DR. JEROME I BOOKIN (NPI# 1639448152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639448152 |
| Entity Type | Individual |
| Full Name | DR. JEROME I BOOKIN |
| Credential | M.D. |
| Practice Address |
3108 Stevenson Dr Pebble Beach CA 93953-2834 |
| Practice Telephone | 8313753380 |
| Mailing Telephone | 8313753380 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
GFE13147 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3108 STEVENSON DR |
| City | PEBBLE BEACH |
| State | CA |
| Zip Code | 93953-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538593603 | William Henry Kern | Pathology | 965 Sand Dunes Rd, Pebble Beach, CA 93953 | 2013-08-26 |
| 1598979577 | David Stephen Terman | Internal Medicine | 3183 Palmero Way, Pebble Beach, CA 93953 | 2007-05-09 |
| 1942371455 | Nizar A Yaqub | Specialist | 3060 Aztec Rd, Pebble Beach, CA 93953 | 2006-11-13 |
| 1891729174 | James Joseph Debartolo0 | Family Medicine | 1268 Cantera Court, Pebble Beach, CA 93953 | 2006-07-10 |
| 1700997749 | Paul Gordon James | Orthopaedic Surgery | 1546 Riata Road, Pebble Beach, CA 93953-1275 | 2006-08-31 |
| 1043433808 | Lindsay Marie Clark | Internal Medicine | 1411 Cantera Court, Pebble Beach, CA 93953-1416 | 2007-04-10 |
| 1730312596 | Julian John Fisher | Ophthalmology | 2968 Cormorant Rd, Pebble Beach, CA 93953-2706 | 2009-08-27 |
| 1417306176 | Joseph Zakar | Pharmacist | 1010 Rodeo Rd, Pebble Beach, CA 93953-2721 | 2016-06-03 |
| 1609883040 | George T Nichols | Psychologist | 1014 Vaquero Rd, Pebble Beach, CA 93953-2734 | 2006-08-01 |
| 1386905321 | Li Liu Lsack | Acupuncturist | 3088 Hacienda Dr, Pebble Beach, CA 93953-2806 | 2012-06-06 |
| Find all providers in zip 93953 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
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| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | PEBBLE BEACH |
| Zip Code | 93953 |
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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.