DR. KASRA ELIASIEH (NPI# 1194954677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194954677 |
| Entity Type | Individual |
| Full Name | DR. KASRA ELIASIEH |
| Credential | M.D. |
| Practice Address |
400 29th St Ste 315 Oakland CA 94609-3548 |
| Practice Telephone | 5107630881 |
| Practice Fax Number | 5107630907 |
| Mailing Telephone | 5107630881 |
| Mailing Fax Number | 5107630907 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2020-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
A132513 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 055392100 | 05 |
| Street Address |
400 29TH ST STE 315 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033294509 | Paul S. D. Berg | Psychologist | 400 29th St Ste 315, Oakland, CA 94609-3548 | 2006-10-25 |
| 1366589822 | Ronald Kim Mckinzey | Psychologist | 400 29th St Ste 315, Oakland, CA 94609-3548 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689113151 | Rona Z. Silkiss, Md, Facs | Ophthalmology | 400 29th St, Suite 315, Oakland, CA 94609-3522 | 2017-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366941296 | Guy G Massry, Md | Ophthalmology | 150 N Robertson Blvd Ste 314, Beverly Hills, CA 90211-2145 | 2018-02-06 |
| 1316483225 | Catherine Cox, Md, Inc | Ophthalmology | 711 D St Ste 102, San Rafael, CA 94901-3703 | 2017-01-17 |
| 1841734084 | Marlon Maus | Ophthalmology | 2616 Etna St, Berkeley, CA 94704-3409 | 2016-12-07 |
| 1538399761 | California Eye and Facial Plastic Surgery | Ophthalmology | 1812 Port Abbey Pl, Newport Beach, CA 92660-5310 | 2009-07-22 |
| 1790943355 | Roya Ghafouri | Ophthalmology | 9735 Wilshire Blvd Ste 421, Beverly Hills, CA 90212-2113 | 2008-05-29 |
| 1134395205 | Jeffrey Joseph | Ophthalmology | 180 Newport Center Dr Ste 158, Newport Beach, CA 92660-0934 | 2008-05-07 |
| 1013940519 | Medical Vision Technology Ophthalmology Grp Inc. | Ophthalmology | 1700 Alhambra Blvd, Suite 202, Sacramento, CA 95816-7050 | 2006-07-08 |
| 1609809144 | Medical Vision Technology Ophthalmology Grp, Inc | Ophthalmology | 1830 Sierra Gardens Dr, Suite 100, Roseville, CA 95661-2942 | 2006-07-08 |
| 1841292257 | Jeremiah Tao | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92697-4375 | 2005-08-15 |
| 1053938175 | Kelsey Andrea Roelofs | Ophthalmology | 100 Stein Plz, Los Angeles, CA 90095-7065 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
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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.