DR. JAY STANLEY LUXENBERG (NPI# 1053316828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053316828 |
| Entity Type | Individual |
| Full Name | DR. JAY STANLEY LUXENBERG |
| Credential | M.D. |
| Practice Address |
302 Silver Ave San Francisco CA 94112-1510 |
| Practice Telephone | 4154061416 |
| Practice Fax Number | 4153343091 |
| Mailing Telephone | 4154061416 |
| Mailing Fax Number | 4153343091 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
G43252 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
302 SILVER AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94112-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074807 | Aimee Elizabeth Castro | Occupational Therapist | 302 Silver Ave, San Francisco, CA 94112-1510 | 2020-05-07 |
| 1285277624 | Viktoria Futritski | Nurse Practitioner | 302 Silver Ave, San Francisco, CA 94112-1510 | 2019-10-17 |
| 1205490729 | Adrienne Elyse Frachtman | Speech-Language Pathologist | 302 Silver Ave, San Francisco, CA 94112-1510 | 2019-04-30 |
| 1609377324 | Sarah Elizabeth Wiegand | Physical Therapist | 302 Silver Ave, San Francisco, CA 94112-1510 | 2018-02-27 |
| 1720488794 | Stephen E. Hall Md | Clinic/Center | 302 Silver Ave, San Francisco, CA 94112-1510 | 2014-08-27 |
| 1700015575 | Sunui Lee | Counselor | 302 Silver Ave, San Francisco, CA 94112-1510 | 2009-07-14 |
| 1588891113 | Guy T. Guber | Psychologist | 302 Silver Ave, San Francisco, CA 94112-1510 | 2009-06-22 |
| 1013177963 | Jacqueline Delgado | Speech-Language Pathologist | 302 Silver Ave, San Francisco, CA 94112-1510 | 2008-06-13 |
| 1811164171 | Mario Lemay | Physical Therapist | 302 Silver Ave, San Francisco, CA 94112-1510 | 2008-05-14 |
| 1336351204 | Brenda Ann Fagan | Occupational Therapist | 302 Silver Ave, San Francisco, CA 94112-1510 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737545 | Janine L Gong | Physical Therapist | 5737 Mission St., San Francisco, CA 94112 | 2020-10-09 |
| 1518449974 | Sophia Steffani | Behavioral Analyst | 385 Niagara Avenue, San Francisco, CA 94112 | 2018-09-02 |
| 1437642097 | Victoria Lopez | Registered Nurse | 1947 Center Street, 2nd Floor, Berkeley, CA 94112 | 2018-06-08 |
| 1962903773 | Joshua Jones | Behavior Technician | 795 Folsom St, 1st Floor, San Francisco, CA 94112 | 2018-02-27 |
| 1861917973 | Tiffany Huang | Occupational Therapist | 262 Broad Street, San Francisco, CA 94112 | 2017-08-09 |
| 1396113858 | David Laudenorio | Public Health or Welfare | 1221 Athens St, San Francisco, CA 94112 | 2015-09-14 |
| 1497133466 | Jennifer Michelle Zanoli | Student in an Organized Health Care Education/Training Program | 1701 Ocean Ave Omi Family Services, San Francisco, CA 94112 | 2015-05-11 |
| 1346653649 | Vincent Yan | Marriage & Family Therapist | 15 Robinson Dr, San Francisco, CA 94112 | 2014-06-04 |
| 1831448430 | Kelly Marie Thomas | Clinic/Center | 4877 Mission Street, San Francisco, CA 94112 | 2012-08-29 |
| 1467756544 | Andrew Loukas | Dentist | 5248 Mission St, San Francisco, CA 94112 | 2011-01-04 |
| Find all providers in zip 94112 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| 1912296799 | Laura Phyllis Perry | Internal Medicine | 490 Illinois St Fl 8, San Francisco, CA 94158-2510 | 2011-04-01 |
| 1912137951 | Michael J A Reid | Internal Medicine | Zuckerburg General Hospital, 1001 Protero Avenue, San Francisco, CA 94110 | 2009-07-24 |
| 1790904084 | Frank William Ryning | Internal Medicine | 1339 4th Ave, San Francisco, CA 94122-2615 | 2007-04-25 |
| 1952423931 | Richard M. Dennes | Internal Medicine | 285 Edgewood Ave, San Francisco, CA 94117-3714 | 2007-04-03 |
| 1497867469 | Frederick J. Fox | Internal Medicine | 4150 Clement St # 181g, Veterans Affairs Medical Center, San Francisco, CA 94121-1545 | 2006-08-31 |
| 1124134309 | Eric Walter Widera | Internal Medicine | 4150 Clement St # 181nh, San Francisco, CA 94121-1545 | 2006-08-21 |
| 1215968797 | Leslie P Kernisan | Internal Medicine | 554 Clayton St #170376, San Francisco, CA 94117-0376 | 2006-07-05 |
| 1477583029 | Kateri Murray | Internal Medicine | 1400 Geary Blvd, San Francisco, CA 94109-6561 | 2006-07-03 |
| 1851371744 | Rebecca Lynn Sudore | Internal Medicine | 4150 Clement Street, #181g, Ucsf-sfvamc, San Francisco, CA 94121 | 2006-01-18 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94112 |
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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.