EAST BAY GYNECOLOGIC ONCOLOGY (NPI# 1003289919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003289919 |
| Entity Type | Organization |
| Organization Name | EAST BAY GYNECOLOGIC ONCOLOGY |
| Practice Address |
105 Monte Vista Rd Orinda CA 94563-1619 |
| Practice Telephone | 3109262451 |
| Mailing Telephone | 3109262451 |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |
| Authorized Official Name | DR. DIMITRY LERNER (OWNER) |
| Authorized Official Telephone | 3109262451 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
A92223 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
105 MONTE VISTA RD |
| City | ORINDA |
| State | CA |
| Zip Code | 94563-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952842 | Sarah E. Wilson, Phd, A Professional Psychology Corporation | Psychologist | 23 Altarinda Road, Suite 201, Orinda, CA 94563 | 2020-05-05 |
| 1790333946 | Kristin Baines | Speech-Language Pathologist | Cameron Speech, 8 Camino Encinas Suite 210, Orinda, CA 94563 | 2019-08-30 |
| 1730618026 | Grace Elise Shandalov | Occupational Therapist | 24 Zander Drive, Orinda, CA 94563 | 2017-06-08 |
| 1346698735 | Janet Alexander | Occupational Therapist | 60 Don Gabriel Way, Orinda, CA 94563 | 2016-05-26 |
| 1750741021 | David Charles Hansen | Radiology | 543 Tahos Road, Orinda, CA 94563 | 2016-03-01 |
| 1063761609 | Melissa Bailey | Dentist | 15 Altarinda Rd., Suite 104a, Orinda, CA 94563 | 2012-08-29 |
| 1134493927 | Wu Hao Tu | Internal Medicine | 53 Brookside Rd, Orinda, CA 94563 | 2012-02-27 |
| 1134383243 | Marianna Eraklis | Pediatrics | One Camino Sobrante, Suite 208, Orinda, CA 94563 | 2008-07-17 |
| 1245441351 | Laro Virginia Thompson | Psychologist | 23 Altrarinda, Suite 214, Orinda, CA 94563 | 2007-05-24 |
| 1033329404 | Lisa B Kollin | Occupational Therapy Assistant | 8 Great Oak Circle, Orinda, CA 94563 | 2007-05-23 |
| Find all providers in zip 94563 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727928 | Hhlp Medical Group Inc | Obstetrics & Gynecology | 500 N Garfield Ave Ste 104, Monterey Park, CA 91754-1242 | 2019-02-21 |
| 1760824833 | Cecil O Lynch | Obstetrics & Gynecology | 6500 Countrywoods Lane, Granite Bay, CA 95746 | 2013-07-18 |
| 1669713012 | Conley Gerard Lacey | Obstetrics & Gynecology | 1935 Stonebrook Ln, Clovis, CA 93611-5985 | 2013-03-11 |
| 1427342294 | Mae Zakhour | Obstetrics & Gynecology | 200 Ucla Medical Plz Ste 220, Los Angeles, CA 90095 | 2011-06-08 |
| 1447575568 | Kristen Marie Anderson | Obstetrics & Gynecology | 26520 Cactus Ave Ste B2020, Moreno Valley, CA 92555-3927 | 2010-03-31 |
| 1962639203 | Laurie Brunette | Obstetrics & Gynecology | 2020 Zonal Ave # Ird220, Los Angeles, CA 90089-0121 | 2009-06-13 |
| 1295977932 | Danielle D. Jandial | Obstetrics & Gynecology | 101 The City Dr., Bldg. 56, Room 260, Orange, CA 92683-1491 | 2009-03-26 |
| 1629235783 | Jeff Feng Hsu Lin | Obstetrics & Gynecology | 455 Oconnor Dr Ste 370, San Jose, CA 95128-1600 | 2008-05-16 |
| 1306038096 | Uma Chandavarkar | Obstetrics & Gynecology | 2800 L St Ste 300, Sacramento, CA 95816-5616 | 2007-08-15 |
| 1144424615 | Yvonne Gail Lin-liu | Obstetrics & Gynecology | 1441 Eastlake Ave # 7419, Los Angeles, CA 90089-0112 | 2007-06-11 |
| Find all providers with the same taxonomy | ||||
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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.