Provider Demographics
NPI:1073775656
Name:KUNISHI, TERESAMARIA GARCHITORENA (ND, RN, PMHNP)
Entity Type:Individual
Prefix:DR
First Name:TERESAMARIA
Middle Name:GARCHITORENA
Last Name:KUNISHI
Suffix:
Gender:F
Credentials:ND, RN, PMHNP
Other - Prefix:
Other - First Name:TERESA MARIA CARMEN
Other - Middle Name:PINEDA
Other - Last Name:GARCHITORENA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2053 MANZANITA DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-1148
Mailing Address - Country:US
Mailing Address - Phone:415-601-7387
Mailing Address - Fax:
Practice Address - Street 1:1390 MARKET ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-5404
Practice Address - Country:US
Practice Address - Phone:415-601-7387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95202164163W00000X
CAND-276175F00000X
390200000X
CA95018303363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No175F00000XOther Service ProvidersNaturopath
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program