YEVGENY KLEBANOV


Address: 120 La Casa Via Ste 101, Walnut Creek, CA 94598-3092
Phone: 9252960344

YEVGENY KLEBANOV (NPI# 1841555976) 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) 1841555976
Entity Type Individual
Full Name YEVGENY KLEBANOV
Credential M.D.
Practice Address 120 La Casa Via Ste 101
Walnut Creek
CA 94598-3092
Mailing Address 1400 Broadway Unit 1401
San Diego
CA 92101-5744
Practice Telephone 9252960344
Practice Fax Number 9259475424
Enumeration Date 2012-07-04
Last Update Date 2018-05-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine A126559 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 120 LA CASA VIA STE 101
City WALNUT CREEK
State CA
Zip Code 94598-3092

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689176232 Primary Care of Walnut Creek Internal Medicine 120 La Casa Via Ste 101, Walnut Creek, CA 94598-3092 2018-02-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639716608 Tasnim Diaf Moulton Counselor 2730 Shadelands Drive, Walnut Creek, CA 94598 2019-12-09
1790255370 Harmony Grace Davis Behavior Technician 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 2018-11-27
1922583772 Melissa Anne Mcgovern Behavioral Analyst 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 2018-09-27
1184108367 Brett Heflin Woodrufff Behavior Technician 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 2018-09-24
1710411640 Mandy Wei Pharmacist 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 2017-04-18
1437683497 Hayley Miller Student in an Organized Health Care Education/Training Program 2204 Lomond Lane, Walnut Creek, CA 94598 2017-04-17
1043601594 Marlene Perez Riedel Nurse Practitioner 450 North Wiget Lane, Walnut Creek, CA 94598 2015-02-05
1922418904 Dante Michael Sorrentino Ophthalmology Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 2014-04-30
1194156505 Robert Harrison Hubbell Obstetrics & Gynecology 838 Stonehaven Dr, Walnut Creek, CA 94598 2013-12-11
1174954192 Paul Mead Orthopaedic Surgery 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 2013-12-01
Find all providers in zip 94598

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154733152 Zachary Thomas Fellows Internal Medicine 120 La Casa Via Ste 204, Walnut Creek, CA 94598-3007 2014-05-24
1063764488 Baldomero De Leon M.d. Inc. Internal Medicine 1479 Ygnacio Valley Rd Ste 201, Walnut Creek, CA 94598-2945 2012-10-09
1184910390 Gisha Thomas Internal Medicine 3466 Mt. Diablo Blvd, #c104, Walnut Creek, CA 94596 2011-06-27
1831497437 Ronald G Campos, Md Inc Internal Medicine 1844 San Miguel Dr Ste 307, Walnut Creek, CA 94596-4963 2011-03-05
1083842199 Chetachi A Okereke Internal Medicine 1840 San Miguel Dr, Suite 203, Walnut Creek, CA 94596-8602 2009-06-26
1972750123 Syed Khalid Mustafa Internal Medicine 1299 Newell Hill Pl Ste 100, Walnut Creek, CA 94596-5230 2008-08-19
1366613390 Leonard M. Saputo, Md Inc Internal Medicine 1620 Riviera Ave, Walnut Creek, CA 94596-3528 2008-03-18
1700085412 Activa Medical Center, Inc. Internal Medicine 1479 Ygnacio Valley Rd Ste 207, Walnut Creek, CA 94598-2945 2007-07-12
1750433587 Monica Ruiz Durant Internal Medicine 3356 Westport Ct, Walnut Creek, CA 94598-4030 2007-01-18
1497821276 Elizabeth C. Seet Internal Medicine 1210 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 2006-11-25
Find all providers in WALNUT CREEK

Competitor

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City WALNUT CREEK
Zip Code 94598

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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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