CHRISTA KONG


Address: 365 Hawthorne Ave, Suite 201, Oakland, CA 94609-3107
Phone: 5104521345

CHRISTA KONG (NPI# 1487813697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487813697
Entity Type Individual
Full Name CHRISTA KONG
Credential P.A.
Practice Address 365 Hawthorne Ave
Suite 201
Oakland
CA 94609-3107
Mailing Address 2855 Mitchell Dr
Suite 223
Walnut Creek
CA 94598-1600
Practice Telephone 5104521345
Practice Fax Number 5104521102
Mailing Telephone 9259755944
Mailing Fax Number 9259755943
Enumeration Date 2008-06-03
Last Update Date 2010-08-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA19710 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 365 HAWTHORNE AVE
SUITE 201
City OAKLAND
State CA
Zip Code 94609-3107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184686156 Rupert Roupen Horoupian Specialist 365 Hawthorne Ave, Suite 101, Oakland, CA 94609-3107 2006-04-05
1588061378 First Surgical Consultants General Acute Care Hospital 365 Hawthorne Ave, 101, Oakland, CA 94609-3107 2014-11-24
1477826683 Kelley Lockwood Brennan Nurse Practitioner 365 Hawthorne Ave, Suite 301, Oakland, CA 94609-3107 2012-02-17
1891084117 Debbie Choi Man Chan Physician Assistant 365 Hawthorne Ave, #201, Oakland, CA 94609-3107 2011-04-07
1679701858 Cheruba Prabakar Obstetrics & Gynecology 365 Hawthorne Ave, Ste 301, Oakland, CA 94609-3107 2009-06-26
1922205442 Associated Neurology Medical Group, Inc. Psychiatry & Neurology 365 Hawthorne Ave, Suite 203, Oakland, CA 94609-3107 2007-06-28
1720284011 Thomas Raymond Hardey Clinical Neuropsychologist 365 Hawthorne Ave, Suite 104, Oakland, CA 94609-3107 2007-06-22
1992913859 Diane Kwan Surgery 365 Hawthorne Ave, Suite 101, Oakland, CA 94609-3107 2007-05-21
1598806986 Douglas Stannage Patton Surgery 365 Hawthorne Ave, Suite 101, Oakland, CA 94609 2007-02-09
1639233687 Robert Norman Nelson Obstetrics & Gynecology 365 Hawthorne Ave, #301, Oakland, CA 94609 2006-12-21
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Providers in the same zip code

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 Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609477504 Julia Claire Stiefel Physician Assistant 369 Orange St Apt A, Oakland, CA 94610-2979 2020-11-05
1861099145 Nathalie Jaqueline Rivera Physician Assistant 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 2020-10-08
1245855527 Susan Solar Pers Physician Assistant 5818 Clover Dr, Oakland, CA 94618-1623 2020-06-11
1790322253 Reta Samimi Physician Assistant 47 Anair Way, Oakland, CA 94605-4873 2019-12-04
1316408453 Henry Chhiv Physician Assistant 928 Franklin St Apt 535, Oakland, CA 94607-4207 2019-03-29
1427523893 Sarah Jean Backer Physician Assistant 1 Lakeside Dr Apt 701, Oakland, CA 94612-4647 2018-10-11
1558845891 Abigail Romero Physician Assistant 47 Agnes St, Oakland, CA 94618-2522 2018-09-22
1932604428 Meegan Ann Mccullagh Physician Assistant 9 Pleasant St., Oakland, ME 04963 2018-03-27
1164937884 Erin Shea Hays Physician Assistant 1411 E 31st St # K7, Oakland, CA 94602-1018 2017-12-04
1407369689 Kristinalisa Maka Physician Assistant 363 41st St, Oakland, CA 94609-2632 2017-11-10
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Competitor

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City OAKLAND
Zip Code 94609

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Dataset Information

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.

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