NORTH BAY CARDIAC THORACIC AND VASCULAR SURGERY INC (NPI# 1457625055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457625055 |
Entity Type | Organization |
Organization Name | NORTH BAY CARDIAC THORACIC AND VASCULAR SURGERY INC |
Practice Address |
1860 Pennsylvania Ave Suite 110 Fairfield CA 94533-3590 |
Mailing Address |
3010 Beard Rd Napa CA 94558-3442 |
Practice Telephone | 7074294278 |
Mailing Telephone | 7074294278 |
Enumeration Date | 2012-02-28 |
Last Update Date | 2014-07-15 |
Authorized Official Name | KRISTI JONES (BILLING MANAGER) |
Authorized Official Telephone | 7072558825 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
Street Address |
1860 PENNSYLVANIA AVE SUITE 110 |
City | FAIRFIELD |
State | CA |
Zip Code | 94533-3590 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972500676 | Milind Dhond | Internal Medicine | 1860 Pennsylvania Ave, Suite 120, Fairfield, CA 94533-3590 | 2005-07-07 |
1609304963 | Rebecca L Parker | Nurse Practitioner | 1860 Pennsylvania Ave, Fairfield, CA 94533-3590 | 2017-05-31 |
1083057707 | Acute Care Surgery Medical Group, Inc. | Clinic/Center | 1860 Pennsylvania Ave, Suite 305, Fairfield, CA 94533-3590 | 2013-04-11 |
1811294283 | Maricel C Roblez | Nurse Practitioner | 1860 Pennsylvania Ave, Suite 230, Fairfield, CA 94533-3590 | 2011-02-22 |
1275849903 | Lauren Weber | Family Medicine | 1860 Pennsylvania Ave, Suite 300, Fairfield, CA 94533-3590 | 2010-08-18 |
1023347101 | Donald R Doyle Md Inc A Professional Corp | Internal Medicine | 1860 Pennsylvania Ave, Suite 300b, Fairfield, CA 94533-3590 | 2009-12-18 |
1083842843 | Rachel M. Villalon | Obstetrics & Gynecology | 1860 Pennsylvania Ave, Suite 300, Fairfield, CA 94533-3590 | 2009-06-30 |
1245473131 | Ameer Almullahassani | Psychiatry & Neurology | 1860 Pennsylvania Ave, Suite 210, Fairfield, CA 94533-3590 | 2009-04-08 |
1730337254 | Robin Price | Family Medicine | 1860 Pennsylvania Ave, Suite 300a, Fairfield, CA 94533-3590 | 2008-09-09 |
1104084458 | Shahid Ur Rehman | Psychiatry & Neurology | 1860 Pennsylvania Ave, Suite 210, Fairfield, CA 94533-3590 | 2008-05-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
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Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
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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.