SAMUEL DISMOND (NPI# 1801899570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801899570 |
| Entity Type | Individual |
| Full Name | SAMUEL DISMOND |
| Credential | M.D. |
| Practice Address |
436 14th St Ste 1529 Oakland CA 94612-2703 |
| Mailing Address |
Po Box 2300 Salinas CA 93902-2300 |
| Practice Telephone | 5107275126 |
| Practice Fax Number | 5104056147 |
| Mailing Telephone | 8316228400 |
| Mailing Fax Number | 8316228401 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G62220 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2428 K St, Sacramento, CA 958165002 | 5107275126 | 5104056147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942213483 | Samuel Richard Dismond Jr. | Family Medicine | 2 Hurley Plz, Suite 108, Flint, MI 48503-5903 | 2006-08-15 |
| Street Address |
436 14TH ST STE 1529 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588121537 | Recode Health | General Practice | 1850 Mountain Blvd, Oakland, CA 94611-2265 | 2019-02-26 |
| 1033661962 | Michael Mustille | General Practice | 6201 Swainland Rd, Oakland, CA 94611-1841 | 2016-10-26 |
| 1659753614 | Wanda Heffernon | General Practice | 2360 Scout Rd, Oakland, CA 94611-2724 | 2015-06-25 |
| 1457798159 | Gregory Allen Niederhauser | General Practice | 1541 W Buell Rd, Oakland, MI 48363-2331 | 2013-06-04 |
| 1720334279 | Luyen V. Ta, M.d., Inc/tuong-vi Ta, M.d. | General Practice | 341 9th Street, Suite A, Oakland, CA 94607 | 2012-08-01 |
| 1629334032 | Kristian Shinyu Gima | General Practice | 1438 3rd St Unit B, Oakland, CA 94607-1806 | 2012-04-10 |
| 1396019303 | Owen Shibata | General Practice | 2100 Embarcadero, Oakland, CA 94606-5302 | 2012-03-08 |
| 1548415979 | John Karl Konstantin | General Practice | 2584 Macarthur Blvd, Oakland, CA 94602-2928 | 2008-11-26 |
| 1790909588 | Edward Sanders | General Practice | 3706 Telegraph Ave, Oakland, CA 94609-2418 | 2007-04-12 |
| 1700943412 | Anh Trung Do | General Practice | 919 Harrison Street, Suite A, Oakland, CA 94607-4494 | 2007-01-02 |
| Find all providers in OAKLAND | ||||
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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.