DR. PUSHPENDU BANERJEE (NPI# 1164497855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164497855 |
| Entity Type | Individual |
| Full Name | DR. PUSHPENDU BANERJEE |
| Credential | M.D. |
| Practice Address |
9850 Genesee Ave Ste 560 La Jolla CA 92037-1229 |
| Mailing Address |
Po Box 25100 Fresno CA 93729-5100 |
| Practice Telephone | 8585521410 |
| Practice Fax Number | 8585520929 |
| Mailing Telephone | 5593261222 |
| Mailing Fax Number | 5593261230 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
A69490 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | A69490 | 01 |
| CA | 00A694900 | 05 |
| Street Address |
9850 GENESEE AVE STE 560 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831522010 | Susan Hope Klein | Nurse Practitioner | 9850 Genesee Ave Ste 560, La Jolla, CA 92037-1229 | 2013-08-12 |
| 1942572672 | California Cancer Associates for Research and Excellence Inc | Non-Pharmacy Dispensing Site | 9850 Genesee Ave Ste 560, La Jolla, CA 92037 | 2012-01-26 |
| 1396994604 | Edna Iris Flores | Internal Medicine | 9850 Genesee Ave Ste 560, La Jolla, CA 92037-1229 | 2008-09-10 |
| 1992869739 | Kathleen Marie Haley | Nurse Practitioner | 9850 Genesee Ave Ste 560, La Jolla, CA 92037-1229 | 2006-12-19 |
| 1356300230 | James M Sinclair | Internal Medicine | 9850 Genesee Ave Ste 560, La Jolla, CA 92037-1229 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912188152 | Achala Bhaskara Doraiswamy | Internal Medicine | 10666 N Torrey Pines Rd, # Ms 312, La Jolla, CA 92037-1027 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1366845166 | Dr Shahrooz Eshaghian Md Inc | Internal Medicine | 470 N Robinwood Dr, Los Angeles, CA 90049-2328 | 2014-10-07 |
| 1801214903 | Varsha Tulpule | Internal Medicine | 1441 Eastlake Ave # Nor3444, Los Angeles, CA 90089-1029 | 2014-04-04 |
| 1912321407 | Jennifer Sanbar | Internal Medicine | 2640 Montrose Ave, Montrose, CA 91020-1312 | 2014-02-05 |
| 1053654467 | Pratik Multani | Internal Medicine | 6293 Belmont Trail Ct, San Diego, CA 92130-6819 | 2013-04-03 |
| 1689928533 | Michael Wayne Saville | Internal Medicine | 1811 Aston Ave, Carlsbad, CA 92008-7396 | 2012-10-30 |
| 1396090106 | Ijaz I Arshad Md Inc. | Internal Medicine | 2433 Marshall Rd, Imperial, CA 92251-9599 | 2012-07-17 |
| 1013278811 | Ann Margaretha Lowe | Internal Medicine | 420 Cambridge Ave, Unit 3, Palo Alto, CA 94306-1507 | 2012-06-07 |
| 1285992230 | Nathaniel James Myall | Internal Medicine | 300 Pasteur Drive, Grant S101, Stanford, CA 94305-5109 | 2012-04-27 |
| 1821367467 | Jonathan Peter Schechter | Internal Medicine | 3823 Greenview Dr, El Dorado Hills, CA 95762-5218 | 2011-12-28 |
| Find all providers with the same taxonomy | ||||
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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.