DR. TAEJOON AHN (NPI# 1639198757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639198757 |
| Entity Type | Individual |
| Full Name | DR. TAEJOON AHN |
| Credential | M.D. |
| Practice Address |
1455 Montego Suite 205 Walnut Creek CA 94598-2990 |
| Mailing Address |
Dept 34929 P.o. Box 39000 San Francisco CA 94139-0001 |
| Practice Telephone | 9259394444 |
| Practice Fax Number | 9259395010 |
| Mailing Telephone | 9259522828 |
| Mailing Fax Number | 9259522850 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A67062 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A670620 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104042118 | Taejoon Ahn | Dentist | 225 Moody St, Waltham, MA 02453 | 2007-04-18 |
| Street Address |
1455 MONTEGO SUITE 205 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861481004 | John Woodson Roberts | Urology | 1455 Montego, Ste 102, Walnut Creek, CA 94598-2990 | 2005-10-20 |
| 1487800728 | Norcal Urology Medical Group | Urology | 1455 Montego, Suite 102, Walnut Creek, CA 94598-2990 | 2008-08-18 |
| 1891952198 | Mahsheed Shariati | Family Medicine | 1455 Montego, Suite 205, Walnut Creek, CA 94598-2990 | 2008-05-22 |
| 1962673046 | Daniel Young Paik | Obstetrics & Gynecology | 1455 Montego, Suite 100, Walnut Creek, CA 94598-2990 | 2008-03-18 |
| 1518153824 | Oana V Spataru | Internal Medicine | 1455 Montego, #200, Walnut Creek, CA 94598-2990 | 2007-09-20 |
| 1003015124 | Jessica A Evert | Family Medicine | 1455 Montego, Suite 205, Walnut Creek, CA 94598-2990 | 2007-07-18 |
| 1437277282 | Mary Lucille Boegel | Family Medicine | 1455 Montego, #104, Walnut Creek, CA 94598-2990 | 2007-03-27 |
| 1487785531 | Cypress Womens Cancer Treatment | Obstetrics & Gynecology | 1455 Montego, Ste 100, Walnut Creek, CA 94598-2990 | 2007-03-08 |
| 1669509501 | Michelle L Minor | Nurse Practitioner | 1455 Montego, Walnut Creek, CA 94598-2990 | 2007-02-27 |
| 1467475392 | John Muir Physician Network | Family Medicine | 1455 Montego, #104, Walnut Creek, CA 94598-2990 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003477878 | Ll Integrative Life | Family Medicine | 112 La Casa Via Ste 175, Walnut Creek, CA 94598-3055 | 2019-06-24 |
| 1073944146 | Milton Sakamoto | Family Medicine | 2850 Shadelands Dr, Walnut Creek, CA 94598-2581 | 2013-11-27 |
| 1730421603 | Stephen Charles Levit | Family Medicine | 1951 Fair Ridge Ct, Walnut Creek, CA 94597-2928 | 2013-03-19 |
| 1750633145 | Gary Earl Stein | Family Medicine | 3723 Rancho Estates Ct, Walnut Creek, CA 94598-4677 | 2012-10-09 |
| 1902929177 | East Holmes Family Care Inc | Family Medicine | 4981 Walnut Street, Walnut Creek, OH 44687-0000 | 2007-04-10 |
| 1427188663 | Ingrid Agatha Bellwood | Family Medicine | 1300 Boulevard Way, Walnut Creek, CA 94595-1208 | 2007-03-06 |
| 1407994072 | Mee-jin Chong | Family Medicine | 1828 Mt Diablo Blvd, Suite B, Walnut Creek, CA 94596-4410 | 2007-02-03 |
| 1386782621 | Jack Eugene Dudler | Family Medicine | 120 La Casa Via Ste 103, Walnut Creek, CA 94598-3094 | 2007-02-01 |
| 1457434128 | Steven Duane Olsen | Family Medicine | 723 Walnut Ave, Walnut Creek, CA 94598-3734 | 2006-10-24 |
| 1467460022 | Nathalie Michaud | Family Medicine | 2337 Oak Grove Rd, Walnut Creek, CA 94598-3506 | 2006-08-03 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.