JAMIE DANANBERG


Address: 3280 Bayshore Blvd Ste 100, Brisbane, CA 94005-1029
Phone: (317) 874-8450

JAMIE DANANBERG (NPI# 1134648397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134648397
Entity Type Individual
Full Name JAMIE DANANBERG
Credential MD
Practice Address 3280 Bayshore Blvd Ste 100
Brisbane
CA 94005-1029
Practice Telephone (317) 874-8450
Mailing Telephone 3178748450
Enumeration Date 2017-09-19
Last Update Date 2017-09-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744R1102X Specialist
Specialization: Research Study
Other Service Providers

Office Location

Street Address 3280 BAYSHORE BLVD STE 100
City BRISBANE
State CA
Zip Code 94005-1029

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1588874028 James E. Fitzgerald, Dds Inc Clinic/Center 100 Old County Road, Ste 100b, Brisbane, CA 94005 2007-05-23
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1508127176 Robert Stephen Fishman Internal Medicine 3280 Bayshore Blvd, Brisbane, CA 94005-1021 2012-05-31
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Taxonomy Information

Taxonomy Code 1744R1102X
Grouping Other Service Providers
Classification Specialist
Specialization Research Study

Taxonomy Definition

Definition to come...

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1023676632 Ajit P Varki Specialist 9500 Gilman Dr # Mc0687, La Jolla, CA 92093-0687 2019-05-30
1679045041 Mahsa Parviz Specialist 4869 W Sunset Blvd., Los Angeles, CA 90027-5969 2018-12-26
1205372315 Naama Barnea-goraly Specialist 723 Partridge Ave, Menlo Park, CA 94025-5213 2017-01-12
1205387420 Albert Lee Specialist 16638 Nicklaus Dr Unit 97, Sylmar, CA 91342-1693 2016-10-24
1912457425 John J Speidel Specialist 631 Portofino Ln, Foster City, CA 94404-2937 2016-10-07
1073987087 Kenneth Krantz Specialist 204 E 2nd Ave, Suite 519, San Mateo, CA 94401-3963 2015-11-15
1194199109 Physicians Clinical Research, LLC Specialist 2240 Pacific Ave Ste A, Long Beach, CA 90806-4372 2015-11-15
1326445065 William Lang Specialist 101 Cornelia Ave, Mill Valley, CA 94941-1807 2014-11-24
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Competitor

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City BRISBANE
Zip Code 94005

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Dataset Information

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.

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