EAST BAY EYE CENTERS MEDICAL CORPORATION (NPI# 1780633644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780633644 |
| Entity Type | Organization |
| Organization Name | EAST BAY EYE CENTERS MEDICAL CORPORATION |
| Practice Address |
5801 Norris Canyon Road Suite 200 San Ramon CA 94583-5406 |
| Practice Telephone | 9258308823 |
| Practice Fax Number | 9258666610 |
| Mailing Telephone | 9258308823 |
| Mailing Fax Number | 9258666610 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | MR. DEBORAH FAY VALENTIN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9258302112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ05706Z | 01 |
| CA | BLUE CROSS | ZZZ057067 | 01 |
| Street Address |
5801 NORRIS CANYON ROAD SUITE 200 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-5406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770061939 | Maryna Seifi | Specialist | 2551 San Ramon Valley Blvd Ste 107b, San Ramon, CA 94583-1661 | 2018-07-31 |
| 1225374812 | Carolyn Ulitsky | Specialist | 12811 Al Costa Blvd, San Ramon, CA 94583 | 2012-12-31 |
| 1558676569 | Mark Lollar, M.d. Inc | Specialist | 5201 Norris Canyon Rd Ste 310, San Ramon, CA 94583-5405 | 2010-08-13 |
| 1831117423 | Robin F. Hayden | Specialist | 2330 San Ramon Valley Blvd, San Ramon, CA 94583-1608 | 2006-07-18 |
| 1699732727 | Narendra Malani | Specialist | 5401 Norris Canyon Rd Suite 308, San Ramon, CA 94583 | 2006-05-01 |
| 1255332953 | Kushal Chhabra | Specialist | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2005-08-03 |
| 1437447026 | Melissa Hogan | Specialist | 2208 Camino Ramon Ste B, San Ramon, CA 94583-1328 | 2011-07-16 |
| 1003106428 | Patrick A Dawkins, M.d., Inc. | Specialist | 5201 Norris Canyon Rd Ste 310, San Ramon, CA 94583-5405 | 2011-04-19 |
| 1417254574 | Swati Shah | Specialist | 150 Belle Meade Pl, San Ramon, CA 94583-3813 | 2011-02-24 |
| 1245547132 | Courtney Markovich | Specialist | 2208 Camino Ramon, Suite B, San Ramon, CA 94583 | 2010-09-13 |
| Find all providers in SAN RAMON | ||||
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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.