DR. INOCENCIO D. CANDELARIA JR. (NPI# 1174791677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174791677 |
| Entity Type | Individual |
| Full Name | DR. INOCENCIO D. CANDELARIA JR. |
| Credential | M.D. |
| Practice Address |
2305 Camino Ramon Suite 100 San Ramon CA 94583-1396 |
| Mailing Address |
Dept 34929 P.o. Box 39000 San Francisco CA 94139-0001 |
| Practice Telephone | 9258371886 |
| Practice Fax Number | 9258373913 |
| Mailing Telephone | 9259522828 |
| Mailing Fax Number | 9259522850 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2012-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A106130 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 25MA08403600 | NJ | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 43010886368 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2305 CAMINO RAMON SUITE 100 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-1396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086135 | Jay Roy Delaney | Optometrist | 2305 Camino Ramon, #202, San Ramon, CA 94583-1396 | 2005-07-09 |
| 1649635681 | John Muir Physician Network | Internal Medicine | 2305 Camino Ramon, #100, San Ramon, CA 94583-1396 | 2015-12-17 |
| 1083088652 | Vortex Psychiatry, Inc. | Clinic/Center | 2305 Camino Ramon, Suite 221, San Ramon, CA 94583-1396 | 2015-11-19 |
| 1154703049 | Anthony H Nguyen Dentist Inc | Dentist | 2305 Camino Ramon, 215, San Ramon, CA 94583-1396 | 2015-06-26 |
| 1982956280 | John Muir Physician Network | Internal Medicine | 2305 Camino Ramon, #270, San Ramon, CA 94583-1396 | 2012-10-10 |
| 1588811822 | Robert B. Neves, M.d., Inc. | Ophthalmology | 2305 Camino Ramon, Suite 202, San Ramon, CA 94583-1396 | 2008-08-19 |
| 1548437940 | Luisa A. Duran | Internal Medicine | 2305 Camino Ramon, #270, San Ramon, CA 94583-1396 | 2008-05-14 |
| 1598825010 | Anthony H Nguyen | Dentist | 2305 Camino Ramon, Suite 215, San Ramon, CA 94583-1396 | 2006-12-12 |
| 1275607848 | Afsheen Mostofi | Family Medicine | 2305 Camino Ramon, Suite 100, San Ramon, CA 94583-1396 | 2006-11-17 |
| 1669579843 | Angela Pourghassemi Dmd, Inc. | Dentist | 2305 Camino Ramon, #230, San Ramon, CA 94583-1396 | 2006-09-20 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 94583 | ||||
| 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 |
|---|---|---|---|---|
| 1750892204 | Life Point Solutions, Inc | Family Medicine | 1405 Bayberry View Ln, San Ramon, CA 94582-5389 | 2017-10-23 |
| 1023552122 | Laxmi Challa | Family Medicine | 608 Hardcastle Ct, San Ramon, CA 94583-6015 | 2016-12-07 |
| 1184913824 | Leena Kamat | Family Medicine | 5401 Norris Canyon Rd Ste 204, San Ramon, CA 94583-5406 | 2011-04-04 |
| 1225369119 | Rinku Shrivastava | Family Medicine | 21 Verbena Ct, San Ramon, CA 94582-5591 | 2010-01-17 |
| 1790225639 | Leena Kamat, M.d.,pc | Family Medicine | 5401 Norris Canyon Rd Ste 204, San Ramon, CA 94583-5406 | 2017-02-26 |
| 1295110682 | John Muir Physician Network | Family Medicine | 11030 Bollinger Canyon Rd, Suite 200, San Ramon, CA 94582-4874 | 2015-07-27 |
| 1790004638 | Jayaram S. Hariharan | Family Medicine | 5601 Norris Canyon Rd, #200, San Ramon, CA 94583-5407 | 2010-05-18 |
| 1578792859 | Gurpreet Dhanoa | Family Medicine | 6001 Norris Canyon Rd, San Ramon, CA 94583-5400 | 2009-07-08 |
| 1568615607 | Faranak Sarajzadeh Fiedler | Family Medicine | 2301 Camino Ramon, Suite 180, San Ramon, CA 94583-4440 | 2008-11-03 |
| 1740431246 | Rajesh Kumar Maheshwari | Family Medicine | 9140 Alcosta Blvd, Suite D, San Ramon, CA 94583-3858 | 2008-10-02 |
| Find all providers in SAN RAMON | ||||
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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.