ANTIOCH MEDICAL PARK MEDICAL GROUP (NPI# 1154424299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154424299 |
| Entity Type | Organization |
| Organization Name | ANTIOCH MEDICAL PARK MEDICAL GROUP |
| Other Organization Name | ANTIOCH MEDICAL PARK |
| Practice Address |
3737 Lone Tree Way Antioch CA 94509-6065 |
| Practice Telephone | 9257549223 |
| Practice Fax Number | 9257543945 |
| Mailing Telephone | 9257549223 |
| Mailing Fax Number | 9257543945 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-01-23 |
| Authorized Official Name | DR. J GENE ZIMMERMAN (SENIOR MD) |
| Authorized Official Telephone | 9257549223 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | G44114 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | A19234 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ76320Z | 05 |
| Other Name | Type Code |
|---|---|
| ANTIOCH MEDICAL PARK | Other Name - Individual/Organization |
| Street Address |
3737 LONE TREE WAY |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-6065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982623484 | Robert S Cluff | Psychiatry & Neurology | 3737 Lone Tree Way, Antioch, CA 94509-6065 | 2006-07-18 |
| 1225421589 | Daniel L Zimmerman Md, Inc. | Obstetrics & Gynecology | 3737 Lone Tree Way, Antioch, CA 94509-6065 | 2015-03-11 |
| 1942513841 | Julie Kathleen Hood | Nurse Practitioner | 3737 Lone Tree Way, Antioch, CA 94509-6065 | 2010-07-20 |
| 1427388875 | Rekha Vontela Dds | Dentist | 3737 Lone Tree Way, #f, Antioch, CA 94509-6065 | 2010-01-07 |
| 1518142090 | Antioch Medical Park Medical Lab | Clinical Medical Laboratory | 3737 Lone Tree Way, Antioch, CA 94509-6065 | 2008-01-03 |
| 1538357579 | Christiane Alisa Peters | Nurse Practitioner | 3737 Lone Tree Way, Antioch, CA 94509-6065 | 2007-10-03 |
| 1003009440 | Rekha Vontela | Dentist | 3737 Lone Tree Way, Suite F, Antioch, CA 94509-6065 | 2007-08-20 |
| 1124121223 | Daniel L Zimmerman | Obstetrics & Gynecology | 3737 Lone Tree Way, Antioch, CA 94509-6065 | 2006-09-06 |
| 1144238510 | Gurunath Rajapuram | Internal Medicine | 3737 Lone Tree Way, Antioch, CA 94509-6065 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010520 | Sherene Marsh | Family Medicine | 217 Took Dr, Antioch, TN 37013-1946 | 2020-07-20 |
| 1497149884 | Frank Hamilton Anderson Iv | Family Medicine | 2572 Treetop Dr, Antioch, TN 37013 | 2015-03-24 |
| 1487940342 | Howard Friesen Md Inc | Family Medicine | 1130 A St, Antioch, CA 94509-2356 | 2011-06-20 |
| 1508093816 | Rosalind K. Womack | Family Medicine | 3754 Murfreesboro Pike, Antioch, TN 37013-3878 | 2009-06-12 |
| 1033343728 | Kimberly Rochelle Collins | Family Medicine | 2711 Murfreesboro Pike Ste 201, Antioch, TN 37013-2000 | 2009-05-08 |
| 1356555411 | Patricia Louise Eachus | Family Medicine | 7120 S Hampton Dr, Antioch, TN 37013-2260 | 2007-05-09 |
| 1831260470 | Douglas L Folsom | Family Medicine | 3934 Rocky Point Dr, Antioch, CA 94509-6902 | 2006-11-13 |
| 1699861559 | Meredith Schweitzer | Family Medicine | 3534 Murfreesboro Pike, Suite 104, Antioch, TN 37013-2583 | 2006-10-05 |
| 1477655884 | Clark Edward Williams | Family Medicine | 3741 Sunset Lane, Dr Clark E Williams Family and Urgent Care Practice, Antioch, CA 94509 | 2006-09-05 |
| 1356352306 | Andrew Ness | Family Medicine | 3807 Lone Tree Way, Antioch, CA 94509-6254 | 2006-08-11 |
| Find all providers in ANTIOCH | ||||
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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.