Brian Waldman
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Avenal, CA
NPI 1295906014 · NPPES record last updated May 14, 2024
Key facts
- NPI
- 1295906014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1 Kings Way
Avenal, CA 93204-9708 - Phone
- (559) 386-0587
- NPI assigned
- Mar 19, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrections and Rehabilitation-Headquarters | Current |
Accepting new patients |
Locations
1 Kings Way
Avenal, CA 93204
Phone (559) 386-0587
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1 Kings Way
Avenal, CA 93204-9708
Mailing address
472 Roosevelt St
Coalinga, CA 93210-2253
Phone (909) 244-6209
Other providers in Avenal, CA
- Valley Family Health Center Medical Group, Inc.
- Melody Van Allen
- Elisha Vieira
- Yaretzy Villalobos
- Talon Waite
- Carolyn Ashley Wanyonyi
- Toniah Webb
- Westcare California, Inc.
- Eric Witham
- Wonderful Center for Health Innovation Inc
All providers in Avenal, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.