DR. GARY E BEAN (NPI# 1093829327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093829327 |
| Entity Type | Individual |
| Full Name | DR. GARY E BEAN |
| Credential | MD |
| Practice Address |
4180 Park Blvd Oakland CA 94602 |
| Practice Telephone | 5105305437 |
| Practice Fax Number | 5105309703 |
| Mailing Telephone | 5105305437 |
| Mailing Fax Number | 5105309703 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2011-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G53663 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | G53663 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760452312 | Gary Owen Bean | Family Medicine | 4414 Lake Boone Trail, Suite 502, Raleigh, NC 27607-7514 | 2006-01-25 |
| Street Address |
4180 PARK BLVD |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084834 | Fion Ng | Registered Nurse | 4180 Park Blvd, Oakland, CA 94602-1207 | 2019-07-12 |
| 1083171144 | Parissa Kimia Salimian | Registered Nurse | 4180 Park Blvd, Oakland, CA 94602 | 2019-02-25 |
| 1437462769 | Kathryn Cherbini | Nurse Practitioner | 4180 Park Blvd, Oakland, CA 94602-1207 | 2010-07-15 |
| 1982878203 | Pallavi Parthasarathy Sheth | Nurse Practitioner | 4180 Park Blvd, Oakland, CA 94602-1207 | 2008-04-17 |
| 1841480308 | Whole Life Nutrition | Dietitian, Registered | 4180 Park Blvd, Oakland, CA 94602-1207 | 2007-07-30 |
| 1972625986 | Gary E. Bean Md, Inc | Clinic/Center | 4180 Park Blvd, Oakland, CA 94602-1207 | 2007-04-03 |
| 1497832323 | Elouise Joseph | Pediatrics | 4180 Park Blvd, Oakland, CA 94602-1207 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063831386 | Ron Yalon | Pediatrics | 469 51st St, Oakland, CA 94609-2143 | 2014-04-15 |
| 1801136262 | Anthony S Raimo | Pediatrics | 645 Ramapo Valley Rd, Oakland, NJ 07436-2813 | 2013-02-21 |
| 1326314816 | Darrow Debs Deluca | Pediatrics | 747 52nd Street, Room 201, Pediatric Multispecialty Medical Group, Oakland, CA 94609-1809 | 2012-03-28 |
| 1366760175 | Lynne N Rosen | Pediatrics | 3451 East 12th St., Oakland, CA 94601-3425 | 2010-05-04 |
| 1568698090 | Juan Raul Gutierrez | Pediatrics | 1030 International Ave., Oakland, CA 94606-3730 | 2009-06-10 |
| 1265691190 | Donna J Lombardi-goldfus | Pediatrics | 50 Overlook Ridge, Oakland, NJ 07436 | 2008-06-05 |
| 1578721551 | Josephine A Roen | Pediatrics | 125 2nd St Apt 411, Oakland, CA 94607-4565 | 2008-05-27 |
| 1124294665 | Omid Gheysar | Pediatrics | 1800 Harrison Street 7th Street, Oakland, CA 94612-3429 | 2008-05-05 |
| 1336312891 | Lisa Meredith Siskind | Pediatrics | 3505 Broadway Fl 6, Oakland, CA 94611-5714 | 2008-04-04 |
| 1205027760 | Lisa Ann B Michaels | Pediatrics | 11 E Oak St, Oakland, NJ 07436-2721 | 2007-08-08 |
| Find all providers in OAKLAND | ||||
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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.