DAMIAN PETERSON (NPI# 1528654605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528654605 |
Entity Type | Individual |
Full Name | DAMIAN PETERSON |
Gender | Male |
Credential | PHARMD |
Practice Address | 1001 Potrero Ave Apt 7609 San Francisco CA 94110-3518 |
Practice Telephone | 7186793762 |
Mailing Address | 1222 Harrison St Apt 7609 San Francisco CA 94103-4557 |
Mailing Telephone | 7186793762 |
Certification Date | 2020-12-14 |
Enumeration Date | 2020-12-14 |
Last Update Date | 2020-12-14 |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 83926 | CA | Pharmacy Service Providers | |
N | 183500000X | Pharmacist | 30161 | NC | Pharmacy Service Providers |
Street Address | 1001 POTRERO AVE APT 7609 |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94110-3518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773841 | Samantha Santamaria | Counselor | 1001 Potrero Ave Rm 7g12, San Francisco, CA 94110-3518 | 2020-09-03 |
1093323222 | City and County of San Francisco | Clinic/Center · Methadone | 1001 Potrero Ave # Ward86, San Francisco, CA 94110-3518 | 2020-07-14 |
1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
1780203042 | Nathan Jonathan Kim | Student in an Organized Health Care Education/Training Program | 1001 Portrero Ave Bldg 80-83, San Francisco, CA 94110-3518 | 2020-04-15 |
1255968830 | Venus Kit Sze Wu | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Rm 3202, San Francisco, CA 94110-3518 | 2020-03-24 |
1497386783 | Michelle Reyes | Physical Therapist | 1001 Potrero Ave # Gc-1, San Francisco, CA 94110-3518 | 2020-01-27 |
1952943631 | Randy Chan | Community Health Worker | 1001 Potrero Ave # 7m36, San Francisco, CA 94110-3518 | 2019-10-14 |
1831742881 | Rebecca Claire Schwartz | Social Worker · Clinical | 1001 Potrero Ave # 6d-33, San Francisco, CA 94110-3518 | 2019-07-18 |
1104479385 | Bridget Gramkowski | Nurse Practitioner · Pediatrics | 1001 Potrero Ave Bldg 203, San Francisco, CA 94110-3518 | 2019-07-17 |
1114579687 | Stephanie Phan | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Rm 7g9, San Francisco, CA 94110-3518 | 2019-07-15 |
Find all providers in zip 94110-3518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
1740835131 | Jacob Matz | Orthopaedic Surgery · Orthopaedic Trauma | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
1427523083 | John Pier Shaw | Counselor · Mental Health | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
Find all providers in zip 94110 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720676711 | Lisa Marie Ghotbi | 39 Miguel St, San Francisco, CA 94131-2605 | 2021-01-05 | |
1073117214 | Anthony Gumberg | 21 Columbia Sq Apt 409, San Francisco, CA 94103-4053 | 2020-11-29 | |
1124622030 | Jose Gustavo Lazo Jr. | 521 Parnassus Ave Room C-152, B- 0622, San Francisco, CA 94143 | 2020-11-23 | |
1639776727 | Ziyun Huang | 2021 Moraga St, San Francisco, CA 94122-4213 | 2020-10-02 | |
1003428996 | Ken Lapto Choi | 670 33rd Ave, San Francisco, CA 94121-2718 | 2020-08-20 | |
1093327538 | Lorelei Jean Piantedosi | 90 7th St Ste 5-300, San Francisco, CA 94103-6706 | 2020-08-17 | |
1477164408 | Layla Farid | 737 Post St Apt 213, San Francisco, CA 94109-6192 | 2020-08-13 | |
1114538121 | Winnie Wu | 550 16th St Ste 1200, San Francisco, CA 94158-2545 | 2020-08-12 | |
1356952444 | Victoria Alexis Dejaco | 500 Parnassus Ave # J, San Francisco, CA 94143-2203 | 2020-08-12 | |
1356969745 | Munashe Blessing Kaseke | 1400 Tennessee St, Suite #2, San Francisco, CA 94107 | 2020-07-11 | |
Find all providers in SAN FRANCISCO |
City | SAN FRANCISCO |
Zip Code | 94110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306487889 | Yasmin Damian Damian | Behavior Technician | 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219-2823 | 2019-10-04 |
1679117022 | Juana Laura Damian Damian | Community Health Worker | 4373 Satter Pl Ne, Salem, OR 97305-4107 | 2019-10-29 |
1134353303 | Joseph Damian Jr. · Joe Damian Jr. | Military Health Care Provider · Independent Duty Medical Technicians | 225 Bennett Ave, Hurlburt Field, FL 32544-5707 | 2009-05-04 |
1114245263 | Damian Miranda · Damian Miranda | Emergency Medical Technician, Paramedic | 2325 Ave Albizu Campos, Rincon, PR 00677-2432 | 2010-05-13 |
1558338509 | Teresa Damian Borja · Teresa A Damian | Podiatrist · Foot Surgery | 122 Tun Jose Toves Way, Tamuning, GU 96913-3507 | 2006-03-08 |
1134672918 | Anne Damian Yacoub · Anne Damian | Psychiatry & Neurology · Neurology | 600 N Wolfe St Rm 627, Baltimore, MD 21287-0005 | 2016-07-28 |
1497880637 | Beatriz Marlene Rubio Damian · Marlene Rubio Damian | Physician Assistant | 4140 Mother Lode Dr, Suite 112, Shingle Springs, CA 95682-8038 | 2007-02-21 |
1942676382 | Arianna Damian Yeh · Arianna Damian | Dentist | 164 N Oak Knoll Ave, Apt 7, Pasadena, CA 91101-1846 | 2015-08-20 |
1851662068 | Peter Damian Simkins Sluk · Peter Damian Sluk | Marriage & Family Therapist | 25550 Chagrin Blvd Ste 200, Beachwood, OH 44122-4640 | 2012-01-19 |
1396240131 | Julio Damian Montejo Jr. · Julio Damian Montejo Castillo | Student in an Organized Health Care Education/Training Program | 1 Medical Dr, Lebanon, NH 03756-1000 | 2018-03-26 |
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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.