JOSEPH MICHAEL CENTENO (NPI# 1124086137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124086137 |
| Entity Type | Individual |
| Full Name | JOSEPH MICHAEL CENTENO |
| Credential | MD |
| Practice Address |
100 Hospital Dr Ste 303 Bay Area Orthopedic Surgery and Sports Medicine Vallejo CA 94589 |
| Mailing Address |
100 Hospital Dr Ste 303 Bay Area Orthopedic Surgery and Sports Medicine Vallejo CA 94589-2583 |
| Practice Telephone | 7076457210 |
| Practice Fax Number | 7076457249 |
| Mailing Telephone | 7076457210 |
| Mailing Fax Number | 7076457249 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2012-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A77447 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467584409 | Joseph Dean Centeno | Surgery | 316 S Stratford Ave, Suite C, Santa Maria, CA 93454-5908 | 2007-03-12 |
| Street Address |
100 HOSPITAL DR STE 303 BAY AREA ORTHOPEDIC SURGERY AND SPORTS MEDICINE |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760912117 | Nicole Kaleen Young | Physician Assistant | 100 Hospital Dr Ste 303, Vallejo, CA 94589-2583 | 2017-06-19 |
| 1972908358 | Cynthia Tanner Keane | Registered Nurse | 100 Hospital Dr Ste 303, Vallejo, CA 94589-2583 | 2014-10-28 |
| 1821372871 | Amy Horan | Specialist | 100 Hospital Dr Ste 303, Vallejo, CA 94589-2583 | 2011-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336104793 | Donald Mathew Angotti | Surgery | 480 Redwood St Ste 14, Vallejo, CA 94590-2958 | 2006-04-19 |
| 1962611996 | Richard Kent Holmes | Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-05-22 |
| 1407906217 | Chong A. Lee | Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-01-12 |
| 1083788392 | Adele E. Roja | Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-20 |
| 1376621268 | Michael J. Van Noord | Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1033297866 | Anatole J. Besman | Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1497833222 | Jay R. Isaacson | Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1003994849 | John S. Wood | Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1265510002 | Gillian E. Kuehner | Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1912009283 | Ronald George Bieselin | Surgery | 480 Redwood St, Suite 14, Vallejo, CA 94590-2958 | 2006-09-05 |
| Find all providers in VALLEJO | ||||
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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.