JERRAL S SEIBERT M D INC (NPI# 1437491743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437491743 |
| Entity Type | Organization |
| Organization Name | JERRAL S SEIBERT M D INC |
| Practice Address |
1220 Rossmoor Pkwy Walnut Creek CA 94595-2501 |
| Mailing Address |
3685 Nordstrom Ln Lafayette CA 94549-3027 |
| Practice Telephone | 9254841395 |
| Practice Fax Number | 9259240969 |
| Mailing Telephone | 9259391220 |
| Mailing Fax Number | 9252834123 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |
| Authorized Official Name | DR. JERRAL S SEIBERT (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 9259391220 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A17834 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00A178340 | 01 |
| Street Address |
1220 ROSSMOOR PKWY |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94595-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508834946 | Lavinia Herbei | Internal Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2006-03-10 |
| 1467070052 | Sara Lynn Gamble | Physical Therapist | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2020-07-09 |
| 1346778909 | Anusha Bakshi | Internal Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2017-05-26 |
| 1811420243 | Sohrab Amiri | Internal Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2017-04-03 |
| 1295181345 | Jason Simon Cheng Md Inc | Neurological Surgery | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2016-05-09 |
| 1780068775 | Gurveen Chahal | Internal Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595 | 2015-07-20 |
| 1952783029 | Vasili Dzerhachou | Hospitalist | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595 | 2015-06-24 |
| 1457739161 | Mandakini Hersh Patel | Internal Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595 | 2015-05-13 |
| 1386039873 | Marvi Verma Rijhwani | Internal Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595 | 2015-04-01 |
| 1063827301 | Gurinder Singh | Internal Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2014-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740770916 | Paul Vincent Holland | Pathology | 1821 Wales Drive, Walnut Creek, CA 94595 | 2018-05-14 |
| 1669979381 | Alpha Pharmaceutical Inc | Pharmacy | 1870 Tice Valley Blvd, Walnut Creek, CA 94595 | 2018-04-09 |
| 1104245711 | Lillian Darlene Lanka | Obstetrics & Gynecology | 634 Shadowhawk Way, Walnut Creek, CA 94595 | 2014-04-10 |
| 1376969774 | Richard Allen Kaplan | Obstetrics & Gynecology | 1808 Castle Gate Road, Walnut Creek, CA 94595 | 2014-03-10 |
| 1619302692 | Karl Erik Engdahl | Dentist | 2225 Olympic Bovlevard, Walnut Creek, CA 94595 | 2013-09-09 |
| 1609186733 | Theresa Virginia Iverson | Physical Therapist | 1874 Tice Valley Blvd., Walnut Creek, CA 94595 | 2010-10-07 |
| 1285867606 | Gayle Dendaas | Marriage & Family Therapist | 94 Grandview Place, Walnut Creek, CA 94595 | 2009-09-02 |
| 1982861126 | Mai-anh Thi Tran | Nurse Practitioner | 1475 South Main St, Walnut Creek, CA 94595 | 2008-05-16 |
| 1467620229 | Sean A Karimian Dds Inc | Dentist | 1928 Tice Valley Blvd, Walnut Creek, CA 94595 | 2008-02-14 |
| 1548383318 | Csg Better Hearing Services, Inc. | Audiologist-Hearing Aid Fitter | 31 Panoramic Way, 1st Fl, Walnut Creek, CA 94595 | 2007-04-09 |
| Find all providers in zip 94595 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225222128 | Christina Daria Fonseca | Dermatology | 320 Lennon Lane Kaiser Permanente Medical Group, Department of Dermatology, Walnut Creek, CA 94598 | 2007-09-04 |
| 1477650372 | Alexander Lewis IIi | Dermatology | 1820 San Miguel Dr, Walnut Creek, CA 94596 | 2006-09-20 |
| 1396789731 | Jay William Zimmerman | Dermatology | 2255 Ygnacio Valley Rd Ste B1, Walnut Creek, CA 94598-3335 | 2006-06-16 |
| 1124014741 | Min-wei Christine Lee | Dermatology | 370 N Wiget Ln, Ste 125, Walnut Creek, CA 94598-2546 | 2005-09-20 |
| 1023405727 | Grace Kim Sohn | Dermatology | 355 Lennon Ln Ste 255, Walnut Creek, CA 94598-2496 | 2015-04-20 |
| 1245644657 | Joy Makdisi | Dermatology | 2255 Ygnacio Valley Rd Ste B1, Walnut Creek, CA 94598-3335 | 2014-06-13 |
| 1407285240 | Golden State Dermatology, Inc. | Dermatology | 2255 Ygnacio Valley Rd Ste B1, Walnut Creek, CA 94598-3335 | 2013-11-02 |
| 1790927655 | Daniel J. Wall M.d., Inc | Dermatology | 110 La Casa Via, Suite 205, Walnut Creek, CA 94598-3088 | 2009-03-24 |
| 1861672800 | Marvin L Engel Md Inc | Dermatology | 130 La Casa Via, Bldg 2 Suite 110, Walnut Creek, CA 94598-3045 | 2007-11-07 |
| 1710191382 | Jeffrey Thomas Bortz | Dermatology | 355 Lennon Ln, Suite 355, Walnut Creek, CA 94598-2418 | 2007-05-10 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94595 |
Please comment or provide details below to improve the information on JERRAL S SEIBERT M D INC.
| 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.