REBECCA LYNN SUDORE (NPI# 1851371744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851371744 |
| Entity Type | Individual |
| Full Name | REBECCA LYNN SUDORE |
| Credential | M.D. |
| Practice Address |
4150 Clement Street, #181g Ucsf-sfvamc San Francisco CA 94121 |
| Practice Telephone | 4152214810 |
| Practice Fax Number | 4157506641 |
| Mailing Telephone | 4152214810 |
| Mailing Fax Number | 4157506641 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2007-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
A75060 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4150 CLEMENT STREET, #181G UCSF-SFVAMC |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316443815 | Joanne Mott | Community Health Worker | Richmond Area Multi Services, 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1851897359 | Jeffrey Cheng | Community Health Worker | Richmond Area Multi Services 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1245739283 | George Howard Herzog | Clinical Nurse Specialist | 4150 Clement St G1-111b1, San Francisco, CA 94121 | 2018-02-05 |
| 1063931228 | Dianna Welsh | Marriage & Family Therapist | 750 33rd Ave., San Francisco, CA 94121 | 2017-09-19 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| 1184027229 | Laura Weissberger | Social Worker | 6211 Geary Blvd, 2nd Floor, San Francisco, CA 94121 | 2014-10-03 |
| 1548676901 | Martha J Ignaszewski | Psychiatry & Neurology | 4150 Clement St Rm 19, San Francisco, CA 94121 | 2014-07-07 |
| 1912338195 | Katie Francesconi Peters | Physical Therapist | 1921 Lake St Apt 1, San Francisco, CA 94121 | 2013-12-12 |
| 1649601717 | William Hua | Psychologist | 4150 Clement St (116b), San Francisco, CA 94121 | 2013-11-27 |
| 1396182721 | Gregory Lariviere Judson | Student in an Organized Health Care Education/Training Program | 4150 Clement St. Box 111a, Vamc, San Francisco, CA 94121 | 2013-05-24 |
| Find all providers in zip 94121 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| 1912296799 | Laura Phyllis Perry | Internal Medicine | 490 Illinois St Fl 8, San Francisco, CA 94158-2510 | 2011-04-01 |
| 1912137951 | Michael J A Reid | Internal Medicine | Zuckerburg General Hospital, 1001 Protero Avenue, San Francisco, CA 94110 | 2009-07-24 |
| 1790904084 | Frank William Ryning | Internal Medicine | 1339 4th Ave, San Francisco, CA 94122-2615 | 2007-04-25 |
| 1952423931 | Richard M. Dennes | Internal Medicine | 285 Edgewood Ave, San Francisco, CA 94117-3714 | 2007-04-03 |
| 1497867469 | Frederick J. Fox | Internal Medicine | 4150 Clement St # 181g, Veterans Affairs Medical Center, San Francisco, CA 94121-1545 | 2006-08-31 |
| 1124134309 | Eric Walter Widera | Internal Medicine | 4150 Clement St # 181nh, San Francisco, CA 94121-1545 | 2006-08-21 |
| 1215968797 | Leslie P Kernisan | Internal Medicine | 554 Clayton St #170376, San Francisco, CA 94117-0376 | 2006-07-05 |
| 1477583029 | Kateri Murray | Internal Medicine | 1400 Geary Blvd, San Francisco, CA 94109-6561 | 2006-07-03 |
| 1689652612 | Kathryn Lea Sewell | Internal Medicine | 1515 Baker St, San Francisco, CA 94115-2908 | 2006-01-09 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94121 |
Please comment or provide details below to improve the information on REBECCA LYNN SUDORE.
| 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.