DR. GAUTAM PRASAD (NPI# 1275755621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275755621 |
| Entity Type | Individual |
| Full Name | DR. GAUTAM PRASAD |
| Credential | M.D. |
| Practice Address |
6380 Clark Ave Dublin CA 94568-3036 |
| Practice Telephone | 9258751677 |
| Practice Fax Number | 9258750826 |
| Mailing Telephone | 9258751677 |
| Mailing Fax Number | 9258750826 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
A103317 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
6380 CLARK AVE |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922071844 | Carl Craig Van Wey | Radiology | 6380 Clark Ave, Dublin, CA 94568-3036 | 2006-02-10 |
| 1508408899 | Eunsun Kim | Nurse Practitioner | 6380 Clark Ave, Dublin, CA 94568-3036 | 2019-10-08 |
| 1609389550 | Katie Vasconez | Nurse Practitioner | 6380 Clark Ave, Dublin, CA 94568-3036 | 2017-11-14 |
| 1164897070 | Gia Thornburg | Nurse Practitioner | 6380 Clark Ave, Dublin, CA 94568-3036 | 2015-12-03 |
| 1184981029 | Vivian Le-tran | Surgery | 6380 Clark Ave, Dublin, CA 94568-3036 | 2012-04-17 |
| 1003127390 | Bay Imaging Consultants Medical Group | Radiology | 6380 Clark Ave, Dublin, CA 94568-3036 | 2010-07-01 |
| 1033349485 | Bao Duy Dao | Internal Medicine | 6380 Clark Ave, Dublin, CA 94568-3036 | 2009-07-20 |
| 1720225808 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 6380 Clark Ave, Dublin, CA 94568-3036 | 2009-01-12 |
| 1962679753 | Amanpreet Buttar | Internal Medicine | 6380 Clark Ave, Dublin, CA 94568-3036 | 2008-05-12 |
| 1700859352 | Michael Richard Forrest | Radiology | 6380 Clark Ave, Dublin, CA 94568-3036 | 2006-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242224 | Lisa Marie Casey | Case Manager/Care Coordinator | 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 | 2020-07-06 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1134637697 | Justin Yun | Physical Therapist | 3100 Dublin Medical Offices, Dublin, CA 94568 | 2018-01-18 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1619407368 | Lzl Health Center | Acupuncturist | 7241 Regional St, Dublin, CA 94568 | 2017-06-15 |
| 1578010120 | Yang Yang | Technician, Other | 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 | 2016-09-01 |
| Find all providers in zip 94568 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922071844 | Carl Craig Van Wey | Radiology | 6380 Clark Ave, Dublin, CA 94568-3036 | 2006-02-10 |
| 1215063094 | Anand Parthasarathy | Radiology | 3100 Dublin Blvd, Dublin, CA 94568-4363 | 2007-02-26 |
| 1700859352 | Michael Richard Forrest | Radiology | 6380 Clark Ave, Dublin, CA 94568-3036 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
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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.