EUGENE JAMES NOWAK (NPI# 1619055878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619055878 |
| Entity Type | Individual |
| Full Name | EUGENE JAMES NOWAK |
| Credential | D.O. |
| Practice Address |
2440 Fenton Street Suite 101 Chula Vista CA 91914-3516 |
| Mailing Address |
2440 Fenton St Suite 101 Chula Vista CA 91914-3516 |
| Practice Telephone | 6194201840 |
| Practice Fax Number | 6194209630 |
| Mailing Telephone | 6194201840 |
| Mailing Fax Number | 6194209630 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2009-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 20A7103 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX71031 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982771549 | Eugene John Nowak | Surgery | 325 E 79th St, New York, NY 10021-0954 | 2006-11-29 |
| Street Address |
2440 FENTON STREET SUITE 101 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91914-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447785811 | Tania Marie Beaudoin | Social Worker | 2580 Catamaran Way Ste 103, Chula Vista, CA 91914 | 2017-04-24 |
| 1477090447 | Leaha Elrod | Speech-Language Pathologist | 2985 Stevenson Ranch Ct, Chula Vista, CA 91914 | 2017-01-27 |
| 1205382934 | Jessica Lexanne Morris | Occupational Therapy Assistant | 861 Harold Pl, Chula Vista, Chula Vista, CA 91914 | 2016-09-01 |
| 1821457169 | Eagles Wings Home Care Inc. | Clinic/Center | 2529 Saddlehorn Dr., Chula Vista, CA 91914 | 2016-02-15 |
| 1609217355 | Joanna Sarao Songcuan | Marriage & Family Therapist | 2400 Fenton St Ste 217, Chula Vista, CA 91914 | 2013-07-10 |
| 1891043477 | Deanna Risos Dmd,pc. | Dentist | 841 Kuhn Dr. Ste # 102, Chula Vista, CA 91914 | 2012-08-29 |
| 1417262718 | Lisa Alvarez | Nurse Practitioner | 891 Bryce Ave, Chula Vista, CA 91914 | 2010-08-11 |
| 1164669123 | Guadalupe Marquez | Dentist | 2452 Fenton St Ste 200, Chula Vista, CA 91914 | 2009-01-13 |
| 1750537379 | Christina Marie Morris | Registered Nurse | 595 Northbrook Ave., Chula Vista, CA 91914 | 2008-08-14 |
| 1114113008 | Adrian Avila | Marriage & Family Therapist | 2560 Catamaran Way, Chula Vista, CA 91914 | 2007-09-24 |
| Find all providers in zip 91914 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760431654 | Alexander Doru Stein | Dermatology | 340 Fourth Ave Ste 14, Chula Vista, CA 91910 | 2006-05-08 |
| 1710945365 | Amy Han | Dermatology | 319 F Street, 102, Chula Vista, CA 91910 | 2006-05-03 |
| 1215931993 | Mark Andrew Willoughby | Dermatology | 319 F St, Ste 102, Chula Vista, CA 91910-2666 | 2005-06-09 |
| 1780159749 | Stein Dermatology A Professional Corporation | Dermatology | 340 4th Ave Ste 14, Chula Vista, CA 91910-3813 | 2018-10-05 |
| 1073874178 | Nancy Cheng Maly | Dermatology | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2012-06-05 |
| 1669520524 | Hanny Chan | Dermatology | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2007-01-08 |
| 1740293778 | Maria Gabriela Parente | Dermatology | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2006-08-14 |
| 1114963170 | Peter P Rullan | Dermatology | 256 Landis Ave, 3rd Floor, Chula Vista, CA 91910-2650 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1033730981 | Adrianna Janell Browne, Md, Inc. | Dermatology | 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 | 2020-05-01 |
| 1215564877 | Jasmine Khachatrian | Dermatology | 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 | 2020-03-24 |
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1457982001 | Modesty Joy Isaguirre | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-02-03 |
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1336784206 | Barbara Kinkle Pa Inc., A Physician Assistant Corporation | Dermatology | 24575 Hunt Ave, Corning, CA 96021-8607 | 2019-11-14 |
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91914 |
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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.