DR. PETER NONENG BRETAN (NPI# 1639177934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639177934 |
| Entity Type | Individual |
| Full Name | DR. PETER NONENG BRETAN |
| Credential | M.D. |
| Practice Address |
165 Rowland Way Ste 303 Novato CA 94945-5059 |
| Practice Telephone | 4158920904 |
| Practice Fax Number | 4158927134 |
| Mailing Telephone | 4158920904 |
| Mailing Fax Number | 4158927134 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2009-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | G462510 | CA | Other Service Providers |
| Y | 208800000X | Urology | G46251 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
165 ROWLAND WAY STE 303 |
| City | NOVATO |
| State | CA |
| Zip Code | 94945-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316424054 | Aspire Hospitalist Management Medical Group Inc | Internal Medicine | 165 Rowland Way, Novato, CA 94945-5038 | 2018-07-25 |
| 1700329687 | Kathryn Walker | Nurse Practitioner | 165 Rowland Way, Novato, CA 94945-5038 | 2016-11-28 |
| 1851664528 | Marin Healthcare District | Internal Medicine | 165 Rowland Way, Suite 201, Novato, CA 94945-5038 | 2012-02-10 |
| 1285943852 | Novato Internal Medicine Associates | Internal Medicine | 165 Rowland Way, Suite 201, Novato, CA 94945-5038 | 2010-09-30 |
| 1912228594 | Robert A. Yohai, Md, PC | Ophthalmology | 165 Rowland Way, Suite 308, Novato, CA 94945-5038 | 2010-06-17 |
| 1104153360 | Cristie Bennett | Physical Medicine & Rehabilitation | 165 Rowland Way, Ste. 101, Novato, CA 94945-5038 | 2009-11-09 |
| 1780918615 | Na Li | Internal Medicine | 165 Rowland Way, Suite 201, Novato, CA 94945-5038 | 2009-09-24 |
| 1093945230 | Novato Back Care and Sports Physical Therapy | Physical Therapist | 165 Rowland Way, Suite 101, Novato, CA 94945-5038 | 2009-07-22 |
| 1639319189 | J. Timothy Murphy, Md | Family Medicine | 165 Rowland Way, Suite 215, Novato, CA 94945-5038 | 2009-02-24 |
| 1043413230 | Ole Christian Borgesen | Physical Therapist | 165 Rowland Way, Suite 101, Novato, CA 94945-5038 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639943 | Joseph Francis Bielefeld | Nurse Practitioner | Marinhealth, 75 Rowland Way, #230, Novato, CA 94945 | 2020-08-14 |
| 1255835203 | California Orthopedics & Spine Inc | Physical Therapist | 7100 Redwood Boulevard, Suite 200, Novato, CA 94945 | 2018-03-22 |
| 1932601648 | Dawn Cheree Holiday-bruner | Marriage & Family Therapist | 6965 Redwood Blvd, Novato, CA 94945 | 2018-03-08 |
| 1558789545 | Kristi Marie Hudson | Marriage & Family Therapist | 7250 Redwood Blvd., Suite 300, Novato, CA 94945 | 2014-04-07 |
| 1467738484 | Andrea E Lieberstein | Dietitian, Registered | 800 De Long Avenue, Suite 100, Novato, CA 94945 | 2011-10-24 |
| 1992954473 | Elizabeth Taryn Clark | Marriage & Family Therapist | 7250 Redwood Blvd Ste 320, Novato, CA 94945 | 2008-09-09 |
| 1255508453 | Renew Physical Therapy PC | Clinic/Center | 1427 Grant Ave, Novato, CA 94945 | 2008-05-15 |
| 1407032824 | Richard P. Knudsen | Pediatrics | 100 Rowland Way, Suite 300, Pulmonary and Sleep Associates of Marin, Novato, CA 94945 | 2008-01-16 |
| 1528250735 | Susan Jean Arndt | Counselor | 505-a San Marin Drive Suite 150, Novato, CA 94945 | 2007-08-11 |
| 1588871735 | Margaret Carol Pappas | Registered Nurse | 1025 Fifth Street, Novato, CA 94945 | 2007-05-17 |
| Find all providers in zip 94945 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
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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.