DR. EVAN MARTIN BLOCH (NPI# 1104038272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104038272 |
| Entity Type | Individual |
| Full Name | DR. EVAN MARTIN BLOCH |
| Credential | MD |
| Practice Address |
3351 El Camino Real Ste 101 Atherton CA 94027-3802 |
| Practice Telephone | 6503061016 |
| Practice Fax Number | 6503693627 |
| Mailing Telephone | 6503061016 |
| Mailing Fax Number | 6503693627 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 222456 | MA | Other Service Providers |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A101679 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3351 EL CAMINO REAL STE 101 |
| City | ATHERTON |
| State | CA |
| Zip Code | 94027-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821182973 | Winston Canute Vaughan | Specialist | 3351 El Camino Real, Ste 200, Atherton, CA 94027-3811 | 2006-10-03 |
| 1679074280 | George Alex Lazo Jr. | Psychologist | 3351 El Camino Real, Suite 100, Atherton, CA 94027 | 2018-02-28 |
| 1316291867 | Pacific Endoscopy LLC | Clinic/Center | 3351 El Camino Real, Ste 220, Atherton, CA 94027-3811 | 2012-11-06 |
| 1922366186 | Gardner Family Health Network Inc | Clinic/Center | 3351 El Camino Real, Suite 100, Atherton, CA 94027-3811 | 2012-04-25 |
| 1992095830 | Andrew Tomlinson | Otolaryngology | 3351 El Camino Real, Suite 200, Atherton, CA 94027-3811 | 2011-04-12 |
| 1922255421 | Amir Reza Ghorbani | Dentist | 3351 El Camino Real, #222, Atherton, CA 94027-3811 | 2008-08-26 |
| 1225295694 | Kathleen Marie Low | Nurse Practitioner | 3351 El Camino Real, Ste 200, Atherton, CA 94027-3811 | 2008-05-21 |
| 1295904852 | Christina Nicole Walker | Registered Nurse | 3351 El Camino Real, Atherton, CA 94027-3811 | 2008-02-27 |
| 1922291160 | Jane S. Weston, M.d., Medical Corporation | Plastic Surgery | 3351 El Camino Real, Suite 201, Atherton, CA 94027-3811 | 2007-08-21 |
| 1770781791 | Umang Mehta | Otolaryngology | 3351 El Camino Real, Suite 201, Atherton, CA 94027-3811 | 2007-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992078984 | David Shen Dental Corp | Dentist | 3351 El Camino Real #222, Atherton, CA 94027 | 2012-02-22 |
| 1730442054 | Maria Esther Rivera | Pediatrics | 3351 El Camino Real Ste 100, Atherton, CA 94027 | 2012-06-21 |
| 1760584650 | Seyed Babak Mostaan | Dentist | 3301 El Camino Real, Ste 280, Atherton, CA 94027 | 2006-09-02 |
| 1912019464 | Nazila Doroodian | Dentist | 3301 El Camino Real, Ste 280, Atherton, CA 94027 | 2006-08-31 |
| 1053616136 | Virginia Marguerite Anderson | Psychologist | 19 Irving Ave, Atherton, CA 94027-2007 | 2011-01-20 |
| 1366457293 | Fatima Tehranchi | Internal Medicine | 37 Irving Ave, Atherton, CA 94027-2007 | 2006-07-29 |
| 1376645200 | Cyrus S. Safai | Radiology | 37 Irving Ave, Atherton, CA 94027-2007 | 2006-09-01 |
| 1679926224 | Robyn Comfort | Contractor | 84 James Ave, Atherton, CA 94027-2058 | 2016-07-19 |
| 1447654348 | Benjamin Aaron Halpren | Specialist | 168 Catalpa Dr, Atherton, CA 94027-2104 | 2014-10-21 |
| 1558508150 | Sarahmarie Theresa Vargas | Registered Nurse | 199 Oak Grove Ave, Atherton, CA 94027-3217 | 2009-01-19 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063058170 | Paragon Diagnostics San Francisco | Pathology | 900 Hyde St Fl 1, San Francisco, CA 94109-4806 | 2019-11-24 |
| 1669034518 | Diagnostic Pathology Medical Group Inc | Pathology | 2801 K St Ste 235, Sacramento, CA 95816-5170 | 2019-07-01 |
| 1093277956 | Shajia Rahman Ansari | Pathology | 38558 Vancouver Cmn, Fremont, CA 94536-4056 | 2019-04-01 |
| 1831655158 | Rana Richeh | Pathology | 12 Spectrum Pointe Dr, Lake Forest, CA 92630-2242 | 2019-02-11 |
| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1770053233 | Samuel Jason Guzman | Pathology | 10026 Karmont Ave, South Gate, CA 90280-5417 | 2018-11-27 |
| 1144799750 | Penguin Medical Group, Inc | Pathology | 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593 | 2018-11-13 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
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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.