DR. SANTOSH SAMUEL OOMMEN (NPI# 1427104256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427104256 |
| Entity Type | Individual |
| Full Name | DR. SANTOSH SAMUEL OOMMEN |
| Credential | M.D. |
| Practice Address |
365 Hawthorne Ave Ste 201 Oakland CA 94609-3114 |
| Practice Telephone | 5104521345 |
| Mailing Fax Number | 5104521102 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2017-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
A143006 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | NM MD LICENSE | MD2013-0313 | 01 |
| Street Address |
365 HAWTHORNE AVE STE 201 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083629786 | Alden J Mcdonald IIi | Internal Medicine | 365 Hawthorne Ave Ste 201, Oakland, CA 94609-3114 | 2006-07-30 |
| 1942764097 | Leighann Giriunas | Physician Assistant | 365 Hawthorne Ave Ste 201, Oakland, CA 94609-3114 | 2019-01-23 |
| 1376050823 | Andrea Rosemary Giovanelli | Physician Assistant | 365 Hawthorne Ave Ste 201, Oakland, CA 94609-3114 | 2018-01-05 |
| 1891173027 | Angela Mei Chin | Physician Assistant | 365 Hawthorne Ave Ste 201, Oakland, CA 94609-3114 | 2015-05-07 |
| 1679833867 | Rajan Lalit Shah | Student in an Organized Health Care Education/Training Program | 365 Hawthorne Ave Ste 201, Oakland, CA 94609-3114 | 2012-05-21 |
| 1770855009 | Rani Yogendra Upadhyay | Internal Medicine | 365 Hawthorne Ave Ste 201, Oakland, CA 94609 | 2012-02-01 |
| 1164700258 | Marian Ellen Elbert | Physician Assistant | 365 Hawthorne Ave Ste 201, Oakland, CA 94609-3114 | 2011-07-24 |
| 1437485968 | Melissa Suzanne Burroughs Pena | Internal Medicine | 365 Hawthorne Ave Ste 201, Oakland, CA 94609-3114 | 2009-10-17 |
| 1295994523 | Thomas Morgan Stephens II | Physician Assistant | 365 Hawthorne Ave Ste 201, Oakland, CA 94609-3114 | 2008-06-02 |
| 1285815209 | Lindsay Davies Wagner | Physician Assistant | 365 Hawthorne Ave Ste 201, Oakland, CA 94609-3114 | 2007-11-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316976913 | Paul L Ludmer | Internal Medicine | 365 Hawthorne Ave, #201, Oakland, CA 94609-3107 | 2006-07-03 |
| 1770512378 | Michael Anthony Lee | Internal Medicine | 365 Hawthorne Ave, #201, Oakland, CA 94609 | 2006-07-03 |
| 1851320162 | Steven Kang | Internal Medicine | 365 Hawthorne Ave, #201, Oakland, CA 94609-3107 | 2006-06-30 |
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| 1548780497 | Advanced Cardiology & Vascular Specialists | Internal Medicine | 51 N 5th Ave Ste 303, Arcadia, CA 91006-3711 | 2017-06-22 |
| 1407376304 | Christen A Hyde-treuhaft | Internal Medicine | 1526 Edgemont St., Icd Clinic, 2nd Floor Cardiology, Los Angeles, CA 90027 | 2017-06-21 |
| 1174956270 | Ravindra Prabhu Md A Medical Corporation | Internal Medicine | 754 Medical Center Ct., Suite 206, Chula Vista, CA 91911-6656 | 2013-08-13 |
| 1194022996 | David W. Orias, M.d. Inc. | Internal Medicine | 1700 N. Rose Avenue, Suite 420, Oxnard, CA 93030 | 2011-02-15 |
| 1750613329 | Desert Heart Rhythm Consultants Inc | Internal Medicine | 1100 North Palm Canyon Drive, 206, Palm Springs, CA 92262-4426 | 2010-02-08 |
| 1285968909 | Ccoc, Inc. | Internal Medicine | 333 Corporate Dr Ste 102, Ladera Ranch, CA 92694-2113 | 2009-09-28 |
| 1588890743 | Ruchir Sehra | Internal Medicine | Sandiego Va Hospital 3350 La Jolla Village Dr, Cardiology 111, San Diego, CA 92161-0001 | 2009-06-02 |
| 1154567394 | Ronald Carlish Medical Corporation | Internal Medicine | 135 E Live Oak Ave, Ste 205, Arcadia, CA 91006-5281 | 2008-12-17 |
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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.