JOYCE TATELMAN MD, INC. (NPI# 1033531652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033531652 |
| Entity Type | Organization |
| Organization Name | JOYCE TATELMAN MD, INC. |
| Practice Address |
2204 Grant Rd Suite 104 Mountain View CA 94040-3855 |
| Practice Telephone | 6505285110 |
| Practice Fax Number | 6505285115 |
| Mailing Telephone | 6505285110 |
| Mailing Fax Number | 6505285115 |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |
| Authorized Official Name | DR. JOYCE TATELMAN (DIRECTOR) |
| Authorized Official Telephone | 6505285110 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A60885 | CA | Ambulatory Health Care Facilities |
| Street Address |
2204 GRANT RD SUITE 104 |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip Code | 94040-3855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174594394 | Andrew B Lipton | Internal Medicine | 2204 Grant Rd, Suite 104, Mountain View, CA 94040-3855 | 2006-01-27 |
| 1821224759 | Diana Mohana Prasad | Pediatrics | 2204 Grant Rd, Suite 201, Mountain View, CA 94040-3855 | 2009-06-05 |
| 1033362041 | Preethi Chakravarthy Sridhar | Internal Medicine | 2204 Grant Rd, Suite 103, Mountain View, CA 94040-3855 | 2008-11-04 |
| 1588814313 | Andrew B Lipton Md A Professional Corporation | Internal Medicine | 2204 Grant Rd, Suite 104, Mountain View, CA 94040-3855 | 2008-09-29 |
| 1457537474 | Rachael Antonina White | Internal Medicine | 2204 Grant Rd, Suite 103, Mountain View, CA 94040-3855 | 2008-01-22 |
| 1811183346 | David A. Lewis, M.d., Inc. | Clinic/Center | 2204 Grant Rd, Suite 105, Mountain View, CA 94040-3855 | 2007-09-18 |
| 1023137189 | Alfred Butner, M.d. Inc. | General Practice | 2204 Grant Rd, Suite 203, Mountain View, CA 94040-3855 | 2007-03-28 |
| 1548328941 | Howard L Rosenberg | Plastic Surgery | 2204 Grant Rd, Suite 201, Mountain View, CA 94040-3855 | 2006-12-05 |
| 1316017858 | David Arthur Lewis | Internal Medicine | 2204 Grant Rd, Suite 103, Mountain View, CA 94040-3855 | 2006-11-09 |
| 1316024920 | Soo Jean Eng | Internal Medicine | 2204 Grant Rd, #103, Mountain View, CA 94040-3855 | 2006-11-01 |
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|---|---|---|---|---|
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| 1144862343 | Lavon Hester Bobo | Marriage & Family Therapist | 836 W. El Camino, Mountain View, CA 94040 | 2019-10-09 |
| 1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
| 1003471129 | Jennifer Langsdorf Royer | Marriage & Family Therapist | 1059 El Monte Avenue, Suite B, Mountain View, CA 94040 | 2019-05-03 |
| 1255899332 | Joanna Lynn Quan | Social Worker | Palo Alto Medical Foundation, 701 E. El Camino Real, Mountain View, CA 94040 | 2019-03-07 |
| 1750861522 | Kelby Katz | Counselor | 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 | 2018-08-20 |
| 1861982472 | David Young Lee | Counselor | 870 E El Camino Real, Mountain View, CA 94040 | 2018-05-18 |
| 1740709260 | May Man Lowe | Pharmacist | 1517 Lloyd Way, Mountain View, CA 94040 | 2017-09-15 |
| 1134647753 | Ryan David Emery | Physical Therapist | 525 South Dr #211, Mountain View, CA 94040 | 2017-09-04 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1699948893 | Mohamad Razavi | Clinic/Center | 2500 Grant Rd, Mountain View, CA 94040-4302 | 2008-04-08 |
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| City | MOUNTAIN VIEW |
| Zip Code | 94040 |
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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.