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).
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 |
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 |
Street Address |
2930 2ND AVE STE 200 |
City | MARINA |
State | CA |
Zip Code | 93933 |
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 |
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 |
Find all providers in zip 93933 |
Taxonomy Code | 207RS0012X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Sleep Medicine |
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] |
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 |
Find all providers with the same taxonomy |
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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.