DR. MARK E VONZASTROW (NPI# 1063686202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063686202 |
| Entity Type | Individual |
| Full Name | DR. MARK E VONZASTROW |
| Credential | MD |
| Practice Address |
600 16th St N212e Genentech Hall / Ucsf San Francisco CA 94158-2517 |
| Practice Telephone | 4154767000 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
G68180 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
600 16TH ST N212E GENENTECH HALL / UCSF |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94158-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532298 | Carla Stern | Occupational Therapist | 940 4th Street, San Francisco, CA 94158 | 2020-09-15 |
| 1386272771 | Olga Agnieszka Lannon | Registered Nurse | 701 China Basin Street, San Francisco, CA 94158 | 2020-03-31 |
| 1679110407 | Drew Yoder | Physical Medicine & Rehabilitation | Chase Center - Bbops, 1 Warriors Way, San Francisco, CA 94158 | 2019-11-27 |
| 1518448430 | Christine Caitlin-quinley Magdalin | Physical Therapist | 1600 Owens Street, 6th Floor, San Francisco, CA 94158 | 2018-08-28 |
| 1477050730 | Daniel Bradford Cary Woolridge | Student in an Organized Health Care Education/Training Program | 1975 Fourth St., San Francisco, CA 94158 | 2018-04-12 |
| 1992223069 | Ambili N Thannil | Nurse Practitioner | 550 16th Street 5th Floor, San Francisco, CA 94158 | 2017-09-08 |
| 1831637974 | Michele Brown Foster | Nurse Practitioner | 1975 Fourth Street, San Francisco, CA 94158 | 2017-02-09 |
| 1124487525 | Jennifer Waters | Occupational Therapist | 1975 4th Street, Box 4050, Rehab Services, San Francisco, CA 94158 | 2016-02-15 |
| 1598148173 | Gabriel Perez Schwartz | Registered Nurse | 1825 Fourth Street, Fourth Floor, San Francisco, CA 94158 | 2015-07-01 |
| 1235424086 | Fanny Mojdeh Elahi | Psychiatry & Neurology | 675 Nelson Rising Lane, Ucsf Memory and Aging, San Francisco, CA 94158 | 2011-06-09 |
| Find all providers in zip 94158 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629329974 | Maria Roberta Cilio | Psychiatry & Neurology | 505 Parnassus Ave, M798, San Francisco, CA 94143-0114 | 2012-09-26 |
| 1457475279 | Yifang Qian | Psychiatry & Neurology | 887 Potrero Ave, San Francisco Behaviocal Health Center, San Francisco, CA 94110-2869 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560378 | Green Flash Physician Oversight PC | Psychiatry & Neurology | 2868 Bayside Walk Unit C, San Diego, CA 92109-8119 | 2020-05-26 |
| 1659994739 | Jey Neuro Center, Inc | Psychiatry & Neurology | 2005 Eye Street #8-501, Bakersfield, CA 93301-4451 | 2020-05-22 |
| 1578116877 | La Neuro Medical Group | Psychiatry & Neurology | 11843 Dorothy St Apt 2, Los Angeles, CA 90049-4456 | 2019-07-17 |
| 1518527613 | Neuroguard Pro | Psychiatry & Neurology | 2932 N Cottonwood St Unit 16, Orange, CA 92865-1235 | 2019-06-19 |
| 1750857801 | Tms Depression Center of San Diego | Psychiatry & Neurology | 613 W Valley Pkwy Ste 102, Escondido, CA 92025-2550 | 2018-10-16 |
| 1225530637 | Iom Neuro Pro Reader | Psychiatry & Neurology | 9300 Santa Anita Ave, Suite 101, Rancho Cucamonga, CA 91730 | 2018-03-01 |
| 1437579851 | Sami Bajwa | Psychiatry & Neurology | 7240 N Van Ness Blvd, Fresno, CA 93711-0470 | 2014-04-24 |
| 1780935130 | Dawn Eliashiv Md Inc. A Professional Medical Corporation | Psychiatry & Neurology | 8635 W 3rd St Ste 1080w, Los Angeles, CA 90048-6183 | 2012-09-25 |
| 1073821922 | Yuvraj Singh Grewal | Psychiatry & Neurology | 23861 Mcbean Pkwy Ste A4, Santa Clarita, CA 91355-2003 | 2010-09-14 |
| 1952629263 | Roger Bertoldi Md Professional Corporation | Psychiatry & Neurology | 8610 S. Sepulveda Blvd., Los Angeles, CA 90045 | 2010-05-11 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94158 |
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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.