DR. ROBERT O. GINGERY (NPI# 1417974460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417974460 |
| Entity Type | Individual |
| Full Name | DR. ROBERT O. GINGERY |
| Credential | M.D. |
| Practice Address |
13851 E 14th St Suite 202 San Leandro CA 94578-2627 |
| Mailing Address |
13851 E 14th St Suite 202 San Leandro CA 94578-2631 |
| Practice Telephone | 5103474700 |
| Practice Fax Number | 5103474712 |
| Mailing Telephone | 5103474700 |
| Mailing Fax Number | 5103474712 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2012-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G23370 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE NPI # | 1417974460 | 01 |
| Street Address |
13851 E 14TH ST SUITE 202 |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558333443 | Kenneth R Harley | Emergency Medicine | 13851 E 14th St, Suite 102, San Leandro, CA 94578-2631 | 2006-02-03 |
| 1720447782 | Byoung Wook Min | Acupuncturist | 13851 E 14th St, Suite 203, San Leandro, CA 94578-2631 | 2016-02-18 |
| 1477826444 | Kelley Bradshaw | Dietitian, Registered | 13851 E 14th St, Suite 102, San Leandro, CA 94578-2631 | 2012-02-21 |
| 1972808384 | Peak Foot and Ankle Specialists, Inc | Podiatrist | 13851 E 14th St, Ste 308, San Leandro, CA 94578-2631 | 2011-01-14 |
| 1700082179 | William Chow Do | Clinic/Center | 13851 E 14th St, Suite 308, San Leandro, CA 94578-2631 | 2007-06-22 |
| 1073646733 | Jamie Stonick | Optometrist | 13851 E 14th St, San Leandro, CA 94578-2631 | 2007-03-13 |
| 1083764179 | James W. Kurkjian | Psychologist | 13851 E 14th St, Ste. 203, San Leandro, CA 94578-2631 | 2007-01-11 |
| 1013016724 | Elena Beider | Physician Assistant | 13851 E 14th St, Suite 102, San Leandro, CA 94578-2631 | 2006-09-21 |
| 1275646721 | Herbert B Weingard | Family Medicine | 13851 E 14th St, Suite 200, San Leandro, CA 94578-2631 | 2006-08-17 |
| 1598786790 | C. Michael Neuwelt | Internal Medicine | 13851 E 14th St, Ste 301, San Leandro, CA 94578-2631 | 2006-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336383652 | Kian Mostafavi | Surgery | 2500 Merced Street, San Leandro, CA 94577-4201 | 2009-04-30 |
| 1992967210 | Joy Garg | Surgery | 2500 Merced St, San Leandro, CA 94577-4201 | 2008-06-27 |
| 1033139043 | Lamont D Paxton | Surgery | 13851 E 14th St, Suite 202, San Leandro, CA 94578-2631 | 2006-07-20 |
| 1447270459 | Michael D. Ingegno | Surgery | 13851 E 14th St, Suite 202, San Leandro, CA 94578-2631 | 2006-07-20 |
| 1316982879 | General Vascular Surgery Medical Group, Inc. | Surgery | 13851 E 14th St, Suite 202, San Leandro, CA 94578-2631 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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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.