ROBERT LYTTON HETLAND (NPI# 1174558985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174558985 |
| Entity Type | Individual |
| Full Name | ROBERT LYTTON HETLAND |
| Credential | M.D. |
| Practice Address |
1395 San Carlos Ave Suite A San Carlos CA 94070-2388 |
| Practice Telephone | 6508029921 |
| Practice Fax Number | 6508029923 |
| Mailing Telephone | 6508029921 |
| Mailing Fax Number | 6508029923 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A22540 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AETNA ID | 4056691 | 01 |
| CA | 00A225400 | 05 | |
| CA | CAQH PROVIDER ID | 11002645 | 01 |
| CA | RAILROAD MEDICARE | P00205050 | 01 |
| Street Address |
1395 SAN CARLOS AVE SUITE A |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070-2388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295713345 | Lisa A Montalvo | Marriage & Family Therapist | 1395 San Carlos Ave, Suite C#4, San Carlos, CA 94070-2388 | 2006-01-07 |
| 1639400310 | Anna Maria Mc Quinn | Psychologist | 1395 San Carlos Ave, Suite C, San Carlos, CA 94070-2388 | 2010-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| 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 |
|---|---|---|---|---|
| 1154534873 | Thomas M Berard | Ophthalmology | 1561 Cherry St, # 3, San Carlos, CA 94070-8411 | 2007-05-08 |
| 1679678981 | Leslie J Weil | Ophthalmology | 1008 Laurel St, San Carlos, CA 94070 | 2006-09-13 |
| 1972587459 | Thomas Tyler | Ophthalmology | 1140 Laurel St, Ste. A, San Carlos, CA 94070-5009 | 2005-11-30 |
| 1962402966 | Ninh H Tran | Ophthalmology | 750 El Camino Real, San Carlos, CA 94070-3106 | 2005-08-01 |
| 1760619530 | Wachirapon Jordan Piluek | Ophthalmology | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2009-06-18 |
| 1922208529 | Ninh Huy Tran, M.d., Inc. | Ophthalmology | 750 El Camino Real, San Carlos, CA 94070-3106 | 2007-07-20 |
| 1760562201 | Richard B. Braunstein M.d., Inc | Ophthalmology | 1785 San Carlos Ave, Suite 2a, San Carlos, CA 94070-2055 | 2006-10-17 |
| 1639104433 | Richard Bennett Braunstein | Ophthalmology | 750 El Camino Real, San Carlos, CA 94070-3106 | 2006-07-11 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
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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.