ELENA TOOTELL (NPI# 1427062660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427062660 |
| Entity Type | Individual |
| Full Name | ELENA TOOTELL |
| Credential | MD |
| Practice Address |
Office of The Cmo San Quentin State Prison San Quentin CA 94964 |
| Mailing Address |
Po Box 333 San Quentin CA 94964-0333 |
| Practice Telephone | 4157213511 |
| Practice Fax Number | 4157213512 |
| Mailing Telephone | 4157213511 |
| Mailing Fax Number | 4157213512 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A87667 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
OFFICE OF THE CMO SAN QUENTIN STATE PRISON |
| City | SAN QUENTIN |
| State | CA |
| Zip Code | 94964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760636864 | Harun Evcimen | Psychiatry & Neurology | 1 Main St. H-unit Yard Tele Psychiatry, Cdcr San Quetin State Prison, San Quentin, CA 94964 | 2008-11-17 |
| 1790905156 | Ucsf Medical Center | Nurse Practitioner | San Quentin State Prison, San Quentin, CA 94964 | 2007-04-26 |
| 1477613115 | Laureen Linda Jang | Dentist | San Quentin, San Quentin, CA 94964 | 2006-12-11 |
| 1205894771 | Fouad Kiani | Dentist | 1 Main St., San Quentin, CA 94964 | 2006-05-03 |
| 1518958743 | Bradley Kenneth Deal | Psychiatry & Neurology | 13 Main St., San Quentin Prison, San Quentin, CA 94964 | 2005-11-05 |
| 1104373570 | Jane Lovelle | Social Worker | San Quentin State Prison, San Quentin, CA 94964 | 2016-09-02 |
| 1780049213 | Patricia Sweeny Toboni | Speech-Language Pathologist | 64 Main Street, #2 Rear Bldg., San Quentin, CA 94964 | 2015-12-29 |
| 1144621368 | Eric Monthei | Psychologist | San Quentin State Prison, San Quentin, CA 94964 | 2014-09-08 |
| 1720408859 | Yan Chan | Student in an Organized Health Care Education/Training Program | 1 Main St, San Quentin, CA 94964 | 2014-04-16 |
| 1982025755 | Hillel Greene | Social Worker | San Quentin State Prison, Central Health Services Building 4th Floor, San Quentin, CA 94964 | 2013-12-22 |
| Find all providers in zip 94964 | ||||
| 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 |
|---|---|---|---|---|
| 1003015751 | Denise C Alabart Reyes | Family Medicine | 1 Main St, San Quentin, CA 94964-1000 | 2007-07-13 |
| 1437167582 | Fernand Rene Alvarez IIi | Family Medicine | 1 Main St, San Quentin, CA 94964-1000 | 2006-08-04 |
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| Find all providers with the same taxonomy | ||||
| City | SAN QUENTIN |
| Zip Code | 94964 |
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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.