DR. DONALD LESTER CORZINE (NPI# 1215053210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215053210 |
Entity Type | Individual |
Full Name | DR. DONALD LESTER CORZINE |
Credential | M.D.F.A.C.P. |
Practice Address |
1600 California Dr. Vacaville CA 95696-2000 |
Mailing Address |
559 White Birch Ln Windsor CA 95492-8149 |
Practice Telephone | 7074486841 |
Mailing Telephone | 7078360681 |
Enumeration Date | 2007-03-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
C36195 | CA | Allopathic & Osteopathic Physicians |
Street Address |
1600 CALIFORNIA DR. |
City | VACAVILLE |
State | CA |
Zip Code | 95696-2000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700997145 | Gary Lewis Minor | Social Worker | 1600 California Dr., Vacaville, CA 95696-2000 | 2006-08-31 |
1437605797 | Daniel Munoz-santamaria | Psychologist | 1600 California Dr., Vacaville, CA 94534-2297 | 2016-08-28 |
1194126938 | Lesley Sohyun Tiffany-brown | Social Worker | 1600 California Dr., Vacaville, CA 95696 | 2014-09-11 |
1982038691 | Kaye Manding | Physical Therapist | 1600 California Dr., Vacaville, CA 95687 | 2013-08-29 |
1932448867 | Roy W. Johnson | Psychologist | 1600 California Dr., Vacaville, CA 95656-2000 | 2013-02-13 |
1821368960 | Bryan Son | Pharmacist | 1600 California Dr., Vacaville, CA 95696 | 2012-01-06 |
1811285356 | John Stephen Bugas | Psychologist | 1600 California Dr., Vacaville, CA 95696-2000 | 2011-07-19 |
1639467715 | Paula Ann Gregg | Psychologist | 1600 California Dr., Vacaville, CA 95687 | 2011-07-11 |
1649502220 | Dorothy C Pitkin | Social Worker | 1600 California Dr., California Medical Facility, Vacaville, CA 95687 | 2010-02-05 |
1346474921 | Ivan Rodrigo Kiryluk Putziger | Psychiatry & Neurology | 1600 California Dr., Vacaville, CA 95687 | 2009-05-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639778673 | Deepak Mehta | Internal Medicine | C/o Medical Staff Office, Cmf, Vacaville, CA 95696 | 2020-10-21 |
1780838755 | Susanne Gallo | Psychologist | 1600 Californa Dr., Vacaville, CA 95696 | 2008-11-04 |
1265415012 | Asha Mahendra Gandhi | Psychiatry & Neurology | 1600 California Drive, Dept. of Mental Health, Dept. of Corrections, Vacaville, CA 95696 | 2005-11-25 |
1619502432 | Corrections and Rehabilitation | Pharmacy | 1600 California Drive, Vacaville, CA 95696 | 2020-03-12 |
1164960910 | Levon Vang | Pharmacist | 1600 California Dr, Vacaville, CA 95696 | 2017-02-01 |
1407393671 | Albert Vasquez | Social Worker | 1600 California Drive, Vacaville, CA 95696 | 2017-01-26 |
1477900645 | Christopher Padalinski | Psychologist | 1600 California Drive, Vacaville, CA 95696 | 2016-05-18 |
1790132264 | Samantha Lynn Meyer | Counselor | 1600 California Dr, Vacaville, CA 95696 | 2016-05-15 |
1326454828 | Michael Jay Ryan | Psychologist | 1600 California Drive, Vacaville, CA 95696 | 2014-07-03 |
1669888301 | Brenna Rizan | Social Worker | 1600 California Drive, Vacaville, CA 95696 | 2014-07-02 |
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Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
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1902458540 | Medicus Telehealth Inc. | Internal Medicine | 180 N Rexford Dr, Beverly Hills, CA 90210-5406 | 2019-07-13 |
1962978114 | Samer Moghaddam Md, Apc | Internal Medicine | 902 N Grand Ave Ste 201, Santa Ana, CA 92701-4218 | 2018-10-15 |
1972009785 | William Supplee | Internal Medicine | 151 Calderon Ave Apt 96, Mountain View, CA 94041-1433 | 2018-04-02 |
1245767516 | Chemical Dependency Treatment Associates, Inc | Internal Medicine | 455 University Ave Ste 320, Sacramento, CA 95825-6580 | 2017-05-17 |
1568917367 | Mjc Hospitalist Group, Inc. | Internal Medicine | 4615 Lemona Ave, Sherman Oaks, CA 91403-2428 | 2016-08-22 |
1073962171 | Faried Banimahd Md Inc | Internal Medicine | 1533 E 4th St Ste 4, Santa Ana, CA 92701-5115 | 2016-06-09 |
1467827683 | 360 Recovery Inc | Internal Medicine | 23986 Aliso Creek Rd Ste 226, Laguna Niguel, CA 92677-3908 | 2015-12-14 |
1841665254 | Kpg California, LLC | Internal Medicine | 9000 W Sunset Blvd Ste 1500, West Hollywood, CA 90069-5815 | 2015-12-10 |
1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
1730561861 | Synergy Lifestyle Center, Inc. | Internal Medicine | 7910 Downing Ave Ste 200, Bakersfield, CA 93308-5016 | 2015-06-25 |
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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.