DR. MARIE CAROL PRESIDENT (NPI# 1083621379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083621379 |
| Entity Type | Individual |
| Full Name | DR. MARIE CAROL PRESIDENT |
| Credential | M.D |
| Practice Address |
1301 Shoreway Rd Ste 100 Belmont CA 94002-4110 |
| Mailing Address |
3400 Data Dr Attn: Credentialing/payer Enrollment Rancho Cordova CA 95670-7956 |
| Practice Telephone | 6505967000 |
| Practice Fax Number | 6505967093 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G078841 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1301 SHOREWAY RD STE 100 |
| City | BELMONT |
| State | CA |
| Zip Code | 94002-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653556 | Jolly Philip | Family Medicine | 1301 Shoreway Rd Ste 100, Belmont, CA 94002-4110 | 2005-07-20 |
| 1780148619 | Oksana Prodan | Nurse Practitioner | 1301 Shoreway Rd Ste 100, Belmont, CA 94002-4110 | 2019-01-24 |
| 1215325337 | Marco A Jacobo | Physician Assistant | 1301 Shoreway Rd Ste 100, Belmont, CA 94002-4110 | 2014-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728740 | Simon Hirschl | Pathology | 9 Kittie Lane, Belmont, CA 94002 | 2017-02-09 |
| 1902251028 | Emma Yan Hiu Lee Chou | Occupational Therapist | 2410 Carlmont Dr, Belmont, CA 94002 | 2016-04-26 |
| 1740578087 | The Latino Commisson | Substance Abuse Rehabilitation Facility | 401 Briarfield Way, Belmont, CA 94002 | 2011-07-20 |
| 1053624189 | Pragya Jain | Internal Medicine | 1301 Shoreway Rd., Ste. 100, Belmont, CA 94002 | 2010-07-18 |
| 1194956425 | Lilia Patricia Gallegos | Marriage & Family Therapist | 1 Davis Drive, Belmont, CA 94002 | 2009-08-04 |
| 1407099088 | Dharmesh Patel | Radiology | 513 Seagate Way, Belmont, CA 94002 | 2009-04-13 |
| 1376688044 | Paul M. Takla | Dentist | 2130 Ralston Ave, Suite 1e, Belmont, CA 94002 | 2007-02-21 |
| 1487799987 | Mark Joseph Mcmahon | Physical Therapist | 549 Ralson Avenue, Suite B, Belmont, CA 94002 | 2007-02-21 |
| 1639216112 | Patricia Mary Wieser | Nurse Practitioner | 1541 Harbor Blvd, Belmont, CA 94002 | 2007-01-31 |
| 1063575157 | Peninsula Specialty Care | Dentist | 562 Ralston Ave, Belmont, CA 94002 | 2006-12-19 |
| Find all providers in zip 94002 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1659750560 | Jonathan Polak | Internal Medicine | 39 Dutile Shore Rd, Belmont, NH 03220-3048 | 2015-05-26 |
| 1053624189 | Pragya Jain | Internal Medicine | 1301 Shoreway Rd., Ste. 100, Belmont, CA 94002 | 2010-07-18 |
| 1093959439 | Subbiah Doraiswami | Internal Medicine | 560 Pleasant St, Belmont, MA 02478-2510 | 2009-04-29 |
| 1174672778 | Tracei Denise Ball | Internal Medicine | 6428 W Wilkinson Blvd, Suite 241, Belmont, NC 28012-2858 | 2007-01-10 |
| 1457408478 | Achot Khoubesserian | Internal Medicine | 366 Payson Rd, Belmont, MA 02478-3402 | 2007-01-04 |
| 1164531141 | James J Chen | Internal Medicine | 1601 El Camino Real Ste 303, Belmont, CA 94002-3943 | 2006-08-30 |
| 1720009673 | Elizabeth Kocot | Internal Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2006-07-23 |
| 1053367805 | Edward Nathan Mcdonald | Internal Medicine | 5877 Old State Rd # 19, Belmont, NY 14813-9616 | 2006-05-25 |
| 1821088105 | Deborah Ann Haley | Internal Medicine | 32 Horace Rd, Belmont, MA 02478-2316 | 2005-10-26 |
| 1194719385 | Margaret Ellen Ferriter Campbell | Internal Medicine | 601 Gardenbrook Trl, Belmont, NC 28012-6541 | 2005-09-02 |
| Find all providers in BELMONT | ||||
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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.