DR. SHANNON JEANINE BERES (NPI# 1710201025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710201025 |
| Entity Type | Individual |
| Full Name | DR. SHANNON JEANINE BERES |
| Credential | M.D. |
| Practice Address |
505 Parnassus Ave # M691 San Francisco CA 94143-0110 |
| Mailing Address |
2452 Watson Ct Ste 2200 Palo Alto CA 94303-3216 |
| Practice Telephone | 4156808406 |
| Mailing Telephone | 4156808406 |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A115406 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
A115406 | CA | Allopathic & Osteopathic Physicians |
| Y | 207WX0109X |
Ophthalmology Specialization: Neuro-ophthalmology |
A115406 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
505 PARNASSUS AVE # M691 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94143-0110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194047126 | Luke Milburn Judge | Pediatrics | 505 Parnassus Ave # M691, Ucsf Box 0110, San Francisco, CA 94143-0110 | 2010-02-17 |
| 1730449844 | Annie Yee Fang | Pediatrics | 505 Parnassus Ave # M691, San Francisco, CA 94143-0110 | 2012-05-22 |
| 1306135728 | Asmin Tulpule | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave # M691, San Francisco, CA 94143-2204 | 2011-04-06 |
| 1740508985 | Julie Stein O'brien | Pediatrics | 505 Parnassus Ave # M691, San Francisco, CA 94143-0001 | 2010-05-12 |
| 1578880027 | Teresa Jasmine Tuan | Pediatrics | 505 Parnassus Ave # M691, San Francisco, CA 94143-2204 | 2010-04-23 |
| 1912224635 | Esther Jean Hyung Lee | Pediatrics | 505 Parnassus Ave # M691, San Francisco, CA 94143-2204 | 2010-04-21 |
| 1982920682 | Lawrence Raymond Shiow | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave # M691, Box 0110, San Francisco, CA 94143-2204 | 2010-04-20 |
| 1013239060 | Carina Baird | Pediatrics | 505 Parnassus Ave # M691, San Francisco, CA 94143-0110 | 2010-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909024 | Ana Chow | Social Worker | Ucsf - Benioff Children's Hospital, 1975 4th St, San Francisco, CA 94143 | 2020-07-13 |
| 1801413828 | Caroline Eilbeck Casey | Social Worker | 1975 4th Street, San Francisco, CA 94143 | 2020-06-26 |
| 1124642251 | Grace Kibuule | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave., S455, San Francisco, CA 94143 | 2020-06-04 |
| 1003436528 | Christian Karl Antonio | Nurse Practitioner | 505 Parnassus Avennue, San Francisco, CA 94143 | 2020-04-24 |
| 1144859752 | Reginald Nguyen | Student in an Organized Health Care Education/Training Program | 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 | 2020-04-06 |
| 1851929830 | Jonathan Earl Freise | Student in an Organized Health Care Education/Training Program | Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2020-03-27 |
| 1275160046 | Sang Minh Nguyen | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 | 2020-03-23 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1306307442 | Kayla Zamora | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-30 |
| 1730649021 | Elizabeth Larken Burch | Student in an Organized Health Care Education/Training Program | Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-22 |
| Find all providers in zip 94143 | ||||
| Taxonomy Code | 207WX0109X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Neuro-ophthalmology |
| A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [7/1/2017: new] - Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1306322326 | Salina Teja | Ophthalmology | 1450 San Pablo St Fl 4, Los Angeles, CA 90033-4500 | 2018-07-12 |
| 1730455353 | Kimberly Kinga Gokoffski | Ophthalmology | 1450 San Pablo St Ste 4000, Los Angeles, CA 90033-5331 | 2012-03-28 |
| City | SAN FRANCISCO |
| Zip Code | 94143 |
Please comment or provide details below to improve the information on DR. SHANNON JEANINE BERES.
| 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.