DR. TIMOTHY J. DAVERN (NPI# 1699723379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699723379 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J. DAVERN |
| Credential | MD |
| Practice Address |
2340 Clay St Fl 2 San Francisco CA 94115 |
| Mailing Address |
2350 W El Camino Real Fl 2 Mountain View CA 94040-6203 |
| Practice Telephone | 4156001020 |
| Practice Fax Number | 4156001005 |
| Mailing Telephone | 4156001020 |
| Mailing Fax Number | 4156001005 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | G79521 | CA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G79521 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RI0008X |
Internal Medicine Specialization: Hepatology |
G79521 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE MEDICAL LICENSE | G79521 | 01 |
| CA | 0G7952100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 350 Parnassus Ave, San Francisco, CA 941430001 | 4153532318 | 4153532407 |
| 1189 E Herndon Ave, Fresno, CA 937203167 | 9167324380 | 9167390893 |
| 165 Rowland Way Ste 201, Novato, CA 949455055 | 4156001020 | 4155587051 |
| 990 Sonoma Ave, Santa Rosa, CA 954044802 | 4156001020 | 4156001005 |
| 1315 Alhambra Blvd Ste 210, Sacramento, CA 958165246 | 9167324380 | 9167390893 |
| 3883 Airway Dr, Santa Rosa, CA 954031670 | 4156001020 | 4156001005 |
| 2367 Harrison Ave, Eureka, CA 955013216 | 7074459015 | 7074459014 |
| 3300 Webster St Ste 202, Oakland, CA 946093120 | 5102081777 | 5102081776 |
| 1431 Noriega St, San Francisco, CA 941224431 | 4156001020 | 4156001005 |
| 3880 S Bascom Ave Ste 113, San Jose, CA 951242600 | 4156001020 | 4156001005 |
| 899 Valencia St, San Francisco, CA 941101736 | 4156001020 | 4156001005 |
| 795 El Camino Real, Palo Alto, CA 943012302 | 4156001020 | 4156001005 |
| 1401 Spanos Ct Ste 125, Modesto, CA 953552814 | 9167324380 | 4155587051 |
| 1601 Esplanade Ste 3, Chico, CA 959263370 | 4156001020 | 4156001005 |
| Street Address |
2340 CLAY ST FL 2 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770970816 | Nisha Patel | Internal Medicine | 2340 Clay St Fl 2, San Francisco, CA 94115 | 2015-04-15 |
| 1851520225 | Sweta L Ghodasara | Internal Medicine | 2340 Clay St Fl 2, San Francisco, CA 94115 | 2009-07-07 |
| 1639321839 | Kidist Kidane Yimam | Transplant Surgery | 2340 Clay St Fl 2, San Francisco, CA 94115 | 2008-10-21 |
| 1720009160 | Richard Todd Frederick | Transplant Surgery | 2340 Clay St Fl 2, San Francisco, CA 94115-1932 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1881243822 | Clara Kwun | Social Worker | 1610 Scott St., San Francisco, CA 94115 | 2019-09-11 |
| 1467005207 | Tamara Aline Hostetler | Marriage & Family Therapist | 2859 Sacramento St., San Francisco, CA 94115 | 2019-07-22 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1710467410 | Joanna Katherine Hendrick | Marriage & Family Therapist | 1201 Fillmore Street, San Francisco, CA 94115 | 2018-08-21 |
| 1063998771 | Leonard Cheung | Counselor | Youth Services Bureau of San Francisco, 1426 Fillmore Street Suite 216, San Francisco, CA 94115 | 2018-07-16 |
| 1942709563 | Jobelle Cunanan | Behavior Technician | 1871 Turk St, San Francisco, CA 94115 | 2018-02-09 |
| 1083128235 | Dr. Jenny Mann, Nd | Clinic/Center | 2300 Sutter St Ste 301, San Francisco, CA 94115 | 2017-11-27 |
| Find all providers in zip 94115 | ||||
| Taxonomy Code | 207RI0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hepatology |
| The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. |
| Notes: Training Programs, and/or Fellowships, Preceptorships: The American Association for the Study of Liver Diseases (AASLD) is the major professional society organized for physicians with an interest in Hepatology. A subcommittee of that organization has published guidelines for training programs in the 1992 November issue of Hepatology. Source: The American Board of Internal Medicine 9/1993 ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497176721 | Erin Margaret Mary Kelly | Internal Medicine | 513 Parnassus Ave, Gi Division Rm-357, San Francisco, CA 94143-0538 | 2014-01-06 |
| 1689791121 | Chanda Kendra Ho | Internal Medicine | 2340 Clay St, 3rd Floor, San Francisco, CA 94115-1932 | 2007-03-22 |
| 1467522037 | Regents of The University of California | Internal Medicine | 505 Parnassus Ave, San Francisco, CA 94143-0120 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962857169 | Stuart F Robinson | Internal Medicine | 206 Marine Ave Unit 5060, Newport Beach, CA 92662-7026 | 2016-04-26 |
| 1033514054 | David Zakim | Internal Medicine | 323 Melrose Ave, Mill Valley, CA 94941-3437 | 2014-11-03 |
| 1639508476 | Robert G Gish Consultants LLC | Internal Medicine | 6022 La Jolla Mesa Dr, La Jolla, CA 92037-7814 | 2013-11-02 |
| 1891716494 | Sergio E Rojter | Internal Medicine | 1245 Wilshire Blvd Ste 707, Los Angeles, CA 90017-4807 | 2006-07-21 |
| 1881654226 | Edward Alfonso Mena | Internal Medicine | 301 S Fair Oaks Ave Ste 405, Pasadena, CA 91105 | 2006-03-27 |
| 1043846108 | Ken D. Nguyen, M.d., Inc. | Internal Medicine | 207 S Santa Anita St Ste P15, San Gabriel, CA 91776-1165 | 2020-03-20 |
| 1346876448 | Tien-chun Chen, M.d., Inc. | Internal Medicine | 207 S Santa Anita St Ste P15, San Gabriel, CA 91776-1165 | 2020-03-20 |
| 1689226649 | Northern California Medical Assoc Inc | Internal Medicine | 1701 4th St Ste 100, Santa Rosa, CA 95404-3661 | 2019-07-10 |
| 1164906822 | Valerie Soojung Shin | Internal Medicine | 200 Ucla Medical Plz Ste 214, Los Angeles, CA 90095-8344 | 2018-09-19 |
| 1104370253 | Sutter Bay Medical Foundation | Internal Medicine | 3000 Colby St Ste 205, Berkeley, CA 94705-2058 | 2016-08-06 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94115 |
Please comment or provide details below to improve the information on DR. TIMOTHY J. DAVERN.
| 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.