DR. TRISTAN KLOSTERMAN (NPI# 1871889709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871889709 |
| Entity Type | Individual |
| Full Name | DR. TRISTAN KLOSTERMAN |
| Credential | M.D. |
| Practice Address |
1411 E 31st St Oakland CA 94602-1018 |
| Mailing Address |
1411 E 31st St Oakland CA 94602-1092 |
| Practice Telephone | 5104374800 |
| Mailing Telephone | 5104374800 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2019-05-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | A152155 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1411 E 31ST ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733135 | Andrea Elizabeth Williams | Family Medicine | 1411 E 31st St, Oakland, CA 94602-1018 | 2005-10-06 |
| 1972101186 | Jennifer Pham | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-12 |
| 1922606276 | Monica Mofidi | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-09 |
| 1639785223 | Mercedeh Nicole Vaez | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-09-18 |
| 1962015701 | Egbe Iyabo Omoregie | Nurse Practitioner | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-30 |
| 1275146672 | Jessica Labioda Sohn | Social Worker | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-25 |
| 1760093462 | Himalina Rajanakhan | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1092 | 2020-08-14 |
| 1316558018 | Lisa De La Cruz | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-14 |
| 1396356762 | Jermaine Robertson | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-11 |
| 1700496437 | Kathleen Puanani Hennessy | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918078 | Ira Sanders | Otolaryngology | 5 Rye Cliff Rd, Oakland, NJ 07436-1423 | 2017-12-27 |
| 1356868954 | University Healthcare Alliance | Otolaryngology | 350 30th St Ste 311, Oakland, CA 94609-3425 | 2017-08-24 |
| 1528020609 | Summit Ent Medical Associates | Otolaryngology | 2961 Summit St, Suite 1, Oakland, CA 94609-3482 | 2006-04-04 |
| 1124480736 | Christopher Xiao | Otolaryngology | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2016-03-23 |
| 1457745747 | Barcleigh Paige Landau | Otolaryngology | 3600 Broadway, 4th Floor, Head and Neck Surgery, Oakland, CA 94611-5730 | 2015-03-24 |
| 1508124132 | Jason Gilde | Otolaryngology | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2012-05-02 |
| 1174842835 | Wade R. Cartwright M.d. A Professional Corporation | Otolaryngology | 411 30th St, Suite 401, Oakland, CA 94609-3310 | 2010-05-20 |
| 1528382801 | Stephen V. Tornabene | Otolaryngology | 280 W Macarthur Blvd, Gme Office, Room 1118, Oakland, CA 94611-5642 | 2010-03-16 |
| 1790012839 | Megan Leigh Durr | Otolaryngology | 275 W Macarthur, Oakland, CA 94611-5641 | 2009-11-10 |
| 1083866602 | Luke J. Schloegel | Otolaryngology | 275 W Macarthur, Oakland, CA 94611-5641 | 2008-10-14 |
| Find all providers in OAKLAND | ||||
Please comment or provide details below to improve the information on DR. TRISTAN KLOSTERMAN.
| 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.