INDEPENDENCE HEALTH (NPI# 1669942751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669942751 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE HEALTH |
| Practice Address |
140 Stanbridge Ln Alameda CA 94502-7420 |
| Practice Telephone | 9196228272 |
| Practice Fax Number | 8443240805 |
| Mailing Telephone | 9196228272 |
| Mailing Fax Number | 8443240805 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Authorized Official Name | DR. BENARD BENNET (OWNER) |
| Authorized Official Telephone | 9196228272 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDEPENDENCE HEALTH & THERAPY | 12555 Farm Hill Dr # 800, Huntley, IL 60142-7723 |
| Oregon Corporations, Companies and Business Names | INDEPENDENCE HEALTH AND REHABILITATION CENTER | 1525 Monmouth Avenue, Independence, OR 97351 |
| Oklahoma Business Registrations | INDEPENDENCE HEALTHCARE CORPORATION | 401 E City Ave Ste 820, Cynwyd, PA 19004 |
| Street Address |
140 STANBRIDGE LN |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94502-7420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699121970 | Dao Integrated Health | Acupuncturist | 1050 Marina Village Pkwy, Ste 104, Alameda, CA 94502 | 2016-05-05 |
| 1235569609 | Native American Health Center | Community/Behavioral Health | 1151 Harbor Pkwy, Alameda, CA 94502 | 2013-11-20 |
| 1215286893 | Alliant International University | Community/Behavioral Health | 200 Aughinbaugh, Alameda, CA 94502 | 2012-08-29 |
| 1649474826 | Community Health for Asian Americans | Community/Behavioral Health | 1141 Harbor Bay Pkwy # 105, Alameda, CA 94502 | 2007-06-12 |
| 1245374750 | Connie Conley Jung | Psychologist | 1151 Harbor Bay Parkway #137, Alemeda, CA 94502 | 2007-02-16 |
| 1760569511 | Pamela B Wain | Physical Therapist | 502 Lagunaria Lane, Alameda, CA 94502 | 2006-11-01 |
| 1073562856 | Michael F Britt | Optometrist | 887a Island Dr, Alameda, CA 94502 | 2006-05-09 |
| 1104111483 | Golden Pacific Home Health, Inc. | Home Health | 1151 Harbor Bay Parkway, Suite 101, Alameda, CA 94502-1476 | 2011-06-14 |
| 1073153193 | Michele Mason Cushner | Acupuncturist | 2179 Harbor Bay Pkwy, Alameda, CA 94502-3019 | 2020-01-07 |
| 1124292834 | Peter Chen | Dentist | 2181 Harbor Bay Pkwy, Alameda, CA 94502-3019 | 2008-04-15 |
| Find all providers in zip 94502 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225448426 | Brian Thomas Young | Internal Medicine | 31 Parfait Ln, Alameda, CA 94502-6546 | 2014-04-28 |
| 1114243854 | Kinjal Patel | Internal Medicine | 2217 S Shore Ctr # 250, Alameda, CA 94501-8073 | 2010-04-19 |
| 1073753042 | Alameda Medical Professionals. Inc. | Internal Medicine | 430 Willow Street, Alameda, CA 94501-6130 | 2009-03-03 |
| 1366507444 | Jacques Michael Calma | Internal Medicine | 1335 A Park Avenue, Alameda, CA 94501 | 2006-12-27 |
| 1073691820 | Anita C. Gaind | Internal Medicine | 2217 S Shore Ctr Ste 250, Alameda, CA 94501 | 2006-11-01 |
| 1740290329 | Robbin Green-yeh | Internal Medicine | 501 S Shore Ctr W Ste 103f, Alameda, CA 94501-5762 | 2006-08-08 |
| 1801864988 | Jagmohan Singh Khaira | Internal Medicine | 1050 Marina Village Parkway, Suite 101, Alameda, CA 94501-1033 | 2006-03-14 |
| 1992785703 | Ernest Lincoln Bonner Jr. | Internal Medicine | 1406 Park St, Suite 400, Alameda, CA 94501-4560 | 2006-01-18 |
| 1477530780 | Cheryl L'tanya Scott | Internal Medicine | Building 1, Coast Guard Island, Coast Guard Integrated Support Command, Alameda, CA 94501-5100 | 2005-12-28 |
| 1760809883 | Tigist Tekle Siacha | Internal Medicine | 2417 Central Ave, Alameda, CA 94501-4515 | 2014-03-26 |
| Find all providers in ALAMEDA | ||||
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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.