CALIFORNIA NORTHSTATE UNIVERSITY, COLLEGE OF MEDICINE (NPI# 1952794992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952794992 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA NORTHSTATE UNIVERSITY, COLLEGE OF MEDICINE |
| Practice Address |
9700 W Taron Dr Elk Grove CA 95757-8145 |
| Practice Telephone | 9166867300 |
| Mailing Telephone | 9166867300 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | ALVIN CHEUNG (PRESIDENT) |
| Authorized Official Telephone | 9166867300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 41647 | CA | Ambulatory Health Care Facilities |
| Street Address |
9700 W TARON DR |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95757-8145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639165368 | Jean-claude Lucien Veille | Obstetrics & Gynecology | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2005-09-27 |
| 1760080428 | Shereen Zada | Pharmacist | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2020-10-15 |
| 1326676339 | Saif Shaikh | Student in an Organized Health Care Education/Training Program | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2020-03-27 |
| 1023643996 | Daniella Schochet | Student in an Organized Health Care Education/Training Program | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2020-03-11 |
| 1295360220 | Makena J Owen | Student in an Organized Health Care Education/Training Program | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2020-03-10 |
| 1457872293 | Victor Phan | Pharmacist | 9700 W Taron Dr, Elk Grove, CA 95757 | 2017-07-02 |
| 1740655802 | Ryan Enderle | Pharmacist | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2015-12-01 |
| 1144614496 | Velliyur Viswesh | Pharmacist | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2015-03-25 |
| 1942388673 | For-shing Lui | Psychiatry & Neurology | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896600 | Cassandra Jan Cassas I | Behavior Technician | 9832 Tundra Swan, Elk Grove, CA 95757 | 2019-11-22 |
| 1386287027 | Winslow Dds Inc. | Clinic/Center | 10043 Bruceville Road, Unit 160, Elk Grove, CA 95757 | 2019-10-25 |
| 1386206696 | Daniel & Max, LLC | Optometrist | 7150 Elk Grove Blvd, Elk Grove, CA 95757 | 2019-07-08 |
| 1033684865 | Lua Davidson | Behavioral Analyst | 5504 Aspen Grove Ln, Elk Grove, CA 95757 | 2018-10-08 |
| 1821578386 | Michele Elizabeth Amato | Behavior Technician | 8350 Lotz Parkway, Elk Grove, CA 95757 | 2018-08-15 |
| 1043759632 | Costco Wholesale Corporation | Pharmacy | 7400 Elk Grove Boulevard, Elk Grove, CA 95757 | 2017-02-16 |
| 1497207351 | Ron Dancy | Genetic Counselor, MS | 9864 West Taron Dr, Elk Grove, CA 95757 | 2016-10-26 |
| 1780051524 | Jesselle Pablo | Counselor | 10227 Pedra Do Sol Way, Elk Grove, CA 95757 | 2015-08-27 |
| 1851708945 | Yen Ngoc Hoang | Pharmacist | 8257 Hopewell Drive, Elk Grove, CA 95757 | 2014-07-21 |
| 1477742070 | Nkechi Akudo Nzerem-johnson | Pediatrics | Dignity Health Medical Plaza, 8220 Wymark Drive Suite 200, Elk Grove, CA 95757 | 2007-10-18 |
| Find all providers in zip 95757 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467558783 | Sacramento County Dhhs | Clinic/Center | 6808 Rio Tejo Way, Elk Grove, CA 95757-3432 | 2006-09-15 |
| 1235649492 | Lemire Chiropractic Spine & Sport Inc. | Clinic/Center | 2354 Maritime Dr Ste 100, Elk Grove, CA 95758-3657 | 2017-10-02 |
| 1740547082 | Antovich Chiropractic Inc | Clinic/Center | 9156 Elk Grove Blvd, Elk Grove, CA 95624-2013 | 2012-04-11 |
| 1093010159 | Laguna Family Practice | Clinic/Center | 9281 Office Park Cir, Suite 120, Elk Grove, CA 95758-8068 | 2011-01-21 |
| 1447568191 | Sacramento Urgent Care | Clinic/Center | 9045 Bruceville Rd, Suite 100, Elk Grove, CA 95758-5948 | 2010-09-15 |
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| 1932707700 | Body By Design Wellness and Massage Clinic, Inc. | Clinic/Center | 3625 E Thousand Oaks Blvd Ste 215216, Westlake Village, CA 91362-3626 | 2020-10-14 |
| 1639786189 | Rams Ppe | Clinic/Center | 15329 Bonanza Rd Ste D, Victorville, CA 92392-2457 | 2020-09-29 |
| 1720695729 | Vila Facial Plastic Surgery | Clinic/Center | 1000 S Eliseo Dr Ste 203, Greenbrae, CA 94904-2151 | 2020-09-24 |
| 1902410442 | Hope Elementary School District | Clinic/Center | 3970 La Colina Rd Ste 14, Santa Barbara, CA 93110-1596 | 2020-09-02 |
| 1558974097 | Jiseki Health Inc | Clinic/Center | 1150 S King Rd Ste 40, San Jose, CA 95122-2140 | 2020-08-25 |
| 1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
| 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.