GRACE ANN CARLSON (NPI# 1558514109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558514109 |
| Entity Type | Individual |
| Full Name | GRACE ANN CARLSON |
| Credential | MD |
| Practice Address |
2450 Ashby Ave Room 5505 Berkeley CA 94705-2067 |
| Mailing Address |
3687 Mt Diablo Blvd Suite 200 Lafayette CA 94549-3717 |
| Practice Telephone | 5102041893 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2016-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A115481 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | AE38738983476 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376607184 | Grace Yu Carlson | Dentist | 35225 Avenue A, Suite 201, Yucaipa, CA 92399-4359 | 2006-12-19 |
| Street Address |
2450 ASHBY AVE ROOM 5505 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447369 | Henry Hinchung Tan | Internal Medicine | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2005-06-16 |
| 1154940286 | Kassandra Marie Donnels | Advanced Practice Midwife | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2020-04-09 |
| 1881221646 | Stephanie Miller | Registered Nurse | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2020-03-23 |
| 1962966689 | Samantha Ann Misslbeck | Registered Nurse | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2019-01-27 |
| 1851898837 | Obianauju Vivian Ogu | Registered Nurse | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2018-04-06 |
| 1033649579 | Robert Michael Roth | Emergency Medicine | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2017-06-18 |
| 1306294962 | Anh Dang | General Acute Care Hospital | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2016-05-24 |
| 1639523004 | Sutter Bay Hospitals | Clinical Medical Laboratory | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2016-04-21 |
| 1316312648 | Zain Daniel Bartlett Morin | Pharmacist | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2015-12-11 |
| 1841663804 | Ilana Rose Pearlman | Advanced Practice Midwife | 2450 Ashby Ave, Rm. 3040, Berkeley, CA 94705-2067 | 2015-11-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1285249144 | Zizmor Medical Group Inc. | Internal Medicine | 1935 Addison St Ste A, Berkeley, CA 94704-1354 | 2020-09-08 |
| 1861926669 | David Kagan Md Inc | Internal Medicine | 1829 Monterey Ave, Berkeley, CA 94707-2543 | 2017-04-18 |
| 1629435946 | Patrick Jerome Scannon | Internal Medicine | 2910 Seventh St, Berkeley, CA 94710-2700 | 2016-01-16 |
| 1467829879 | Laura Wilson | Internal Medicine | 593 The Alameda, Berkeley, CA 94707-1644 | 2015-09-02 |
| 1053795450 | Jenna T Dean | Internal Medicine | 2540 Ashby Ave, Room 5505, Berkeley, CA 94705-2067 | 2015-07-15 |
| 1679956932 | Robert Allan Hiatt | Internal Medicine | 145 Hillcrest Rd, Berkeley, CA 94705-2808 | 2015-07-06 |
| 1588054076 | Hana Holistic Medical Center | Internal Medicine | 2107 Channing Way, Berkeley, CA 94704-2020 | 2015-02-04 |
| 1639567647 | Lee W Riley | Internal Medicine | 530e Li Ka Shing Bldg, School of Public Health, University of California, Berkeley, CA 94720-3369 | 2014-12-26 |
| 1316217441 | Michael Lance Seal | Internal Medicine | 1844 San Ramon Ave, Berkeley, CA 94707-1645 | 2012-01-05 |
| 1467721902 | Carol West | Internal Medicine | 701 Panoramic Way, Berkeley, CA 94704-2538 | 2011-12-28 |
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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.