DR. NANCY BROITMAN MOZELSIO (NPI# 1114910551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114910551 |
| Entity Type | Individual |
| Full Name | DR. NANCY BROITMAN MOZELSIO |
| Credential | MD |
| Practice Address |
130 La Casa Via Bldg 2, #209 Walnut Creek CA 94598-3045 |
| Practice Telephone | 9259356252 |
| Practice Fax Number | 9259300942 |
| Mailing Telephone | 9259356252 |
| Mailing Fax Number | 9259300942 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2011-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | A75031 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
130 LA CASA VIA BLDG 2, #209 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010030 | Nathan David Schultz | Allergy & Immunology | 130 La Casa Via, Bldg 2, Ste 209, Walnut Creek, CA 94598-3045 | 2005-08-10 |
| 1760856579 | Bay Area Surgical Specialists Inc A Medical Corporation | Orthopaedic Surgery | 130 La Casa Via, Bldg 3-111, Walnut Creek, CA 94598-3045 | 2015-11-17 |
| 1023442167 | Angela Christian | Nurse Practitioner | 130 La Casa Via, Suite 209, Walnut Creek, CA 94598-3045 | 2013-08-26 |
| 1083956213 | Irene Jia-shin Lo | Surgery | 130 La Casa Via, Building 3, Suite 211, Walnut Creek, CA 94598-3045 | 2013-03-26 |
| 1952696684 | Emily Rebecca Silver Brama | Nurse Practitioner | 130 La Casa Via, #209, Walnut Creek, CA 94598 | 2011-06-10 |
| 1346542743 | Nourollah B. Ghorbani,m.d.inc. | Clinic/Center | 130 La Casa Via, Suite 102, Walnut Creek, CA 94598-3045 | 2010-11-17 |
| 1134364789 | Mark David Levine, Md Walnut Creek Professional Corporation | Psychiatry & Neurology | 130 La Casa Via, Suite 2-208, Walnut Creek, CA 94598-3045 | 2008-12-11 |
| 1881849404 | Mark David Levinemd, Walnut Creek, PC | Psychiatry & Neurology | 130 La Casa Via, Suite: 2-208, Walnut Creek, CA 94598-3045 | 2008-11-24 |
| 1467611244 | Arash Mohebati | Surgery | 130 La Casa Via, Bldg 3, Suite 211, Walnut Creek, CA 94598-3045 | 2008-06-05 |
| 1033386503 | Manjari Nathan | Internal Medicine | 130 La Casa Via, Bldg.#2, Suite 208, Walnut Creek, CA 94598-3045 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902930753 | Allyson Tracy Tevrizian | Allergy & Immunology | 130 La Casa Via Ste 209 Bldg 2, Walnut Creek, CA 94598-3034 | 2007-03-15 |
| 1871550590 | Allergy & Asthma Medical Group of The Bay Area Inc | Allergy & Immunology | 370 N Wiget Ln Ste 210, Walnut Creek, CA 94598-2452 | 2006-04-27 |
| 1023010030 | Nathan David Schultz | Allergy & Immunology | 130 La Casa Via, Bldg 2, Ste 209, Walnut Creek, CA 94598-3045 | 2005-08-10 |
| 1407148943 | Ilisten Marie Jones | Allergy & Immunology | 370 N Wiget Ln, Suite 210, Walnut Creek, CA 94598-2488 | 2011-05-03 |
| 1861781056 | Roy Anthony Orden | Allergy & Immunology | 370 N Wiget Ln Ste 210, Walnut Creek, CA 94598-2452 | 2011-03-29 |
| 1982738712 | Fannie Wyndy Su | Allergy & Immunology | 130 La Casa Via, Bldg 2 Suite 209, Walnut Creek, CA 94598-3045 | 2007-03-15 |
| 1386786408 | Cynthia Ashbrook | Allergy & Immunology | 1450 Treat Blvd, Suite 300, Walnut Creek, CA 94597-2168 | 2007-02-13 |
| 1558440222 | Eric M. Chen | Allergy & Immunology | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2006-11-03 |
| 1497833594 | Linda K. Schultz | Allergy & Immunology | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2006-11-02 |
| 1720164536 | Karna Gendo | Allergy & Immunology | 130 La Casa Via, Building 2, Suite 209, Walnut Creek, CA 94598-3045 | 2006-10-27 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.