JOSEPH E. BOURQUE (NPI# 1225116312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225116312 |
| Entity Type | Individual |
| Full Name | JOSEPH E. BOURQUE |
| Credential | MD |
| Practice Address |
200 Muir Rd Martinez CA 94553-4614 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 9253721000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G54583 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G545830 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043657232 | Joseph Mark Bourque | Pharmacist | 820 Old Camp Rd, The Villages, FL 32162-5611 | 2013-05-28 |
| Street Address |
200 MUIR RD |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629060322 | Bonnalyn Joan Martino | Nurse Practitioner | 200 Muir Rd, Kaiser Medical Offices - Medicine F, Martinez, CA 94553-4614 | 2005-08-18 |
| 1982213161 | Radha Sampley | Student in an Organized Health Care Education/Training Program | 200 Muir Rd, Martinez, CA 94553-4614 | 2020-07-23 |
| 1003434804 | Tiffany Ho | Pharmacist | 200 Muir Rd, Martinez, CA 94553-4614 | 2020-07-08 |
| 1740808583 | Kyra Alexis Gong | Pharmacist | 200 Muir Rd, Martinez, CA 94553-4614 | 2020-07-08 |
| 1376163527 | My Lien Hoang | Pharmacist | 200 Muir Rd, Martinez, CA 94553-4614 | 2020-04-17 |
| 1710510102 | Emily Foerster | Dietitian, Registered | 200 Muir Rd, Martinez, CA 94553-4614 | 2020-02-13 |
| 1558922336 | Lisa Christine Zaccaro | Dietitian, Registered | 200 Muir Rd, Martinez, CA 94553-4614 | 2019-06-24 |
| 1477011963 | Zenobia Beatrice Chambers | Respiratory Therapist, Registered | 200 Muir Rd, Martinez, CA 94553-4672 | 2019-03-04 |
| 1417412719 | Kimberly Castillo | Respiratory Therapist, Registered | 200 Muir Rd, Martinez, CA 94553-4614 | 2019-01-31 |
| 1326502733 | Thekla Anne Mcfarland | Respiratory Therapist, Certified | 200 Muir Rd, Martinez, CA 94553-4614 | 2019-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447576723 | Ruxandra Radu-radulescu | Obstetrics & Gynecology | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2010-04-12 |
| 1922273192 | Emily Sarah Newfield | Obstetrics & Gynecology | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2008-04-28 |
| 1043354814 | Joseph Macedo Jr. | Obstetrics & Gynecology | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2007-02-16 |
| 1184781064 | Judith Bliss | Obstetrics & Gynecology | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2007-01-02 |
| 1043380660 | Michael Van Duren | Obstetrics & Gynecology | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2006-11-09 |
| 1962572867 | Ogo Mbanugo | Obstetrics & Gynecology | 2500 Alhambra Avenue, Contra Costa Regional Medical Center and Health Centers, Martinez, CA 94553-3156 | 2006-11-08 |
| 1427128453 | Charles Berletti | Obstetrics & Gynecology | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2006-11-08 |
| 1770661852 | Joseph J. Baem | Obstetrics & Gynecology | 200 Muir Rd, Martinez, CA 94553-4614 | 2006-11-02 |
| 1437237591 | Victoria A. Mancuso | Obstetrics & Gynecology | 200 Muir Rd, Martinez, CA 94553-4614 | 2006-11-02 |
| 1982781548 | Susan Feierabend | Obstetrics & Gynecology | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2006-11-01 |
| Find all providers in MARTINEZ | ||||
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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.