Wilbert Tirtadinata
Registered Nurse (Critical Care Medicine)

Address: 1947 35th Ave, San Francisco, CA 94116-1111
Phone: 6505155707

Wilbert Tirtadinata (NPI# 1578177630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1578177630
Entity Type Individual
Full Name Wilbert Tirtadinata
Gender Male
Practice Address 1947 35th Ave
San Francisco
CA 94116-1111
Practice Telephone 6505155707
Mailing Address 1947 35th Ave
San Francisco
CA 94116-1111
Mailing Telephone 6505155707
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-09-04
Last Update Date 2020-09-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 163WC0200X Registered Nurse · Critical Care Medicine Nursing Service Providers 838581 CA

Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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Office Location

Street Address 1947 35TH AVE
City SAN FRANCISCO
State CA
Zip Code 94116-1111

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386275972 Eric Lee Behavior Technician 2000 43rd Ave, San Francisco, CA 94116 2020-01-31
1376103176 Young-in Kim Physical Therapist 3401 Taraval St, San Francisco, CA 94116 2019-06-14
1952806408 Ramirez & Xia Dental Corp. Dentist 2409 Taraval St., San Francisco, CA 94116 2018-03-27
1043739337 Cindi Lam Community Health Worker 375 Laguna Honda Blvd., B200, San Francisco, CA 94116 2017-09-18
1043735442 Tammy Marie Buhler Community Health Worker 1990 41st Avenue, San Francisco, CA 94116 2017-08-07
1457875015 Janet Bilafer-steiner Nurse Practitioner 2935 Travel Street, San Francisco, CA 94116 2017-07-26
1790225811 Christopher Valles-martinez Counselor 1801 Vicente St, San Francisco, CA 94116 2017-03-08
1033659578 Emiko Perez Technician, Other 2235 31st Ave, San Francisco, CA 94116 2017-03-02
1982070249 Elizabeth Ancker Counselor 1800 Vicente Street, San Francisco, CA 94116 2015-08-20
1922432608 Toby Wai Chang Pharmacist 2354 32nd Ave, San Francisco, CA 94116 2013-08-29
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Competitor

Search similar providers

City SAN FRANCISCO
Zip Code 94116

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Dataset Information

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.