CIRCLE OF LIFE MEDICINE, INC (NPI# 1306083118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306083118 |
| Entity Type | Organization |
| Organization Name | CIRCLE OF LIFE MEDICINE, INC |
| Practice Address |
2382 Maritime Dr #100 Elk Grove CA 95758-3639 |
| Practice Telephone | 9166916622 |
| Practice Fax Number | 9166916629 |
| Mailing Telephone | 9166916622 |
| Mailing Fax Number | 9166916629 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |
| Authorized Official Name | JEANNETTE I FREI (OWNER) |
| Authorized Official Telephone | 9166916622 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A608670 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A608670 | 05 |
| Street Address |
2382 MARITIME DR #100 |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95758-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457309783 | Jaya Karnani | Family Medicine | 2382 Maritime Dr, Suite 100, Elk Grove, CA 95758-3639 | 2006-05-05 |
| 1245412261 | Jaya Karnani Md, PC | Clinic/Center | 2382 Maritime Dr, Suite 100, Elk Grove, CA 95758-3639 | 2007-11-30 |
| 1710102371 | Jennifer M Carmichael | Physician Assistant | 2382 Maritime Dr, #100, Elk Grove, CA 95758-3639 | 2007-04-17 |
| 1578688297 | Dana Cherise Adams | Nurse Practitioner | 2382 Maritime Dr, Elk Grove, CA 95758-3658 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
| 1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
| 1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
| 1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
| 1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
| 1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
| 1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
| 1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
| 1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
| 1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
| Find all providers in zip 95758 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
| 1972938363 | Silen Bun | Family Medicine | 8170 Laguna Blvd Ste 220, Elk Grove, CA 95758 | 2013-09-05 |
| 1114299740 | Benjamin Green Md Inc | Family Medicine | 9245 Laguna Springs Dr, Suite 200, Elk Grove, CA 95758-7987 | 2012-01-27 |
| 1750676227 | Patricia L To | Family Medicine | 2511 Laguna Blvd # Ms 217fit, Elk Grove, CA 95758-7421 | 2011-06-13 |
| 1114005865 | Vijaya L. Reddy | Family Medicine | 9261 Laguna Springs Dr, Suite 100, Elk Grove, CA 95758-7983 | 2006-11-01 |
| 1699853317 | Ehsan Sultani | Family Medicine | 9381 E Stockton Blvd Ste 220, Elk Grove, CA 95624-5070 | 2006-11-01 |
| 1962516591 | Timberlake Family Practice, A Medical Corp. | Family Medicine | 9381 E Stockton Blvd Ste 216, Elk Grove, CA 95624-5070 | 2006-08-19 |
| 1689685331 | Helene Thuy-ha Nguyen | Family Medicine | 8170 Laguna Blvd Ste 215, Elk Grove, CA 95758-7902 | 2006-08-10 |
| 1013930866 | Thomas A Bzoskie | Family Medicine | 8170 Laguna Blvd Ste 113, Elk Grove, CA 95758-7902 | 2006-07-25 |
| 1932120334 | Richard Newton Gray, Jr. | Family Medicine | California Department of Corrections and Rehabilitation, Elk Grove, CA 95785 | 2006-07-21 |
| Find all providers in ELK GROVE | ||||
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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.