RICHARD J KANAK


Address: 2930 2nd Ave Ste 200, Marina, CA 93933
Phone: 8315822100

RICHARD J KANAK (NPI# 1508817776) 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) 1508817776
Entity Type Individual
Full Name RICHARD J KANAK
Credential M.D.
Practice Address 2930 2nd Ave Ste 200
Marina
CA 93933
Mailing Address 2930 2nd Ave Ste 200
Marina
CA 93933-6244
Practice Telephone 8315822100
Practice Fax Number 8318861529
Mailing Telephone 8315822100
Mailing Fax Number 8318861529
Enumeration Date 2006-05-13
Last Update Date 2018-05-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
G62232 CA Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
G62232 CA Allopathic & Osteopathic Physicians
Y 207RS0012X Internal Medicine
Specialization: Sleep Medicine
G62232 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 2930 2ND AVE STE 200
City MARINA
State CA
Zip Code 93933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427463140 Jean-philippe Melillo Abraham Family Medicine 2930 2nd Ave Ste 200, Marina, CA 93933-6244 2014-06-23
1255366464 Jeffrey C Ettinger Family Medicine 2930 2nd Ave Ste 200, Marina, CA 93933 2006-07-12
1881638575 Shama Ann Jesudason Family Medicine 2930 2nd Ave Ste 200, Marina, CA 93933-6244 2006-06-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841803012 Caterina Poehner Social Worker 617 Bayonet Cirle, Marina, CA 93933 2020-08-28
1972036499 Stephanie Blalock Counselor 617 Bayonet Circle, Marina, CA 93933 2017-04-11
1588110340 Monique Theaker Counselor 299b Twelfth Street, Marina, CA 93933 2016-08-31
1053709220 Mehry Khazan Marriage & Family Therapist 299 Twelfth Street, Marina, CA 93933 2014-12-22
1306241476 Tiffany Avery Counselor 299 12th St Ste B, Marina, CA 93933 2014-10-30
1881037141 Marilyn Anderson Counselor 3043 Macarthur Dr, Marina, CA 93933 2013-04-16
1669744280 Leslie Penley Dentist 3154 Deforest Rd. Suitea, Marina, CA 93933 2012-01-27
1215221510 Janet Hernandez Barajas Social Worker 299a 12th Street, Marina, CA 93933 2011-06-03
1538302740 Sonia Cortes Counselor 613 Bayonet Cir., Marina, CA 93933 2009-04-17
1144476003 Carolina Cortez Counselor 2982 Bayonet Ct, Marina, CA 93933 2008-08-12
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Taxonomy Information

Taxonomy Code 207RS0012X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sleep Medicine

Taxonomy Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437704244 Inna Rostker, Dds A PC Internal Medicine 109 Stevenson Street Suite 200, San Francisco, CA 94105 2019-08-08
1508215773 Dr Lisa Shives, Md, PC Internal Medicine 1853 Lyndon Rd, San Diego, CA 92103-1644 2016-06-08
1881060499 Bakersfield Sleep Center Internal Medicine 1141 Pacific St Ste F, San Luis Obispo, CA 93401-3307 2015-08-18
1659752798 Evergreen Sleep Center Internal Medicine 2365 Quimby Rd, Suite 210, San Jose, CA 95122-1337 2015-06-15
1073947305 Advanced Sleep and Gastroenterology Laboratories, Inc Internal Medicine 4206 Technology Dr, Suite 2, Modesto, CA 95356-8769 2013-08-22
1558665562 Puja Anil Thakkar Internal Medicine 400 El Cerro Blvd #107, Golden Gate Sleep Centers, Danville, CA 94526-1731 2011-01-05
1770884389 Justin A. Fu, Md A Medical Corporation Internal Medicine 6627 Murrietta Ct, Rancho Cucamonga, CA 91739-9556 2010-11-12
1073746236 Ravindrachandrashekhar, Md Inc Internal Medicine 18523 Corwin Rd Ste C, Apple Valley, CA 92307-2300 2009-09-03
1942447453 Institute for Sleep Medicine Internal Medicine 801 Orange Avenue, Suite 204, Coronado, CA 92118-2663 2009-01-21
1164674248 Darya Soto Md Inc Internal Medicine 100 Rowland Way Ste 300, Novato, CA 94945-5041 2008-10-21
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Competitor

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City MARINA
Zip Code 93933

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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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