ROGER SAMUEL PROCTOR (NPI# 1184761090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184761090 |
| Entity Type | Individual |
| Full Name | ROGER SAMUEL PROCTOR |
| Credential | M.D. |
| Practice Address |
1700 San Pablo Ave Pinole CA 94564-2081 |
| Mailing Address |
210 N Tustin Ave Santa Ana CA 92705-3807 |
| Practice Telephone | 5107249500 |
| Practice Fax Number | 5107249511 |
| Mailing Telephone | 7143471010 |
| Mailing Fax Number | 7146471245 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2015-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | G46210 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G462100 | 05 |
| Street Address |
1700 SAN PABLO AVE |
| City | PINOLE |
| State | CA |
| Zip Code | 94564-2081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568450146 | Joseph Anthony Matan | Orthopaedic Surgery | 1700 San Pablo Ave, Suite A, Pinole, CA 94564-2081 | 2005-10-08 |
| 1548707995 | Webster Surgery Center, Lp | Clinic/Center | 1700 San Pablo Ave, Suite D, Pinole, CA 94564 | 2017-01-24 |
| 1255674859 | Cindy Ross | Audiologist | 1700 San Pablo Ave, Ste F, Pinole, CA 94564-2081 | 2013-04-02 |
| 1093033292 | A Center for Hearing Health | Hearing Aid Equipment | 1700 San Pablo Ave, Suite F, Pinole, CA 94564-2081 | 2010-05-12 |
| 1740429216 | Joseph Anthony Matan M.d. A Professional Corporation. | Orthopaedic Surgery | 1700 San Pablo Ave, Suite A, Pinole, CA 94564-2081 | 2009-02-06 |
| 1750566261 | Steven John Daniels | Nurse Anesthetist, Certified Registered | 1700 San Pablo Ave, Pinole, CA 94564-2081 | 2008-01-02 |
| 1437359486 | William C Lyon Md, A Professional Corporation | Orthopaedic Surgery | 1700 San Pablo Ave, Suite A, Pinole, CA 94564-2081 | 2007-07-18 |
| 1700950938 | George Ichung Lee | Anesthesiology | 1700 San Pablo Ave, Pinole, CA 94564-2068 | 2006-11-20 |
| 1497791040 | Canyon Pinole Surgery Center, Lp | Clinic/Center | 1700 San Pablo Ave, Ste. D, Pinole, CA 94564-2068 | 2006-06-21 |
| 1235179144 | John Hearst Welborn Jr. | Orthopaedic Surgery | 1700 San Pablo Ave, Suite A, Pinole, CA 94564-2081 | 2006-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831664986 | Bay Area Surgical Associates, LLC | Clinic/Center | 1599 Tara Hills Drive, Pinole, CA 94564 | 2018-10-04 |
| 1285008987 | Priya Patel Dental Corporation | Dentist | 1208 Fitzgerald Dri, Pinole, CA 94564 | 2015-11-18 |
| 1356753693 | Lauren Wesley Strelitz | Family Medicine | 2160 Appian Way Ste 100, Pinole, CA 94564 | 2014-05-21 |
| 1508172305 | Feriel El Ghaoui Dds Inc. | Dentist | 1500 Tara Hills Dr., #104, Pinole, CA 94564 | 2010-08-31 |
| 1831328236 | Saket R Shah | Family Medicine | 2160 Appian Way, Suite 200, Pinole, CA 94564 | 2009-07-07 |
| 1184850687 | Pauline S Lim | Dentist | 2000 Appian Way Ste 101, Pinole, CA 94564 | 2009-06-10 |
| 1437304482 | Lori Beth Goldman | Marriage & Family Therapist | 668 Quinan Street, Pinole, CA 94564 | 2008-11-18 |
| 1306026505 | Miriam E. Dunham | Family Medicine | 1301 Pinole Valley Road, Pinole, CA 94564 | 2007-11-06 |
| 1871783308 | East Bay Ophthalmology, Inc. | Ophthalmology | 1700 San Pablo Avenue, Suite A, Pinole, CA 94564 | 2007-07-31 |
| 1659401057 | Gregory Steven Meyers | Dentist | 1420 Tara Hills Drive, Suite C, Pinole, CA 94564 | 2007-03-06 |
| Find all providers in zip 94564 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871893693 | Mosajil Medical Corporation | Anesthesiology | 1599 Tara Hills Dr, Laser Surgery Center, Pinole, CA 94564-2519 | 2010-10-26 |
| 1700950938 | George Ichung Lee | Anesthesiology | 1700 San Pablo Ave, Pinole, CA 94564-2068 | 2006-11-20 |
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| 1578170916 | Jeffrey L Wu, Inc | Anesthesiology | 2143 W Orangewood Ave # 100, Orange, CA 92868-1941 | 2020-09-29 |
| 1598372435 | Perioperative Patient Advocate | Anesthesiology | 625 Cardiff Reef, Costa Mesa, CA 92627-7742 | 2020-09-24 |
| 1043826720 | Cedars-sinai Medical Care Foundation | Anesthesiology | 8700 Beverly Blvd Ste Sb-290, Los Angeles, CA 90048-1804 | 2020-09-18 |
| 1841804101 | Desert Valley Medical Group, Inc. | Anesthesiology | 11883 Amethyst Rd Ste 202, Victorville, CA 92392-9225 | 2020-09-03 |
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1083237804 | Robert K Ross | Anesthesiology | 1717 E Vista Chino Ste A7-579, Palm Springs, CA 92262-3559 | 2020-05-27 |
| 1659994788 | Meilani Sarai Chuquimia | Anesthesiology | 1555 Orange Ave Unit 1005, Redlands, CA 92373-1459 | 2020-05-23 |
| 1497376339 | Mark Alan Posner | Anesthesiology | 1814 Clinton Ave, Alameda, CA 94501-4112 | 2020-05-01 |
| 1275153249 | Janholz Group LLC | Anesthesiology | 1029 Marlow Ln, Yreka, CA 96097-9027 | 2020-04-20 |
| 1003443672 | Limbic Medical | Anesthesiology | 24940 Alicante Dr, Calabasas, CA 91302-3026 | 2020-03-24 |
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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.