KATHLEEN ANNE CLANON (NPI# 1386654945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386654945 |
| Entity Type | Individual |
| Full Name | KATHLEEN ANNE CLANON |
| Credential | MD |
| Practice Address |
1411 E 31st Street Oakland CA 94602-1080 |
| Mailing Address |
1411 E 31st Street Oakcare Medical Group Oakland CA 94602-1080 |
| Practice Telephone | 5104374323 |
| Practice Fax Number | 5104375042 |
| Mailing Telephone | 5104374323 |
| Mailing Fax Number | 5104375042 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | G56122 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G56122 | 05 |
| Street Address |
1411 E 31ST STREET |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396764353 | Alameda Health System | General Acute Care Hospital | 1411 E 31st Street, Oakland, CA 94602 | 2006-07-19 |
| 1992267413 | Ludan Zhao | Student in an Organized Health Care Education/Training Program | 1411 E 31st Street, 2nd Floor A2, Oakland, CA 94602 | 2019-04-03 |
| 1528520210 | Gabrielle Goodlin | Student in an Organized Health Care Education/Training Program | 1411 E 31st Street, 2nd Floor, A2, Oakland, CA 94602 | 2019-04-02 |
| 1073019899 | Stephen Chan | Student in an Organized Health Care Education/Training Program | 1411 E 31st Street, 2nd Floor A2, Oakland, CA 94602 | 2018-04-02 |
| 1225458573 | Michael Wu | Anesthesiology | 1411 E 31st Street, Attn Anesthesia Department, Oakland, CA 94602 | 2014-04-24 |
| 1740465517 | Eunice Flores-uselman | Poetry Therapist | 1411 E 31st Street, Oakland, CA 94602 | 2007-12-29 |
| 1043492275 | Sonji Francine Walker | Social Worker | 1411 E 31st Street, Oakland, CA 94602 | 2007-11-29 |
| 1467632265 | Sharon Ann Abram | Social Worker | 1411 E 31st Street, Oakland, CA 94602 | 2007-11-08 |
| 1700087590 | Alameda Health System | General Acute Care Hospital | 1411 E 31st Street, Oakland, CA 94602 | 2007-05-30 |
| 1740332931 | Alameda Health System | Surgery | 1411 E 31st Street, Oakland, CA 94602 | 2007-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740237031 | David B. Moyer | Allergy & Immunology | 3801 Howe St, Oakland, CA 94611-5312 | 2006-05-30 |
| 1194803965 | Myngoc T. Nguyen | Allergy & Immunology | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| 1922010487 | Richard L Wacht Md Medical Corp | Allergy & Immunology | 419 30th St, Oakland, CA 94609-3303 | 2006-08-13 |
| 1780624791 | Jimmy Ko | Allergy & Immunology | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-06-07 |
| 1952340325 | Debby A. Lin | Allergy & Immunology | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558341 | Los Angeles Food Allergy Institute, Inc. | Allergy & Immunology | 800 S Central Ave Ste 303, Glendale, CA 91204-4388 | 2020-04-29 |
| 1518587815 | Aire Medical of Glendale, Inc. | Allergy & Immunology | 1808 Verdugo Blvd Ste 116, Glendale, CA 91208-1455 | 2020-04-16 |
| 1598315467 | Dean T. Chiang, M.d. Inc | Allergy & Immunology | 3440 Lomita Blvd Ste 228, Torrance, CA 90505-4870 | 2019-09-12 |
| 1316416118 | Pediatric Specialty Partners Inc. | Allergy & Immunology | 8929 University Center Ln Ste 208, San Diego, CA 92122-1054 | 2018-11-21 |
| 1083133649 | Allergy Asthma Clinic Burlingame, Incorporated | Allergy & Immunology | 1828 El Camino Real Ste 703, Burlingame, CA 94010-3122 | 2017-09-14 |
| 1609397421 | Utkucan Acar | Allergy & Immunology | 10833 Le Conte Ave Rm 12-311, Los Angeles, CA 90095-3075 | 2017-06-30 |
| 1992247134 | Macey Dennis | Allergy & Immunology | 549 Southgate Rd, Sacramento, CA 95815-3714 | 2016-11-04 |
| 1093166795 | Terrie Susie Ahn | Allergy & Immunology | 10833 Le Conte Ave # 12-311, Los Angeles, CA 90095-3075 | 2016-06-24 |
| 1700247897 | Marie A. Di Pasquale | Allergy & Immunology | 705 Lincoln Avenue, Palo Alto, CA 94301 | 2016-03-16 |
| 1730559600 | Benjamin Kramer | Allergy & Immunology | 750 Van Ness Ave, Ph1, San Francisco, CA 94102-6321 | 2015-10-04 |
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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.