DR. BRIAN NABIL TALLEUR (NPI# 1659791101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659791101 |
| Entity Type | Individual |
| Full Name | DR. BRIAN NABIL TALLEUR |
| Credential | MD |
| Practice Address |
441 S Ham Ln Lodi CA 95242-3525 |
| Practice Telephone | 8183898520 |
| Mailing Telephone | 8054024289 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
A154190 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 652 Timberwood Loop, Madisonville, LA 704473038 | 8054024289 | |
| 1133 Coloma Way Ste C, Roseville, CA 956614480 | 8183898520 | |
| 441 S Ham Ln, Lodi, CA 952423525 | 8183898520 |
| Street Address |
441 S HAM LN |
| City | LODI |
| State | CA |
| Zip Code | 95242-3525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316050321 | Susan Mary Williams | Nurse Practitioner | 441 S Ham Ln, Suite A, Lodi, CA 95242-3525 | 2006-08-16 |
| 1558996900 | Veronica Marie Alfalla | Counselor | 441 S Ham Ln, Lodi, CA 95242-3525 | 2020-03-05 |
| 1235607318 | Kelsey Anne Price | Optometrist | 441 S Ham Ln, Ste B, Lodi, CA 95242-3525 | 2018-11-07 |
| 1265936298 | Francisco Valencia | Counselor | 441 S Ham Ln, Lodi, CA 95242-3525 | 2018-03-23 |
| 1932645009 | Richard Santacruz Garcia | Licensed Vocational Nurse | 441 S Ham Ln, Suite A, Lodi, CA 95242-3525 | 2017-01-13 |
| 1699047332 | Burke Optometry, Inc. | Optometrist | 441 S Ham Ln, Suite B, Lodi, CA 95242-3525 | 2012-01-26 |
| 1093032559 | Kathryn Josephine Trunnell | Counselor | 441 S Ham Ln, Suite A, Lodi, CA 95242-3525 | 2010-04-23 |
| 1508092479 | Alyce E Valenzuela | Counselor | 441 S Ham Ln, Suite A, Lodi, CA 95242-3525 | 2009-06-05 |
| 1306067939 | Cheryl Ann Wakeham | Counselor | 441 S Ham Ln, Suite A, Lodi, CA 95242-3525 | 2007-05-01 |
| 1811037807 | Tamara Sue Metcalf | Counselor | 441 S Ham Ln, Suite A, Lodi, CA 95242-3525 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
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| 1629550660 | University of California Sfgh Medical Group | Family Medicine | 1001 Potrero Ave Rm 5h22, San Francisco, CA 94110-3518 | 2018-09-06 |
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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.