PHILIP KELLER STALEY (NPI# 1326135625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326135625 |
| Entity Type | Individual |
| Full Name | PHILIP KELLER STALEY |
| Credential | DDS |
| Practice Address |
21297 Foothill Blvd # 204 Hayward CA 94541 |
| Practice Telephone | 5105821757 |
| Mailing Telephone | 5105821757 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | CA19533 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871023630 | Philip Staley | Registered Nurse | 1890 Alcatraz Avenue, Berkeley, CA 94608 | 2017-06-14 |
| Street Address |
21297 FOOTHILL BLVD # 204 |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458166 | Fay Fereshteh Niazi | Optometrist | 21297 Foothill Blvd, Ste 101, Hayward, CA 94541-1554 | 2005-06-27 |
| 1821144924 | Joan E Erwin | Psychologist | 21297 Foothill Blvd, Suite 100, Hayward, CA 94541-1554 | 2007-01-25 |
| 1265448716 | Russell Leslie Blackburn | Family Medicine | 21297 Foothill Blvd, Suite 201, Hayward, CA 94541-1554 | 2006-08-01 |
| 1962426718 | Wendy S Miller | Marriage & Family Therapist | 21297 Foothill Blvd, Suite 100, Hayward, CA 94541-1554 | 2006-07-26 |
| 1518964360 | Alison Jo Cook | Podiatrist | 21297 Foothill Blvd, 202, Hayward, CA 94541-1554 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073970778 | Jin Chung | Dentist | 24307 Southland Dr, Hayward, CA 94545-1517 | 2016-01-26 |
| 1588021398 | Suong Le Dental Corporation | Dentist | 805 Fletcher Ln, Hayward, CA 94544-1010 | 2016-01-25 |
| 1154793206 | Big Smile Dental Group, PC By Evangeline M. Memoracion D.d.s. | Dentist | 22429 Foothill Blvd, Hayward, CA 94541-4024 | 2015-10-28 |
| 1801288071 | Brian R Fong | Dentist | 21048 Haviland Ave, Hayward, CA 94541-2036 | 2015-02-25 |
| 1376932459 | Eugene Roytman Dmd, Inc | Dentist | 1866 B Street, Hayward, CA 94541 | 2015-01-13 |
| 1871930446 | Tran Villas Dental PC | Dentist | 26775 Hayward Blvd, Ste P, Hayward, CA 94542-2082 | 2013-05-22 |
| 1770862518 | Paulina Janette Del Rio | Dentist | 27724 Bruno St, Hayward, CA 94544-5259 | 2011-08-10 |
| 1013147438 | Jack M. Tsai | Dentist | 24901 Santa Clara St # B2, Hayward, CA 94544-2147 | 2009-07-20 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1184862187 | Fernando Roberto Soto | Dentist | 25879 Gettysburg Ave, Hayward, CA 94545-2901 | 2009-01-29 |
| Find all providers in HAYWARD | ||||
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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.