DR. JOSEPHUS-IAN LUMONGSUD SANJORJO (NPI# 1073808168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073808168 |
| Entity Type | Individual |
| Full Name | DR. JOSEPHUS-IAN LUMONGSUD SANJORJO |
| Other Name | DR. JOSEPHUS-IAN LUMONGSUD SANJORJO |
| Credential | MD |
| Practice Address |
1800 Sullivan Ave Suite 507 Daly City CA 94015-2228 |
| Practice Telephone | 6508177188 |
| Practice Fax Number | 6505138788 |
| Mailing Telephone | 6508177188 |
| Mailing Fax Number | 6505138788 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2015-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A117377 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A117377 | CA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | A117377 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12257286 | 01 | |
| PTAN | H26222966 | 01 |
| Street Address |
1800 SULLIVAN AVE SUITE 507 |
| City | DALY CITY |
| State | CA |
| Zip Code | 94015-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093394 | Angelo C Arcilla | Family Medicine | 1800 Sullivan Ave, Rm 101, Daly City, CA 94015-2227 | 2005-06-20 |
| 1871143214 | Laura Anne Schulkin-parnell | Marriage & Family Therapist | 1800 Sullivan Ave, Daly City, CA 94015-2228 | 2019-09-18 |
| 1376027201 | Charlene Mae Felix Bueno | Physical Therapist | 1800 Sullivan Ave, Daly City, CA 94015-2228 | 2018-09-17 |
| 1770098774 | Victor Jay Wu | Physician Assistant | 1800 Sullivan Ave, Daly City, CA 94015 | 2017-12-12 |
| 1649714866 | Acts Physical Therapy Inc. | Clinic/Center | 1800 Sullivan Ave, Suite 504, Daly City, CA 94015-2228 | 2016-12-07 |
| 1952857369 | Okumu Md Inc. | Orthopaedic Surgery | 1800 Sullivan Ave, Ste 602, Daly City, CA 94015-2228 | 2016-08-27 |
| 1407213234 | Viola Fan | Physical Therapist | 1800 Sullivan Ave, Rm 504, Daly City, CA 94015-2225 | 2016-01-25 |
| 1346632650 | Raymond Dugan Velasco Md, Inc. | Clinic/Center | 1800 Sullivan Ave, Suite 603, Daly City, CA 94015-2228 | 2015-02-24 |
| 1710290168 | Neil D Mulcahy Md Inc | Otolaryngology | 1800 Sullivan Ave, Suite 603, Daly City, CA 94015-2228 | 2010-07-14 |
| 1760718670 | Edgardo G. Alicaway, M. D., P. C. | Psychiatry & Neurology | 1800 Sullivan Ave, Suite 508, Daly City, CA 94015-2228 | 2009-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235901 | Fast Express Ride Inc | Non-emergency Medical Transport (VAN) | 381 Westlake Ctr # 292, Daly City, CA 94015 | 2019-09-30 |
| 1598231888 | National Vision Inc | Technician/Technologist | 148a Serramonte Center, Daly City, CA 94015 | 2018-10-15 |
| 1174017313 | Glaiza Cecilia S Canares | Student in an Organized Health Care Education/Training Program | 255 Dennis Drive, Daly City, CA 94015 | 2018-06-20 |
| 1154869477 | Noah Bautista | Massage Therapist | 151 87th St Suite 4, Daly City, CA 94015 | 2017-02-07 |
| 1417387291 | Accuquest Hearing Centers | Clinic/Center | 10 Park Plaza Dr., Daly City, CA 94015 | 2013-11-15 |
| 1801193800 | Carol Crane | Physical Therapy Assistant | 333 Gellert Dr., Suite 150, Supplemental Health Care, Daly City, CA 94015 | 2011-02-28 |
| 1366753808 | Emerito Cesar C Nunag | Physical Therapy Assistant | 595 Clarinada Avenue #2, Daly City, CA 94015 | 2010-06-30 |
| 1356668016 | Lauren Rose Hendrick | Marriage & Family Therapist | 355 Gellert Blvd Suite 280, Daly City, CA 94015 | 2010-04-21 |
| 1205061868 | Isabel A. Walsh | General Practice | 783 Skyline Dr., Daly City, CA 94015 | 2009-05-26 |
| 1790933539 | Frank Geoffrey Yeh | Dentist | 1440 Southgate Ave., Daly City, CA 94015 | 2008-09-05 |
| Find all providers in zip 94015 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1023182227 | Christian Cosca Cruz | Internal Medicine | 1498 Southgate Ave, Suite 102, Daly City, CA 94015-4015 | 2006-11-20 |
| 1225099286 | Albert C Kao | Internal Medicine | 1498 Southgate Ave, Suite 102, Daly City, CA 94015-4015 | 2006-03-30 |
| 1760443725 | Philip Hertz | Internal Medicine | 1498 Southgate Ave, Suite 102, Daly City, CA 94015 | 2006-03-30 |
| 1053371559 | Robert Ra Nien Tseng | Internal Medicine | 1498 Southgate Ave, Ste 102, Daly City, CA 94015 | 2006-03-27 |
| 1083674550 | Warren Chang | Internal Medicine | 1498 Southgate Ave, Suite 102, Daly City, CA 94015-4015 | 2006-03-27 |
| 1336117829 | West Bay Nephrology Associates | Internal Medicine | 1498 Southgate Ave, Suite 102, Daly City, CA 94015 | 2006-03-09 |
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|---|---|---|---|---|
| 1710585328 | Empire Medical Specialist | Internal Medicine | 28625 Quaint St, Agoura Hills, CA 91301-1735 | 2020-10-15 |
| 1538774989 | Modern Telehealth | Internal Medicine | 1509 Espinosa Cir, Palos Verdes Estates, CA 90274-1917 | 2020-09-12 |
| 1073137733 | Jafar Alsaid | Internal Medicine | 2009 Baywood Ln, Davis, CA 95618-0500 | 2020-05-29 |
| 1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
| 1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
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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.