KENNETH R HARLEY (NPI# 1558333443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558333443 |
| Entity Type | Individual |
| Full Name | KENNETH R HARLEY |
| Credential | MD |
| Practice Address |
13851 E 14th St Suite 102 San Leandro CA 94578-2631 |
| Practice Telephone | 5103512100 |
| Mailing Telephone | 5103512100 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2009-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | C32910 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
13851 E 14TH ST SUITE 102 |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720447782 | Byoung Wook Min | Acupuncturist | 13851 E 14th St, Suite 203, San Leandro, CA 94578-2631 | 2016-02-18 |
| 1477826444 | Kelley Bradshaw | Dietitian, Registered | 13851 E 14th St, Suite 102, San Leandro, CA 94578-2631 | 2012-02-21 |
| 1972808384 | Peak Foot and Ankle Specialists, Inc | Podiatrist | 13851 E 14th St, Ste 308, San Leandro, CA 94578-2631 | 2011-01-14 |
| 1700082179 | William Chow Do | Clinic/Center | 13851 E 14th St, Suite 308, San Leandro, CA 94578-2631 | 2007-06-22 |
| 1073646733 | Jamie Stonick | Optometrist | 13851 E 14th St, San Leandro, CA 94578-2631 | 2007-03-13 |
| 1083764179 | James W. Kurkjian | Psychologist | 13851 E 14th St, Ste. 203, San Leandro, CA 94578-2631 | 2007-01-11 |
| 1013016724 | Elena Beider | Physician Assistant | 13851 E 14th St, Suite 102, San Leandro, CA 94578-2631 | 2006-09-21 |
| 1275646721 | Herbert B Weingard | Family Medicine | 13851 E 14th St, Suite 200, San Leandro, CA 94578-2631 | 2006-08-17 |
| 1598786790 | C. Michael Neuwelt | Internal Medicine | 13851 E 14th St, Ste 301, San Leandro, CA 94578-2631 | 2006-07-22 |
| 1033139043 | Lamont D Paxton | Surgery | 13851 E 14th St, Suite 202, San Leandro, CA 94578-2631 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| 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 |
|---|---|---|---|---|
| 1578763413 | David Kyung-il Park | Emergency Medicine | 2500 Merced Sreet, San Leandro, CA 94577-4201 | 2007-07-19 |
| 1457457863 | Peter J Perez | Emergency Medicine | 15516 East 14th St, San Leandro, CA 94578 | 2006-09-15 |
| 1548204787 | California Emergency Physicians Medical Group | Emergency Medicine | 2800 Benedict Drive, San Leandro, CA 94577 | 2006-06-16 |
| 1689665317 | Phoenix Emergency Physicians | Emergency Medicine | 13855 E 14th St, San Leandro, CA 94578-2611 | 2005-11-02 |
| 1013370931 | Chin-hsiang Feng | Emergency Medicine | 2500 Merced St, San Leandro, CA 94577-4201 | 2016-03-29 |
| 1306208855 | Adam Brown | Emergency Medicine | 2500 Merced St, San Leandro, CA 94577-4201 | 2016-03-23 |
| 1619362035 | Louis Yu | Emergency Medicine | 2500 Merced St, San Leandro, CA 94577-4201 | 2015-04-02 |
| 1376937938 | Lawrence Lau | Emergency Medicine | 2500 Merced St, San Leandro, CA 94577 | 2015-03-22 |
| 1831501741 | Benjamin Anthony Feldman | Emergency Medicine | 2500 Merced St, San Leandro, CA 94577 | 2014-05-27 |
| 1821438565 | Lucy Hormberg | Emergency Medicine | 2500 Merced St, San Leandro, CA 94577-4201 | 2013-06-26 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
Please comment or provide details below to improve the information on KENNETH R HARLEY.
| 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.