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NEFERTARI HAWTHORNE
NPI 1891375788
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since April 13, 2021
390 40TH ST, OAKLAND, CA 94609(510) 613-0330 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2024, Apr 13, 2021 (2 updates tracked since 2021).

About Nefertari Hawthorne NPPES

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

NEFERTARI HAWTHORNE (NPI 1891375788) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since April 2021. She maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1891375788
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNEFERTARI HAWTHORNE
Location Address390 40TH STOakland, CA 94609-2633
Mailing Address390 40th StOakland, CA 94609-2633 · (510) 613-0330
Phone(510) 613-0330
Sole ProprietorNo
Enumeration DateApril 13, 2021
Last NPPES UpdateFebruary 25, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1891375788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCounselorTaxonomy 101Y00000X
390 40TH ST, Oakland, CA 94609
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Secondary Practice Location 1

Location 17200 Bancroft Ave Ste 367Oakland, CA 94605-2403 · Phone (510) 899-7445

Other Providers at the Same Location NPPES 20

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

THUYMINH NGUYEN
Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
NOAH MERL
Social Worker
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
VIRGIL GABA BAGAOISAN
Counselor (Addiction (Substance Use Disorder))
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 306-5361
DANIELLE CHRISJAN STAUFFER
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 723-1907
KIMBERLY ESPINOZA
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
AUJANAE JACKSON
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
KIMBERLY JANE GATLIN
Adult Companion
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
SHALIMAR FAYEZ BOULOS LCSW, MSW, MPH
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330

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 Nefertari Hawthorne's NPI number?

The NPI number for Nefertari Hawthorne is 1891375788. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Nefertari Hawthorne located?

Nefertari Hawthorne practices at 390 40th St, Oakland, CA 94609. The listed phone number is (510) 613-0330.

What is Nefertari Hawthorne'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 Nefertari Hawthorne was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.