BREASTLINK MEDICAL GROUP INC (NPI# 1801192646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801192646 |
| Entity Type | Organization |
| Organization Name | BREASTLINK MEDICAL GROUP INC |
| Practice Address |
5924 Stoneridge Dr Suite 108 Pleasanton CA 94588-2887 |
| Mailing Address |
2600 Redondo Ave Suite 405 Long Beach CA 90806-2325 |
| Practice Telephone | 9252250138 |
| Practice Fax Number | 9252250850 |
| Mailing Telephone | 8669389179 |
| Mailing Fax Number | 5625956423 |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |
| Authorized Official Name | JOHN S LINK (PRESIDENT) |
| Authorized Official Telephone | 8669389179 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NX0800X |
Chiropractor Specialization: Orthopedic |
Chiropractic Providers | ||
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124689989 | Breastlink Medical Group Inc | Surgery | 230 S Main St Ste B-100, Orange, CA 92868-3851 | 2019-06-24 |
| 1346532272 | Breastlink Medical Group Inc | Surgery | 35900 Bob Hope Dr, Suite 175, Rancho Mirage, CA 92270-1766 | 2011-05-11 |
| 1740588631 | Breastlink Medical Group Inc | Internal Medicine | 2600 Redondo Ave, Suite 405, Long Beach, CA 90806-2325 | 2011-03-02 |
| 1992021109 | Breastlink Medical Group Inc | Surgery | 35800 Bob Hope Dr, Suite 225, Rancho Mirage, CA 92270-1739 | 2010-04-13 |
| 1154652113 | Breastlink Medical Group Inc | Surgery | 5363 Balboa Blvd, Suite 100, Encino, CA 91316-2805 | 2010-01-14 |
| 1487982971 | Breastlink Medical Group Inc | Internal Medicine | 25455 Medical Center Dr, Suite 200, Murrieta, CA 92562-5963 | 2009-11-23 |
| 1669706610 | Breastlink Medical Group Inc | Surgery | 14650 Aviation Blvd, Suite 200, Hawthorne, CA 90250-6668 | 2009-09-23 |
| Street Address |
5924 STONERIDGE DR SUITE 108 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-2887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124082359 | Lucille B. Andersen | Orthopaedic Surgery | 5924 Stoneridge Dr, Suite 103, Pleasanton, CA 94588-2887 | 2006-04-14 |
| 1366813610 | Eun-ju Park | Acupuncturist | 5924 Stoneridge Dr, Suite 204a, Pleasanton, CA 94588-2887 | 2015-10-13 |
| 1407287592 | Accura Imaging, Inc | Radiologic Technologist | 5924 Stoneridge Dr, Suite 205, Pleasanton, CA 94588-2887 | 2013-11-27 |
| 1619318391 | Summit Surgery Center LLC | Clinic/Center | 5924 Stoneridge Dr, 206, Pleasanton, CA 94588-2887 | 2013-07-10 |
| 1235575051 | Andersen Orthopedics, A Professional Corporation | Orthopaedic Surgery | 5924 Stoneridge Dr, Suite 103, Pleasanton, CA 94588-2887 | 2013-05-20 |
| 1194094144 | Marta Baird | Dentist | 5924 Stoneridge Dr, Suite 203, Pleasanton, CA 94588-2887 | 2011-12-20 |
| 1164708582 | Navin Mallavaram, M.d., Inc. | Pain Medicine | 5924 Stoneridge Dr, Suite 206, Pleasanton, CA 94588-2887 | 2011-10-31 |
| 1679855076 | East Bay Retina Consultants A Medical Group, Inc. | Ophthalmology | 5924 Stoneridge Dr, Suite 201, Pleasanton, CA 94588-2887 | 2011-09-13 |
| 1255633707 | Pain Medicine Consultants, Inc. | Durable Medical Equipment & Medical Supplies | 5924 Stoneridge Dr, Suite 102, Pleasanton, CA 94588-2887 | 2010-12-03 |
| 1609109412 | Sharmila Acharya | Physical Therapist | 5924 Stoneridge Dr, Suite 206, Pleasanton, CA 94588-2887 | 2009-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083733117 | Rakhee N. Shah, Md, A Medical Corporation | Surgery | 5575 W Las Positas Blvd, 270, Pleasanton, CA 94588-5801 | 2007-03-28 |
| 1477672590 | Raman Nambisan, Md, Inc A Medical Corporation | Surgery | 5575 W Las Positas Blvd, 270, Pleasanton, CA 94588-5801 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418702 | Farzad Alemi Md Inc | Surgery | 3628 E Imperial Hwy Ste 103, Lynwood, CA 90262-2600 | 2020-05-13 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1225511835 | Brendan Boland Md Inc | Surgery | 9001 Wilshire Blvd Ste 207, Beverly Hills, CA 90211-1843 | 2018-09-10 |
| 1508377409 | Curetology Surgical Oncology Medical Corporation & Associates | Surgery | 1127 Wilshire Blvd Ste 1604, Los Angeles, CA 90017-4007 | 2017-10-18 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1336572734 | Lana D Louie | Surgery | 18370 Burbank, Suite 607, Tarzana, CA 91356-2833 | 2013-08-21 |
| 1942544515 | Leland J Foshag, Md Inc | Surgery | 11818 Wilshire Blvd Ste 200, Los Angeles, CA 90025-6647 | 2012-11-20 |
| 1447516935 | Fank B Callipari X | Surgery | 14914 Huntington Gate Dr, Poway, CA 92064-6709 | 2012-04-09 |
| 1649549767 | Joseph Dotan | Surgery | 1618 Woodlands Rd, Beaumont, CA 92223-8569 | 2011-12-19 |
| 1679801609 | Carl Mason Sutherland II | Surgery | 539 28th Ave, San Mateo, CA 94403-2601 | 2009-12-02 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
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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.