DR. HOLLIS RAQUEL LONDON (NPI# 1538456165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538456165 |
| Entity Type | Individual |
| Full Name | DR. HOLLIS RAQUEL LONDON |
| Credential | D.O. |
| Practice Address |
1200 B Gale Wilson Blvd Fairfield CA 94533-3552 |
| Practice Telephone | 7076465000 |
| Mailing Telephone | 7078151864 |
| Enumeration Date | 2011-07-04 |
| Last Update Date | 2016-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 20A14426 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1200 B GALE WILSON BLVD |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-3552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649263526 | Ronald T Stafford | Anesthesiology | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2005-08-25 |
| 1295334753 | Manpreet Kaur | Pharmacist | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-10-25 |
| 1861004533 | Rokzanne Dosier | Nurse Practitioner | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-08-23 |
| 1457984882 | Neeta Bhasin | Pharmacist | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-02-13 |
| 1083246003 | Carol Ritzinger | Pharmacist | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-02-07 |
| 1659901239 | Elayne Faucett Maples | Nurse Practitioner | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-01-22 |
| 1760024384 | Gina Cristina Copak | Pharmacist | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2019-10-15 |
| 1952880437 | Hospitalist Medicine Physicians of California-tcg, PC | Internal Medicine | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2018-08-07 |
| 1487132007 | Hospitalist Medicine Physicians of California - Fairfield, PC | Internal Medicine | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2018-08-06 |
| 1548747686 | Sandra Manzato Barboza Tinoco | Dietitian, Registered | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2018-07-22 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407201247 | Keith Bradley | Emergency Medicine | 66 Lilalyn Dr, Fairfield, CT 06825-1310 | 2016-04-29 |
| 1003189481 | Eduardo Soloria | Emergency Medicine | 2405 Clara Bea Ln, Fairfield, OH 45014-3974 | 2012-02-16 |
| 1659543544 | Enon Gap Emergency Physicians | Emergency Medicine | 701 Richard M Scrushy Pkwy, Fairfield, AL 35064-2660 | 2008-03-31 |
| 1780755439 | John Scott Bomann | Emergency Medicine | 1235 Mine Hill Rd, Fairfield, CT 06824-2071 | 2006-11-13 |
| 1568485100 | Steven M Heffer | Emergency Medicine | 201 Whites Hill Ln, Fairfield, CT 06824-2177 | 2006-07-25 |
| 1104853191 | Mark Popil | Emergency Medicine | Northbay Medical Center, 1200 B Gale Wilson Blvd, Fairfield, CA 94533 | 2006-06-27 |
| 1760419824 | William Andrew Ankney | Emergency Medicine | Northbay Medical Center - Fairfield, 1200 B Gale Wilson Blvd, Fairfield, CA 94533 | 2006-06-26 |
| 1073579470 | Denise Z Harrison | Emergency Medicine | 401 W Kirkwood Ave, Fairfield, IA 52556-2410 | 2006-04-25 |
| 1356311708 | Larry D. Sutton | Emergency Medicine | 1829 Highway 1, Fairfield, IA 52556-9001 | 2006-01-26 |
| 1255312765 | Michael J. Eisner | Emergency Medicine | 1202 N B St, Fairfield, IA 52556-2084 | 2005-11-10 |
| Find all providers in FAIRFIELD | ||||
Please comment or provide details below to improve the information on DR. HOLLIS RAQUEL LONDON.
| 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.