SAMIR R THADANI (NPI# 1558430678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558430678 |
| Entity Type | Individual |
| Full Name | SAMIR R THADANI |
| Credential | M.D. |
| Practice Address |
1200 El Camino Real South San Francisco CA 94080-3208 |
| Practice Telephone | 6507422230 |
| Mailing Telephone | 6507422230 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2012-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A104376 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1200 EL CAMINO REAL |
| City | SOUTH SAN FRANCISCO |
| State | CA |
| Zip Code | 94080-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858988 | Scot W. Russell | Psychologist | 1200 El Camino Real, South San Francisco, CA 94080 | 2005-08-15 |
| 1275131351 | Guerline Bornelus | Registered Nurse | 1200 El Camino Real, South San Francisco, CA 94080-3299 | 2020-10-12 |
| 1174134258 | Trista Yuen Ting Tam | Pharmacist | 1200 El Camino Real, South San Francisco, CA 94080-3299 | 2020-08-12 |
| 1831707686 | Kurt Herman Theumer | Respiratory Therapist, Registered | 1200 El Camino Real, South San Francisco, CA 94080-3208 | 2020-07-17 |
| 1538787346 | Maryfloriel Lozada | Respiratory Therapist, Registered | 1200 El Camino Real, South San Francisco, CA 94080-3299 | 2020-07-08 |
| 1881235109 | Sau Ming Lam | Dietitian, Registered | 1200 El Camino Real, South San Francisco, CA 94080-3208 | 2019-10-08 |
| 1073078606 | Vue Ngoy | Respiratory Therapist, Registered | 1200 El Camino Real, South San Francisco, CA 94080-3208 | 2019-02-07 |
| 1891269510 | Zachary Robert Cinti | Physician Assistant | 1200 El Camino Real, South San Francisco, CA 94080-3299 | 2019-01-15 |
| 1770056756 | Debora M Creighton-vaz | Respiratory Therapist, Registered | 1200 El Camino Real, South San Francisco, CA 94080-3208 | 2019-01-02 |
| 1508338088 | Melissa Anne Dayao | Respiratory Therapist, Registered | 1200 El Camino Real, South San Francisco, CA 94080-3208 | 2018-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
| 1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
| 1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
| 1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
| 1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
| 1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
| 1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
| 1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
| 1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
| 1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
| Find all providers in zip 94080 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
| 1578727889 | Jonathan C Fox | Internal Medicine | 400 East Jamie Court, Myokardia, Inc., Ste 102, South San Francisco, CA 94080 | 2008-07-16 |
| 1144372368 | Waichi Chan | Internal Medicine | 1200 El Camino Real, South San Francisco, CA 94080-3208 | 2007-01-17 |
| 1285712877 | Thomas M. Pong | Internal Medicine | 1200 El Camino Real, South San Francisco, CA 94080-3208 | 2006-11-01 |
| 1720166341 | Edward S. Fischer | Internal Medicine | 1200 El Camino Real, South San Francisco, CA 94080-3208 | 2006-11-01 |
| 1639277221 | Douglas Walter Zuckermann | Internal Medicine | 1200 El Camino Real, Dept of Cardiology 2nd Floor, South San Francisco, CA 94080-3208 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000141 | Suman S Kuppahally, M.d. Inc | Internal Medicine | 2505 Samaritan Dr Ste 600, San Jose, CA 95124-4017 | 2020-10-11 |
| 1336754472 | Ankur Gupta Medical Corporation | Internal Medicine | 820 S Akers St Ste 130, Visalia, CA 93277-8346 | 2020-09-15 |
| 1295351740 | Penciu Medical Apmc | Internal Medicine | 1585 Sierra Madre Villa Ave, Pasadena, CA 91107-1259 | 2020-06-21 |
| 1679113336 | La Pulse Medical, Inc | Internal Medicine | 14558 Sylvan St Ste 105, Van Nuys, CA 91411-2324 | 2020-01-10 |
| 1770122871 | John R. Nelson M.d. Inc. | Internal Medicine | 7061 N Whitney Ave Ste 101, Fresno, CA 93720-8025 | 2020-01-06 |
| 1730725789 | Norcal Medical Services, Inc | Internal Medicine | 2267 Lava Ridge Ct, Roseville, CA 95661-3062 | 2019-11-25 |
| 1932750957 | Enloe Medical Center | Internal Medicine | 1430 Esplanade Ste 6, Chico, CA 95926-3366 | 2019-09-20 |
| 1528610425 | Nicholas Russell | Internal Medicine | 2967 N Moorpark Rd, Thousand Oaks, CA 91360-4573 | 2019-07-10 |
| 1043871627 | Gy Medical Clinic Inc | Internal Medicine | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2019-06-25 |
| 1902465792 | Pacific Heart & Vascular | Internal Medicine | 1234 W. Chapman Ave, Ste #101, Orange, CA 92868-2862 | 2019-06-06 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SAN FRANCISCO |
| Zip Code | 94080 |
Please comment or provide details below to improve the information on SAMIR R THADANI.
| 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.