | 2017-01-17 |
1295193738 | Schuyler Weifu Liao | Psychologist | 2576 W San Ramon Ave, Fresno, CA 93711-2749 | 2016-01-28 |
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.