MICHAEL KOMAR (NPI# 1992013148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992013148 |
| Entity Type | Individual |
| Full Name | MICHAEL KOMAR |
| Credential | RT |
| Practice Address |
429 Llewellyn Ave Campbell CA 95008-1948 |
| Practice Telephone | 4083641616 |
| Mailing Telephone | 4083641616 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | RHF94509 | CA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093774382 | Michael J. Komar | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-2111 | 2006-03-23 |
| Street Address |
429 LLEWELLYN AVE |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457345944 | Felicia Radu-radulescu | Specialist | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2005-09-12 |
| 1053879395 | Bay Area Pain Rehab Professional Corporation | Clinic/Center | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2019-03-05 |
| 1659860302 | Jothi Murali Md Inc | Orthopaedic Surgery | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2018-05-08 |
| 1679913552 | Spine Sports Surgery Center, LLC | Clinic/Center | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2013-06-25 |
| 1659632339 | Mikiko Murakami | Physical Medicine & Rehabilitation | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2012-05-30 |
| 1841551579 | Nicholas Colyvas Md Inc | Orthopaedic Surgery | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2012-05-29 |
| 1043576978 | James Pascua | Radiologic Technologist | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2012-04-04 |
| 1982909677 | Rebecca Carroll | Radiologic Technologist | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2011-01-11 |
| 1699083303 | Titus Hodge | Radiologic Technologist | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2010-09-15 |
| 1710114772 | Abhishek Gowda | Physical Medicine & Rehabilitation | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2009-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
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| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043576978 | James Pascua | Radiologic Technologist | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2012-04-04 |
| 1982909677 | Rebecca Carroll | Radiologic Technologist | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2011-01-11 |
| 1699083303 | Titus Hodge | Radiologic Technologist | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303665 | Jeffrey Chan | Radiologic Technologist | 2735 Ulloa St, San Francisco, CA 94116-2321 | 2020-07-17 |
| 1275098675 | California Mobile Imaging LLC | Radiologic Technologist | 3649 W Beechwood Ave Ste 106, Fresno, CA 93711-0693 | 2019-02-10 |
| 1669960068 | Tracey Saucier | Radiologic Technologist | 6342 Fallbrook Ave Ste 102, Woodland Hills, CA 91367-1613 | 2018-05-01 |
| 1972090652 | Souk Luangsrinhotha | Radiologic Technologist | 5021 Rosso Ct, Salida, CA 95368-9066 | 2018-04-18 |
| 1013454123 | Thanhtrang Dinh | Radiologic Technologist | 1725 W 17th St Rm 101e, Santa Ana, CA 92706-2316 | 2017-01-26 |
| 1427401512 | Ashim Haydar Ali | Radiologic Technologist | 8900 Thornton Rd Ste 24, Stockton, CA 95209-1820 | 2016-07-13 |
| 1952758963 | Kevin Schuman | Radiologic Technologist | 8042 Tuscany St, Fontana, CA 92336-3800 | 2016-05-19 |
| 1154782373 | Damian Dejesus | Radiologic Technologist | 2204 Auberry Ave, Bakersfield, CA 93304-7268 | 2016-03-15 |
| 1487023149 | Yasuhide Mikami | Radiologic Technologist | 710 E Keats Ave, Fresno, CA 93710-7022 | 2015-09-23 |
| 1518334630 | Hun Choe | Radiologic Technologist | 41 Muirfield, Trabuco Canyon, CA 92679-3421 | 2015-08-24 |
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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.