JEFFREY W DIETZ


Address: 250 Bon Air Rd, Greenbrae, CA 94904-1702
Phone: 4159257000

JEFFREY W DIETZ (NPI# 1821010257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821010257
Entity Type Individual
Full Name JEFFREY W DIETZ
Credential M.D.
Practice Address 250 Bon Air Rd
Greenbrae
CA 94904-1702
Mailing Address 2100 Powell St
Suite 900
Emeryville
CA 94608-1826
Practice Telephone 4159257000
Mailing Telephone 5103502600
Enumeration Date 2006-07-24
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine G39610 CA Allopathic & Osteopathic Physicians

Other Providers JEFFREY DIETZ

NPI Name Taxonomy Address Enumeration
1376679951 Jeffrey F Dietz Orthopaedic Surgery 761 Worcester Rd 3rd Floor, New England Hand Associates, Framingham, MA 01701 2007-02-26

Office Location

Street Address 250 BON AIR RD
City GREENBRAE
State CA
Zip Code 94904-1702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124021738 Marin Community Clinic Clinic/Center 250 Bon Air Rd, Greenbrae, CA 94904-1702 2005-05-27
1588270474 Jonathan Nguyen Trinh Pharmacist 250 Bon Air Rd, Greenbrae, CA 94904-1702 2020-09-16
1437768082 Maritza Saucedo Rosas Registered Nurse 250 Bon Air Rd, Greenbrae, CA 94904-1702 2020-07-29
1093323669 Caroline Kent Social Worker 250 Bon Air Rd, Greenbrae, CA 94904-1702 2020-07-20
1275152415 Lokyan Yu Registered Nurse 250 Bon Air Rd, Greenbrae, CA 94904-1702 2020-04-08
1144852591 Lana Mccutchan Registered Nurse 250 Bon Air Rd, Greenbrae, CA 94904-1702 2020-02-04
1295381747 Melissa Bermudez Rivers Rehabilitation Practitioner 250 Bon Air Rd, Greenbrae, CA 94904-1702 2019-08-12
1245884873 William Horton IIi Counselor 250 Bon Air Rd, Greenbrae, CA 94904-1702 2019-07-31
1336705540 Maneesha Priya Deo Pharmacist 250 Bon Air Rd, Greenbrae, CA 94904-1702 2019-05-13
1922564624 Signy Marie Toquinto Nurse Practitioner 250 Bon Air Rd, Greenbrae, CA 94904-1784 2019-02-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295382372 Stacey Nicole Drew Occupational Therapist 4 Ash Ave, Unit 10, Kentfield, CA 94904 2019-08-22
1154781631 Harvey Sparks Specialist/Technologist, Other 350 Bon Air, Ste 100, Greenbrae, CA 94904 2016-02-26
1396120481 Tamena Potts Counselor 1109 Sir Francis Drake, Kentfield, CA 94904 2015-07-30
1598014763 Rupali Ray Chaudhuri Nurse Practitioner 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 2012-09-04
1326304809 Lucy Yingxin Zhang Ophthalmology 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 2012-04-09
1396073185 Bonnie Louise Hoag Marriage & Family Therapist 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 2009-12-07
1801043880 Alexander Vogel Uihlein Internal Medicine 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 2008-08-21
1649426115 Marilyn Thatcher Psychologist 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 2008-08-14
1205007598 Sir Francis Drake Dental Dentist 919 Sir Francis Drake Blvd, Kentfield, CA 94904 2008-03-14
1841401734 Rishi K Wadhwa Neurological Surgery 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 2007-05-24
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124413869 Jaspreet Kaur Vohra Emergency Medicine 250 Bon Air Rd, Greenbrae, CA 94904 2015-03-31
1912929290 Robert M Riner Emergency Medicine 250 Bon Air Rd, Greenbrae, CA 94904-1702 2006-07-24
1548282825 Alan J Spain Emergency Medicine 250 Bon Air Rd, Greenbrae, CA 94904-1702 2006-07-24
1063434348 Jeffrey D Weitzman Emergency Medicine 250 Bon Air Rd, Greenbrae, CA 94904-1702 2006-07-24
1598787871 John J Zecherle Emergency Medicine 250 Bon Air Rd, Greenbrae, CA 94904-1702 2006-07-24
1861414203 David S Duffy Emergency Medicine 250 Bon Air Rd, Greenbrae, CA 94904-1702 2006-07-24
1164440848 Tami Lee Gash-kim Emergency Medicine 250 Bon Air Rd, Greenbrae, CA 94904-1702 2006-07-18
1417975319 Cep America - California Emergency Medicine 250 Bon Air Rd, Greenbrae, CA 94904-1702 2006-07-18
1033137831 Arthur C Cohn Emergency Medicine 250 Bon Air Rd, Greenbrae, CA 94904-1702 2006-07-18
1881612455 Carl R Spitzer Emergency Medicine 250 Bon Air Rd, Greenbrae, CA 94904-1702 2006-07-18
Find all providers in GREENBRAE

Competitor

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City GREENBRAE
Zip Code 94904

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Dataset Information

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.

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