JOSE VELOSO BALLESTEROS (NPI# 1770527269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770527269 |
| Entity Type | Individual |
| Full Name | JOSE VELOSO BALLESTEROS |
| Credential | M.D. |
| Practice Address |
990 Sonoma Ave Ste 2 Santa Rosa CA 95404-4813 |
| Practice Telephone | 7075278444 |
| Practice Fax Number | 7076362628 |
| Mailing Telephone | 7075278444 |
| Mailing Fax Number | 7076362628 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
C52195 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0065700 | 05 |
| Street Address |
990 SONOMA AVE STE 2 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154496248 | Redwood Empire Dermatology Inc | Specialist | 990 Sonoma Ave Ste 2, Santa Rosa, CA 95404-4813 | 2006-11-22 |
| 1801820956 | Christen Mikiko Thompson | Nurse Practitioner | 990 Sonoma Ave Ste 2, Santa Rosa, CA 95404-4813 | 2006-07-11 |
| 1922032077 | Dale Raymond Westrom | Dermatology | 990 Sonoma Ave Ste 2, Santa Rosa, CA 95404-4813 | 2006-07-11 |
| 1124062500 | John J Hunter | Internal Medicine | 990 Sonoma Ave Ste 2, Santa Rosa, CA 95404-4813 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1811074586 | Sanjay Chamanlal Dhar | Internal Medicine | 4740 Hoen Ave, Santa Rosa, CA 95405-7824 | 2006-11-01 |
| 1205889839 | Norman Panting | Internal Medicine | 3949 Wallace Rd, Santa Rosa, CA 95404-1418 | 2006-05-17 |
| 1053305714 | Ashwani K Bedi | Internal Medicine | 3536 Mendocino Ave Ste 200, Santa Rosa, CA 95403-3634 | 2005-09-08 |
| 1558360479 | Patrick Devlin | Internal Medicine | 1111 Sonoma Ave, Suite 302, Santa Rosa, CA 95405-4819 | 2005-07-21 |
| 1417955287 | Donald Gregory Hopkins | Internal Medicine | 34 Mark West Springs Rd Ste 310, Santa Rosa, CA 95403 | 2005-07-14 |
| 1144764523 | Santa Rosa Vein Associates, Inc | Internal Medicine | 990 Sonoma Ave, Suite 2, Santa Rosa, CA 95404-4813 | 2016-12-05 |
| 1528359296 | Ali Yassen | Internal Medicine | 3536 Mendocino Ave Ste 200, Santa Rosa, CA 95403 | 2011-04-28 |
| 1558599969 | Emily Lai Conway | Internal Medicine | 34 Mark West Springs Rd Fl 3, Santa Rosa, CA 95403 | 2009-06-24 |
| 1144455825 | Vishal Ghanshyam Patel | Internal Medicine | 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 | 2009-05-25 |
| 1750561973 | Daniel Adam Brenner | Internal Medicine | 34 Mark West Springs Rd Ste 310, Santa Rosa, CA 95403 | 2007-11-05 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.