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MISS JODIE STATHAM
NPI 1174975502
Student in an Organized Health Care Education/Training Program in Fremont, CA

Active since July 09, 2016
39465 PASEO PADRE PKWY, SUITE 2100, FREMONT, CA 94538(510) 745-9151 Get Directions Write a Review

NPPES record last updated: July 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Jodie Statham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JODIE STATHAM (NPI 1174975502) is an individual student in an organized health care education/training program in Fremont, California and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1174975502
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS JODIE STATHAM
Location Address39465 PASEO PADRE PKWY, SUITE 2100Fremont, CA 94538-5350
Mailing Address39465 Paseo Padre Pkwy, Suite 2100Fremont, CA 94538-5350 · (510) 745-9151
Phone(510) 745-9151
Sole ProprietorNo
Enumeration DateJuly 9, 2016
✔ NPI 1174975502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

39465 PASEO PADRE PKWY, Fremont, CA 94538
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. FARIBA MONFARED
Student in an Organized Health Care Education/Training Program
39465 PASEO PADRE PKWY, STE 2100
FREMONT, CA 94538
Alameda County (510) 745-9151
CHIA CHI WANG BCBA
Behavior Analyst
39465 PASEO PADRE PKWY, STE 2100
FREMONT, CA 94538
Alameda County (510) 745-9151
PORTIA BELL HUME BEHAVIORAL HEALTH AND TRAINING CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
39465 PASEO PADRE PKWY, SUITE 2100
FREMONT, CA 94538
Alameda County (510) 745-9151
JASMINE LILY SAADAT
Student in an Organized Health Care Education/Training Program
39465 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 745-9151
INVIEW IMAGING MEDICAL CORPORATION
Radiology (Diagnostic Radiology)
39465 PASEO PADRE PKWY, SUITE 1000
FREMONT, CA 94538
Alameda County (510) 490-0961
DR. POOJA RUPANI
Psychologist (Clinical)
39465 PASEO PADRE PKWY, STE 2100
FREMONT, CA 94538
Alameda County (925) 223-8047
MARWA ASSAR PSY.D
Psychologist
39465 PASEO PADRE PKWY
FREMONT, CA 94538
Alameda County (510) 745-9151
BRENT MILLS
Student in an Organized Health Care Education/Training Program
39465 PASEO PADRE PKWY, SUITE 2100
FREMONT, CA 94538
Alameda County (510) 745-9151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jodie Statham's NPI number?

The NPI number for Jodie Statham is 1174975502. It was assigned to this individual provider in the NPPES registry on July 9, 2016.

Where is Jodie Statham located?

Jodie Statham practices at 39465 Paseo Padre Pkwy Suite 2100, Fremont, CA 94538. The listed phone number is (510) 745-9151.

What is Jodie Statham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jodie Statham was last updated on July 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.