DR. ALICE CANTWELL BROCK-UTNE (NPI# 1194802512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194802512 |
| Entity Type | Individual |
| Full Name | DR. ALICE CANTWELL BROCK-UTNE |
| Credential | M.D. |
| Practice Address |
250 Bon Air Rd Greenbrae CA 94904-1702 |
| Mailing Address |
300 Professional Center Dr Suite 311 Novato CA 94947-4334 |
| Practice Telephone | 4154481500 |
| Practice Fax Number | 4154614229 |
| Mailing Telephone | 4154481555 |
| Mailing Fax Number | 4158928732 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A89825 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 380 Civic Dr Ste 100, Pleasant Hill, CA 945231946 | 9256827871 |
| Street Address |
250 BON AIR RD |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021738 | Marin Community Clinic | Clinic/Center | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2005-05-27 |
| 1588270474 | Jonathan Nguyen Trinh | Pharmacist | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-09-16 |
| 1437768082 | Maritza Saucedo Rosas | Registered Nurse | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-07-29 |
| 1093323669 | Caroline Kent | Social Worker | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-07-20 |
| 1275152415 | Lokyan Yu | Registered Nurse | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-04-08 |
| 1144852591 | Lana Mccutchan | Registered Nurse | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-02-04 |
| 1295381747 | Melissa Bermudez Rivers | Rehabilitation Practitioner | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2019-08-12 |
| 1245884873 | William Horton IIi | Counselor | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2019-07-31 |
| 1336705540 | Maneesha Priya Deo | Pharmacist | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2019-05-13 |
| 1922564624 | Signy Marie Toquinto | Nurse Practitioner | 250 Bon Air Rd, Greenbrae, CA 94904-1784 | 2019-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396909735 | Prima Medical Foundation | Pediatrics | 1260 S. Eliseo Dr, Floor 2, Greenbrae, CA 94904-2009 | 2008-07-15 |
| 1114090396 | Jane Marten Meill | Pediatrics | 1100 South Eliseo Dr, Ste #106, Greenbrae, CA 94904 | 2006-11-16 |
| 1982861746 | Samantha Anne Goldstein Kamras | Pediatrics | 250 Bon Air Rd, Marin Community Clinics, Greenbrae, CA 94904-1702 | 2008-05-20 |
| 1518173400 | Elizabeth Claire Nadiv | Pediatrics | 250 Bon Air Road, M691, Greenbrae, CA 94904 | 2007-05-15 |
| 1083743033 | Kathryn Sexton, M.d., Martin Joffe, M.d. & Katrina Urbach, M.d, Medic | Pediatrics | 1000 S Eliseo Drive, Suite 1a, Greenbrae, CA 94904-2133 | 2007-03-05 |
| 1588706543 | Marin Pediatric Associates, A Medical Corporation | Pediatrics | 1100 S Eliseo Dr, Ste 106, Greenbrae, CA 94904-2017 | 2007-02-13 |
| 1205981586 | Michelle Dominique Perro | Pediatrics | 1350 S Eliseo Dr, Suite 120, Greenbrae, CA 94904-2011 | 2007-01-24 |
| 1508922139 | Donald James Pyskaty Jr. | Pediatrics | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-12-28 |
| 1023181203 | Kara Suzanne Ornstein | Pediatrics | 1100 South Eliseo Dr, Ste #106, Greenbrae, CA 94904 | 2006-11-16 |
| 1669553418 | Andrea Gray | Pediatrics | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-10-18 |
| Find all providers in GREENBRAE | ||||
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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.