DR. ERVIN EPSTEIN JR. (NPI# 1801963996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801963996 |
| Entity Type | Individual |
| Full Name | DR. ERVIN EPSTEIN JR. |
| Credential | M.D. |
| Practice Address |
400 30th St Suite 205 Oakland CA 94609-3306 |
| Mailing Address |
400 - 30th Street Suite 205 Oakland CA 94609-3305 |
| Practice Telephone | 5104448282 |
| Practice Fax Number | 5104448284 |
| Mailing Telephone | 5104448282 |
| Mailing Fax Number | 5104448284 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A22751 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHILED | 00A227510 | 01 |
| CA | HILL PHYSICIANS | 030854 | 01 |
| CA | 00A227510 | 05 | |
| CA | CCS | 7158129 | 01 |
| Street Address |
400 30TH ST SUITE 205 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011459 | Anthony R Hoffman | Podiatrist | 400 30th St, Suite 403, Oakland, CA 94609-3305 | 2005-05-31 |
| 1174982912 | Doug Kuenning | Hearing Instrument Specialist | 400 30th St, Oakland, CA 94609-3306 | 2016-02-22 |
| 1447680285 | Aids Healthcare Foundation | Pharmacy | 400 30th St, Suite 300, Oakland, CA 94609-3318 | 2013-11-14 |
| 1053657569 | First Resort | Clinic/Center | 400 30th St, Suite 401, Oakland, CA 94609-3306 | 2013-01-02 |
| 1659698447 | Christina Kwok-oleksy | Podiatrist | 400 30th St, Suite 403, Oakland, CA 94609-3306 | 2010-05-03 |
| 1942527254 | Whisper Hearing Center, Inc | Audiologist | 400 30th St, Ste. 101, Oakland, CA 94609-3306 | 2010-04-26 |
| 1831357581 | Aids Healthcare Foundation | Pharmacy | 400 30th St, Ste 300, Oakland, CA 94609-3306 | 2008-05-29 |
| 1760685275 | Valerie Gail Dzubur | Nurse Practitioner | 400 30th St, Ste 300, Oakland, CA 94609-3318 | 2007-06-11 |
| 1548471477 | Maxim Healthcare Services, Inc. | Home Health | 400 30th St, Suite 300, Oakland, CA 94609-3306 | 2007-05-24 |
| 1801018130 | Jennifer Shackelford Malkovich | Audiologist | 400 30th St, Suite 101, Oakland, CA 94609-3306 | 2007-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801908579 | Richard S Graham | Dermatology | 460 34th St, Oakland, CA 94609 | 2006-08-31 |
| 1336173822 | Julia Elizabeth Graves | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2006-07-10 |
| 1265404719 | Herbert Arthur Holman | Dermatology | 3100 Summit St, Fl 2, Oakland, CA 94609-3412 | 2006-02-07 |
| 1750748562 | Jason F Fung, Md, A Medical Corporation | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2016-01-25 |
| 1811354624 | Julia Graves, Md, Inc | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2016-01-25 |
| 1427423268 | Lesley Plotke, Md, Inc | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2015-12-04 |
| 1629207493 | Lesley Mcmurry Plotke | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2009-07-14 |
| 1629270897 | Ani L. Tajirian | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2007-06-01 |
| 1972636272 | Ingrid Roseborough | Dermatology | 3300 Webster St, Ste 509, Oakland, CA 94609-3117 | 2007-03-14 |
| 1578609541 | Amy Stevens | Dermatology | 180 Ramapo Valley Rd, Oakland, NJ 07436-2500 | 2007-01-29 |
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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.