360 MEDICAL WEIGHT SPECIALISTS (NPI# 1194172510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194172510 |
| Entity Type | Organization |
| Organization Name | 360 MEDICAL WEIGHT SPECIALISTS |
| Practice Address |
2255 Ygnacio Valley Rd Suite G Walnut Creek CA 94598-3343 |
| Practice Telephone | 9259445678 |
| Mailing Telephone | 9259445678 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | DR. ANNE ELIZABETH GARTNER (PRESIDENT) |
| Authorized Official Telephone | 9259445678 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2255 YGNACIO VALLEY RD SUITE G |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-3343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804289 | Marvin L Engel | Dermatology | 2255 Ygnacio Valley Rd, B1, Walnut Creek, CA 94598-3343 | 2005-07-12 |
| 1104462852 | Daniel Ryan Blanchard | Physical Therapist | 2255 Ygnacio Valley Rd, Walnut Creek, CA 94598-3343 | 2019-11-18 |
| 1942843578 | Mary Katherine Baker | Physical Therapist | 2255 Ygnacio Valley Rd, Walnut Creek, CA 94598-3343 | 2019-10-27 |
| 1649504291 | Melissa Sylvia Pattee | Physician Assistant | 2255 Ygnacio Valley Rd, Walnut Creek, CA 94598-3343 | 2009-09-30 |
| 1821235425 | Helen L Stacey | Internal Medicine | 2255 Ygnacio Valley Rd, Suite A, Walnut Creek, CA 94598-3343 | 2009-01-19 |
| 1265685820 | Pacer Physical Therapy, Inc. | Specialist | 2255 Ygnacio Valley Rd, Suite E, Walnut Creek, CA 94598-3343 | 2008-10-28 |
| 1457536088 | Rashmi Jain | Internal Medicine | 2255 Ygnacio Valley Rd, Suite N, Walnut Creek, CA 94598-3343 | 2008-01-02 |
| 1205995958 | Selina Shah | Internal Medicine | 2255 Ygnacio Valley Rd, Walnut Creek, CA 94598-3343 | 2006-12-08 |
| 1447318381 | Daniel John Ilano Bajada | Physical Therapist | 2255 Ygnacio Valley Rd, Suite E, Walnut Creek, CA 94598-3343 | 2006-12-04 |
| 1205947348 | Tania Frangien Bajada | Physical Therapist | 2255 Ygnacio Valley Rd, Suite E, Walnut Creek, CA 94598-3343 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 207RB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516531 | Jagraj Singh Basi | Internal Medicine | 2027 Grand Canal Blvd Ste 28, Stockton, CA 95207-6650 | 2019-12-23 |
| 1427517812 | Adventist Health Physicians Network | Internal Medicine | 951 E. Merritt Ave., Tulare, CA 93274 | 2019-03-15 |
| 1780030122 | Arthur Aronson | Internal Medicine | 450 A St Ste 400, San Diego, CA 92101-4217 | 2016-05-04 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1962640508 | Ronnie Eugene Stone | Internal Medicine | 1835 Prairie City Rd, Suite #200, Folsom, CA 95630-9582 | 2009-02-04 |
| 1508057522 | Anthony Vu Huynh | Internal Medicine | 3100 Douglas Blvd Ste 204, Roseville, CA 95661-3868 | 2007-08-06 |
| 1598898462 | Prohealth Partners, A Medical Group, Inc. | Internal Medicine | 1760 Termino Ave Ste G18, Long Beach, CA 90804-2169 | 2007-03-13 |
| 1942258124 | Harpreet K Singh | Internal Medicine | 921 W 7th St, Oxnard, CA 93030-6755 | 2006-05-04 |
| 1134677446 | Professional Weight Control Centers | Internal Medicine | 4601 Telephone Rd, Suite 108, Ventura, CA 93003-5670 | 2016-09-15 |
| 1588033914 | Dietonix | Internal Medicine | 625 Citracado Pkwy, Suite 104, Escondido, CA 92025-6428 | 2015-09-16 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.