DR. ALEXANDER JOHN KLISTOFF JR. (NPI# 1578635645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578635645 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDER JOHN KLISTOFF JR. |
| Credential | M.D. |
| Practice Address |
11583 C Ave Auburn CA 95603-2703 |
| Practice Telephone | 5308863454 |
| Practice Fax Number | 5308897276 |
| Mailing Telephone | 5308863454 |
| Mailing Fax Number | 5308897276 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G37960 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA # | AK9397060 | 01 |
| CA | LICENSE NUMBER | G37960 | 01 |
| CA | PIN # MEDICARE | 00G379600 | 01 |
| Street Address |
11583 C AVE |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265455166 | Glenn E Millar | Specialist | 11583 C Ave, Auburn, CA 95603-2703 | 2006-07-25 |
| 1689098824 | Patricia Lord | Internal Medicine | 11583 C Ave, Auburn, CA 95603-2703 | 2014-02-07 |
| 1841546132 | County of Placer | Pharmacy | 11583 C Ave, Auburn, CA 95603-2703 | 2012-07-24 |
| 1184881351 | Jess C Stone | Community Health Worker | 11583 C Ave, Placer County Community Clinic, Auburn, CA 95603-2703 | 2008-05-16 |
| 1700097482 | Terri Michele Friedman | Physician Assistant | 11583 C Ave, Auburn, CA 95603-2703 | 2007-05-24 |
| 1336280908 | Dennis W. Cain | Registered Nurse | 11583 C Ave, Auburn, CA 95603-2703 | 2007-02-08 |
| 1811034556 | Anna Lynne Wittekind | Physician Assistant | 11583 C Ave, Auburn, CA 95603-2703 | 2007-01-31 |
| 1649326539 | Alexa Colgrove Curtis | Nurse Practitioner | 11583 C Ave, Auburn, CA 95603-2703 | 2007-01-25 |
| 1588711188 | Lisa Ann Buckwalter | Nurse Practitioner | 11583 C Ave, Auburn, CA 95603-2703 | 2007-01-04 |
| 1912062811 | Elena Alekseyevna Ralik | Internal Medicine | 11583 C Ave, Auburn, CA 95603 | 2006-12-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1780117200 | Dekalb Memorial Hospital Inc | Family Medicine | 1061 Smaltz Way, Auburn, IN 46706-9599 | 2017-04-11 |
| 1235492182 | Mark D Garcia | Family Medicine | 205 10th St Ne Ste 200, Auburn, WA 98002 | 2012-06-15 |
| 1508127796 | Family Health Clinic, Inc | Family Medicine | 1456 Opelika Rd, Auburn, AL 36830-3318 | 2012-06-04 |
| 1194052506 | Access Healthcare, Pllc | Family Medicine | 1402 Lake Tapps Parkway East, Suite F 106, Auburn, WA 98092-8157 | 2009-11-05 |
| 1407099286 | Primary Medicine Associates, LLC | Family Medicine | 890 N Dean Rd, Suite 500, Auburn, AL 36830-9440 | 2009-04-09 |
| 1952560765 | Sarat Meka | Family Medicine | 1518 Professional Parkway, Suite A, Auburn, AL 36830 | 2008-06-06 |
| 1952569626 | Johnny Dale Stackhouse | Family Medicine | 910 S Donahue Dr, Auburn, AL 36832-2975 | 2008-05-29 |
| 1831306000 | Louis James Fisher Jr. | Family Medicine | 8436 Wise Rd, Auburn, CA 95603-9734 | 2007-05-17 |
| 1255547352 | Armstrong Family Medicine PC | Family Medicine | 1310 E 7th St Ste G, Auburn, IN 46706-2518 | 2007-05-15 |
| 1205056587 | Auburn Primary Care PC | Family Medicine | 12 7th Street, Auburn, GA 30011 | 2007-04-27 |
| Find all providers in AUBURN | ||||
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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.