DR. RAE LINDSAY BOURNE (NPI# 1356569628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356569628 |
| Entity Type | Individual |
| Full Name | DR. RAE LINDSAY BOURNE |
| Credential | M.D. |
| Practice Address |
21 Orinda Way Suite C, Pmb 276 Orinda CA 94563-2530 |
| Practice Telephone | 9252572896 |
| Practice Fax Number | 9259137044 |
| Mailing Telephone | 9252572896 |
| Mailing Fax Number | 9259137044 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2012-02-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A94483 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 235755 | NY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2006-00114 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
A94483 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA LICENCE | A94483 | 01 |
| NPI NUMBER | 1356569628 | 01 |
| Street Address |
21 ORINDA WAY SUITE C, PMB 276 |
| City | ORINDA |
| State | CA |
| Zip Code | 94563-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558687392 | Tuan Hua Md | Internal Medicine | 21 Orinda Way, Suite C-276, Orinda, CA 94563-2530 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952842 | Sarah E. Wilson, Phd, A Professional Psychology Corporation | Psychologist | 23 Altarinda Road, Suite 201, Orinda, CA 94563 | 2020-05-05 |
| 1790333946 | Kristin Baines | Speech-Language Pathologist | Cameron Speech, 8 Camino Encinas Suite 210, Orinda, CA 94563 | 2019-08-30 |
| 1730618026 | Grace Elise Shandalov | Occupational Therapist | 24 Zander Drive, Orinda, CA 94563 | 2017-06-08 |
| 1346698735 | Janet Alexander | Occupational Therapist | 60 Don Gabriel Way, Orinda, CA 94563 | 2016-05-26 |
| 1750741021 | David Charles Hansen | Radiology | 543 Tahos Road, Orinda, CA 94563 | 2016-03-01 |
| 1063761609 | Melissa Bailey | Dentist | 15 Altarinda Rd., Suite 104a, Orinda, CA 94563 | 2012-08-29 |
| 1134493927 | Wu Hao Tu | Internal Medicine | 53 Brookside Rd, Orinda, CA 94563 | 2012-02-27 |
| 1134383243 | Marianna Eraklis | Pediatrics | One Camino Sobrante, Suite 208, Orinda, CA 94563 | 2008-07-17 |
| 1245441351 | Laro Virginia Thompson | Psychologist | 23 Altrarinda, Suite 214, Orinda, CA 94563 | 2007-05-24 |
| 1033329404 | Lisa B Kollin | Occupational Therapy Assistant | 8 Great Oak Circle, Orinda, CA 94563 | 2007-05-23 |
| Find all providers in zip 94563 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1841804572 | Shariar Cohen Md Corp | Internal Medicine | 566 Saint Charles Dr, Thousand Oaks, CA 91360-3953 | 2020-09-01 |
| 1538799309 | Ajay Nirula | Internal Medicine | 5171 Meadows Del Mar, San Diego, CA 92130-4855 | 2020-01-21 |
| 1659842532 | Harry Edward Gruber | Internal Medicine | 4511 Rancho Del Mar Trl, San Diego, CA 92130-5207 | 2018-12-17 |
| 1124596556 | Arthritis and Rheumatic Care Clinic, Inc. | Internal Medicine | 1401 N Palm Canyon Dr Ste 103, Palm Springs, CA 92262-4434 | 2018-11-03 |
| 1235629338 | Carewell Medical Group Inc | Internal Medicine | 18419 Us Highway 18 Ste 1, Apple Valley, CA 92307-2333 | 2018-05-14 |
| 1336641992 | Prohealth Partners A Medical Group | Internal Medicine | 26700 Towne Centre Dr Ste 165, Foothill Ranch, CA 92610-2845 | 2018-02-28 |
| 1699291765 | Peter James Lloyd Md Inc | Internal Medicine | 2251 Montgomery Ave, Cardiff, CA 92007-1913 | 2017-08-20 |
| 1285155010 | David Alexandre Chetrit | Internal Medicine | 757 Westwood Plaza, Rheumatology, Los Angeles, CA 90095-6130 | 2017-07-01 |
| 1447791181 | Ross Stephen Howard | Internal Medicine | 936 Harbor View Dr, San Diego, CA 92106-2438 | 2017-03-14 |
| 1295286714 | Tharaknath Rao | Internal Medicine | 14767 Calle Carla, Rancho Santa Fe, CA 92067 | 2016-10-19 |
| Find all providers with the same taxonomy | ||||
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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.