MR. KENNETH D. LAXER (NPI# 1861460990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861460990 |
| Entity Type | Individual |
| Full Name | MR. KENNETH D. LAXER |
| Credential | M.D. |
| Practice Address |
1100 Van Ness Ave San Francisco CA 94109-6978 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 4156007880 |
| Practice Fax Number | 4153691373 |
| Mailing Telephone | 4156007880 |
| Mailing Fax Number | 4153691373 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G28500 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G285000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2100 Webster St #115, San Francisco, CA 94115 | 4156007880 | |
| 795 El Camino Real, Palo Alto, CA 943012302 | 6508532983 | 6508534765 |
| Street Address |
1100 VAN NESS AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94109-6978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457333973 | Jason M. Dimsdale | Obstetrics & Gynecology | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2005-11-18 |
| 1033777982 | Carla Michelle Bennett | Genetic Counselor, MS | 1100 Van Ness Ave, Fouth Floor, San Francisco, CA 94109-6920 | 2019-06-04 |
| 1346783974 | Christine Miculob Ainza | Nurse Practitioner | 1100 Van Ness Ave, San Francisco, CA 94109 | 2016-11-30 |
| 1316344674 | Jessica Robinson | Physician Assistant | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2014-12-01 |
| 1558763250 | Stacy Fang | Obstetrics & Gynecology | 1100 Van Ness Ave, San Francisco, CA 94109 | 2014-09-24 |
| 1528478195 | Keith Castaneto | Family Medicine | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2014-05-05 |
| 1396188181 | Shamiq Zackria | Internal Medicine | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2013-04-10 |
| 1780926808 | Jonathan M Wong | Internal Medicine | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2013-03-27 |
| 1619217601 | Katie E Fields | Physician Assistant | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2013-02-27 |
| 1144568239 | Lorelei Elaine Labarge | Nurse Practitioner | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2013-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169738 | Emmapreet Bal | Social Worker | 750 Post Street, San Francisco, CA 94109 | 2020-09-21 |
| 1801414669 | Hegla Yakeline Fielding | Registered Nurse | Felton Institute, 1500 Franklin St, San Francisco, CA 94109 | 2020-07-08 |
| 1356991350 | Rachel Sit Wong | Technician | 1280 Ellis St. Apt. 12, San Francisco, CA 94109 | 2019-09-12 |
| 1396392502 | Laura Kathryn Strader | Student in an Organized Health Care Education/Training Program | Community Youth Center, 1038 Post Street, San Francisco, CA 94109 | 2019-08-22 |
| 1821650227 | Anita Kathleen O'shea | Community Health Worker | 730 Polk St 4th Floor, San Francisco, CA 94109 | 2019-07-05 |
| 1275015638 | Quenna G Lee | Occupational Therapist | 1948 California Street, San Francisco, CA 94109 | 2018-09-02 |
| 1659857340 | Kaihan Zhong | Marriage & Family Therapist | 1038 Post Street Community Youth Center, San Francisco, CA 94109 | 2018-07-16 |
| 1144716044 | Elaina Barulic | Marriage & Family Therapist | 2040 Gough St, San Francisco, CA 94109 | 2018-07-03 |
| 1447778048 | Yltze Pamela Cubas-moody | Dentist | 2107 Vanness Ave, San Francisco, CA 94109 | 2017-09-03 |
| 1063939387 | Ritu Sen | Counselor | 815 Hyde Street, Suite 100, San Francisco, CA 94109 | 2017-08-28 |
| Find all providers in zip 94109 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1518473651 | Jonathan David Root | Psychiatry & Neurology | 37 W Clay St, San Francisco, CA 94121-1230 | 2017-12-27 |
| 1811411986 | Sarah Lapointe | Psychiatry & Neurology | 400 Parnassus Ave Ste A-808, San Francisco, CA 94143-2202 | 2017-08-01 |
| 1346635380 | Bradley T Peet | Psychiatry & Neurology | 675 Nelson Rising Ln Ste 190, San Francisco, CA 94143-0003 | 2015-04-06 |
| 1649684143 | Ponni Subbiah | Psychiatry & Neurology | 480 Mission Bay Blvd N Unit 1306, San Francisco, CA 94158-2176 | 2014-06-12 |
| 1932527306 | Armen Jirair Moughamian | Psychiatry & Neurology | 45 Castro St Ste 220, San Francisco, CA 94114-1027 | 2014-04-02 |
| 1700228681 | Jonathan Hans Chen | Psychiatry & Neurology | 2351 Clay St # S-380, San Francisco, CA 94115 | 2013-07-22 |
| 1548603426 | James Marcus Cole | Psychiatry & Neurology | 1845 Franklin St Apt 504, San Francisco, CA 94109-3462 | 2013-04-10 |
| 1396087961 | Claire Clelland | Psychiatry & Neurology | Ucsf Neurology Department, 505 Parnassus Avenue, Box 0114, San Francisco, CA 94143-0114 | 2013-03-21 |
| 1487920963 | Nicole Lyn Rosendale | Psychiatry & Neurology | 505 Parnassus Ave M798 Box 0114, San Francisco, CA 94143-0001 | 2012-03-28 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94109 |
Please comment or provide details below to improve the information on MR. KENNETH D. LAXER.
| 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.