DR. BLUFORD BRADFORD HESTIR III


Address: 10 Douglas Dr, Suite 140, Martinez, CA 94553-4077
Phone: 9253131150

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA CLINICIAN STAFF NUMBER 1235 01

Office Location

Street Address 10 DOUGLAS DR
SUITE 140
City MARTINEZ
State CA
Zip Code 94553-4077

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TF0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Forensic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City MARTINEZ
Zip Code 94553

Improve Information

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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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