DR. BERNARD WILHELM DANNENBERG (NPI# 1639105489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639105489 |
Entity Type | Individual |
Full Name | DR. BERNARD WILHELM DANNENBERG |
Credential | M.D. |
Practice Address |
900 Welch Rd Ste 350 Palo Alto CA 94304-1807 |
Mailing Address |
Po Box 660579 Arcadia CA 91066-0579 |
Practice Telephone | 6507236576 |
Mailing Telephone | 6264470296 |
Mailing Fax Number | 6264476057 |
Enumeration Date | 2006-06-23 |
Last Update Date | 2018-12-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | A49855 | CA | Allopathic & Osteopathic Physicians |
Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
A49855 | CA | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | A49855 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A498550 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
300 W Huntington Dr, Arcadia, CA 910073402 | 6265743456 | 6268216927 |
Street Address |
900 WELCH RD STE 350 |
City | PALO ALTO |
State | CA |
Zip Code | 94304-1807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093336430 | Thomas Yan | Student in an Organized Health Care Education/Training Program | 900 Welch Rd Ste 350, Palo Alto, CA 94304-1807 | 2020-04-27 |
1891314134 | Paige Nicole Ruiz | Student in an Organized Health Care Education/Training Program | 900 Welch Rd Ste 350, Palo Alto, CA 94304-1807 | 2020-04-15 |
1699394114 | Sonja Zoe Opal Eagle | Student in an Organized Health Care Education/Training Program | 900 Welch Rd Ste 350, Palo Alto, CA 94304-1807 | 2020-04-14 |
1285253799 | Mohanad Alazzeh | Student in an Organized Health Care Education/Training Program | 900 Welch Rd Ste 350, Palo Alto, CA 94304-1807 | 2020-04-14 |
1043839657 | Peter Davis-allen | Student in an Organized Health Care Education/Training Program | 900 Welch Rd Ste 350, Palo Alto, CA 94304-1807 | 2020-04-14 |
1750900346 | Mary Starrs | Student in an Organized Health Care Education/Training Program | 900 Welch Rd Ste 350, Palo Alto, CA 94304-1807 | 2020-04-13 |
1558980144 | Rahul Uday Nayak | Student in an Organized Health Care Education/Training Program | 900 Welch Rd Ste 350, Palo Alto, CA 94304-1807 | 2020-04-13 |
1437778024 | Aunika Swenson | Student in an Organized Health Care Education/Training Program | 900 Welch Rd Ste 350, Palo Alto, CA 94304-1807 | 2020-04-13 |
1881213478 | Erin Ruiz | Student in an Organized Health Care Education/Training Program | 900 Welch Rd Ste 350, Palo Alto, CA 94304-1807 | 2020-04-13 |
1699237297 | Matthew Kenneth Schoen | Student in an Organized Health Care Education/Training Program | 900 Welch Rd Ste 350, Palo Alto, CA 94304-1807 | 2019-04-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
Find all providers in zip 94304 |
Taxonomy Code | 207PP0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Pediatric Emergency Medicine |
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588921241 | Guillermo Alberto De Angulo | Emergency Medicine | 1189 Welch Rd, Palo Alto, CA 94304-1905 | 2012-04-19 |
1306281506 | Sharlee Marie Deangelo | Emergency Medicine | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2013-05-02 |
1316084221 | Sangeeta Khurana Chona | Emergency Medicine | 701 Welch Rd Bldg C, Department of Surgery and Emergency Medicine, Palo Alto, CA 94304-1713 | 2007-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407396328 | Brian Forster | Emergency Medicine | 11234 Anderson St Ste A890, Loma Linda, CA 92354-2804 | 2017-02-24 |
1093903262 | Mydili R. Maniam-mohan | Emergency Medicine | 6255 N Fresno St, Ste 106, Fresno, CA 93710-5271 | 2007-10-12 |
1255538450 | Julia Nicole Magana | Emergency Medicine | 4150 V St Ste 2100, Sacramento, CA 95817 | 2007-06-29 |
1902008733 | Nobuaki Inoue | Emergency Medicine | Llumc House Staff Office Cp 21005, 11234 Anderson Street, Loma Linda, CA 92354 | 2007-06-04 |
1891865689 | Michael Dmitri Bell | Emergency Medicine | 717 52nd St, Emergency Dept Childrens Hospital Oakland, Oakland, CA 94609 | 2006-11-08 |
1265527741 | Sharon Louise Morozumi | Emergency Medicine | 260 International Circle, San Jose, CA 95119 | 2006-10-03 |
1891706933 | Jin H Heur | Emergency Medicine | 1500 E Chevy Chase Dr, Suite 250, Glendale, CA 91206-4152 | 2006-08-11 |
1013982826 | Lara Zibners | Emergency Medicine | 3620 Kiekebusch Ct, Carmichael, CA 95608-2840 | 2006-02-23 |
1063959153 | Gabriela Moriel | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2017-01-26 |
1902250855 | Katherine Gitz | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2016-04-18 |
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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.