Madrone Care Network, an Advanced Practice Nursing Corp

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

MADRONE CARE NETWORK, AN ADVANCED PRACTICE NURSING CORP

Practice address

117 Brookline St
Moraga, CA 94556-1016

Phone

(646) 942-8148

Fax

(925) 888-2750

NPI assigned

May 26, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Niamh Isabel Van Meines, NP

Title

Ceo

Phone

(646) 942-8148

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1740803634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BROOKLINE ST",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945561016",
            "telephone_number": "646-942-8148",
            "fax_number": "925-888-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BROOKLINE ST",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945561016",
            "telephone_number": "646-942-8148",
            "fax_number": "925-888-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRONE CARE NETWORK, AN ADVANCED PRACTICE NURSING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "VAN MEINES",
        "authorized_official_first_name": "NIAMH",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-942-8148",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lokotkin, PT, DPT
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• Andrew Mansour, RPH
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• Yasaman Masoudi
• Brea McQuoid
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• Hospice and Palliative Medicine (Internal Medicine) Physician in Moraga, CA
• Providers in Moraga, CA by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.