DR. TODD DANA SEVERIN (NPI# 1144225343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144225343 |
| Entity Type | Individual |
| Full Name | DR. TODD DANA SEVERIN |
| Credential | M.D. |
| Practice Address |
5801 Norris Canyon Rd Ste 200 San Ramon CA 94583-5406 |
| Mailing Address |
5801 Norris Canyon Rd Ste 200 San Ramon CA 94583-5440 |
| Practice Telephone | 9258308823 |
| Practice Fax Number | 9258666610 |
| Mailing Telephone | 9258308823 |
| Mailing Fax Number | 9258666610 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2017-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | OG711830 | CA | Allopathic & Osteopathic Physicians |
| N | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
G71183 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAIL ROAD MEDICARE | 180046438 | 01 |
| CA | OGP164916 | 05 | |
| CA | BLUE SHIELD | ZZZ05706Z | 01 |
| CA | BLUE CROSS | ZZZ057067 | 01 |
| Street Address |
5801 NORRIS CANYON RD STE 200 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-5406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700210242 | Nahid Abdali | Optometrist | 5801 Norris Canyon Rd, Suite #200, San Ramon, CA 94583-5440 | 2013-08-31 |
| 1740508506 | Aimee Rosann-peck Edell | Ophthalmology | 5801 Norris Canyon Rd, Suite 200, San Ramon, CA 94583-5440 | 2010-05-04 |
| 1407188006 | Sonya N. Taravella | Physician Assistant | 5801 Norris Canyon Rd, 210, San Ramon, CA 94583-5440 | 2010-02-05 |
| 1386849776 | Patricia Christine Gonzalez | Nurse Anesthetist, Certified Registered | 5801 Norris Canyon Rd, Ste 230, San Ramon, CA 94583-5440 | 2007-06-18 |
| 1699814442 | Flora Hsieh Ting | Nurse Practitioner | 5801 Norris Canyon Rd, San Ramon, CA 94583-5440 | 2007-02-06 |
| 1780770305 | James Creston | Specialist | 5801 Norris Canyon Rd, Ste 200, San Ramon, CA 94583-5440 | 2006-10-04 |
| 1215948161 | Salim M. Shelby | Internal Medicine | 5801 Norris Canyon Rd, Suite 230, San Ramon, CA 94583-5440 | 2006-08-10 |
| 1891706669 | Tri Valley Gastroenterology Medical Center, Inc. | Internal Medicine | 5801 Norris Canyon Rd, Ste. 230, San Ramon, CA 94583 | 2006-08-10 |
| 1184635955 | San Ramon Endoscopy Center Inc | Internal Medicine | 5801 Norris Canyon Rd, Suite 220, San Ramon, CA 94583-5440 | 2006-08-10 |
| 1386654200 | David T Wong | Internal Medicine | 5801 Norris Canyon Rd, Suite 230, San Ramon, CA 94583-5440 | 2006-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730479957 | California Eye Clinic | Ophthalmology | 111 Deerwood Road, San Ramon, CA 94583-4409 | 2011-04-08 |
| 1851484554 | Gordon H. Smith | Ophthalmology | 5401 Norris Canyon Rd Ste 206, San Ramon, CA 94583-5406 | 2006-10-02 |
| 1326322256 | Ivan P. Hwang, M.d., Inc | Ophthalmology | 111 Deerwood Rd, Suite 300, San Ramon, CA 94583-4409 | 2011-10-11 |
| 1982909289 | California Eye Clinic | Ophthalmology | 2723 Crow Canyon Rd, Sutie 110, San Ramon, CA 94583-1583 | 2011-01-18 |
| 1740508506 | Aimee Rosann-peck Edell | Ophthalmology | 5801 Norris Canyon Rd, Suite 200, San Ramon, CA 94583-5440 | 2010-05-04 |
| 1588811822 | Robert B. Neves, M.d., Inc. | Ophthalmology | 2305 Camino Ramon, Suite 202, San Ramon, CA 94583-1396 | 2008-08-19 |
| 1578509667 | East Bay Retina Consultants A Medical Group, Inc. | Ophthalmology | 5401 Norris Canyon Rd, Suite 200, San Ramon, CA 94583-5409 | 2006-06-20 |
| 1245238682 | Robert Brian Neves | Ophthalmology | 2305 Camino Ramon, Suite 202, San Ramon, CA 94583-1396 | 2005-07-11 |
| 1063417814 | Sanford Lewis Severin | Ophthalmology | 5801 Norris Canyon Rd, Ste 200, San Ramon, CA 94583-5440 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790922 | Paul B Kouyoumjian, Md Inc. | Ophthalmology | 18040 Sherman Way Ste 205, Reseda, CA 91335-4631 | 2020-11-04 |
| 1700496320 | William Thomas Parker | Ophthalmology | 5279 Gaylord Pl, San Diego, CA 92117-1034 | 2020-08-07 |
| 1588274724 | Katerina Kurteeva Md Inc | Ophthalmology | 3140 Bear St Ste 100, Costa Mesa, CA 92626-2964 | 2020-08-03 |
| 1285252502 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 58-471 29 Palms Hwy, Yucca Valley, CA 92284-5818 | 2020-07-13 |
| 1407473754 | Janet K. Kim Md, Inc | Ophthalmology | 903 Crenshaw Blvd Ste 105, Los Angeles, CA 90019-1972 | 2020-07-02 |
| 1699392506 | Desert Ophthalmology Medical Corporation | Ophthalmology | 72650 Fred Waring Dr Ste 109, Palm Desert, CA 92260-5008 | 2020-06-26 |
| 1942821566 | Simon Eyes, Inc. | Ophthalmology | 3260 Beard Rd Ste 5, Napa, CA 94558-3466 | 2020-05-05 |
| 1942821905 | Nathan Abraham Md Vision Professionals Inc | Ophthalmology | 24305 Town Center Dr Ste 160, Valencia, CA 91355-1347 | 2020-04-30 |
| 1720609878 | Don Saul Ellis | Ophthalmology | 343 11th St, Del Mar, CA 92014-2607 | 2020-04-29 |
| 1245851534 | Santa Barbara Eyecare Inc., A Professional Medical Corporation | Ophthalmology | 2946 De La Vina St, Santa Barbara, CA 93105-3310 | 2020-04-28 |
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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.