CORNERSTONE INTEGRATIVE MEDICINE


Address: 3012 Summit St Ste 2675, Oakland, CA 94609-3480
Phone: 5108696740

CORNERSTONE INTEGRATIVE MEDICINE (NPI# 1881249332) 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) 1881249332
Entity Type Organization
Organization Name CORNERSTONE INTEGRATIVE MEDICINE
Practice Address 3012 Summit St Ste 2675
Oakland
CA 94609-3480
Practice Telephone 5108696740
Practice Fax Number 5108696742
Mailing Telephone 5103264649
Enumeration Date 2019-08-01
Last Update Date 2019-08-01
Authorized Official Name LORI ELLEN SHORE (CEO PARTNER, CO-OWNER)
Authorized Official Telephone 5103264649
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171100000X Acupuncturist Other Service Providers
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 1558678201 05
CA 1861427684 05
CA 1932538121 05
TN 1245404607 05
CA 1790937506 05
CA 1295995256 05
CA 1770571077 05
CA 1003114463 05
CA 1831124080 05
CA 1346573094 05

Office Location

Street Address 3012 SUMMIT ST STE 2675
City OAKLAND
State CA
Zip Code 94609-3480

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104457159 Gerard John-charles Coughlin Student in an Organized Health Care Education/Training Program Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 2020-01-29
1417502022 Michael Knittel Registered Nurse 370 Hawthorne Ave, Oakland, CA 94609 2019-08-09
1962057562 Nicole Kjolby Registered Nurse Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 2019-08-09
1396208286 Graham Vallis Student in an Organized Health Care Education/Training Program Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 2019-04-09
1386129526 Gary Mitchell Snider Counselor 390 40th Street, Oakland, CA 94609 2018-10-02
1720568389 Lice Control Inc. Technician 6557 Shattuck Ave, Oakland, CA 94609 2018-08-14
1528559150 Jenna Marie Kincaid Behavior Technician 400 29th St., 204, Oakland, CA 94609 2018-05-18
1336656669 Nicholas Dicarlo Social Worker 465 34th St Ste 6, Oakland, CA 94609 2018-01-09
1174045744 Theodora J Marzouk Home Health Aide 3317 Elm Street, Suite 202, Oakland, CA 94609 2017-07-14
1740728922 Elena Gardella Marriage & Family Therapist 411 30th Street, Suite 412, Oakland, CA 94609 2017-02-07
Find all providers in zip 94609

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
1114491743 Kimberly Hicks M D Inc Internal Medicine 3317 Elm St Ste 102, Oakland, CA 94609-3053 2019-01-16
1457718736 John Flaningam Internal Medicine 11 Hillcrest Ct, Oakland, CA 94619-2411 2016-01-18
1861822819 Harold Orr Jr. Internal Medicine 11100 Kerrigan Dr, Oakland, CA 94605-5414 2013-11-12
1245672815 Abdul Wasay Raif Jawid Internal Medicine 1401 E 31st St, Oakland, CA 94602 2013-07-24
1255605192 James Pickett Seward Internal Medicine 5493 Taft Ave, Oakland, CA 94618-1501 2012-02-23
1265719033 My Health Medical Group Inc Internal Medicine 1221 Broadway Fl 7, Oakland, CA 94612-1837 2011-11-08
1720376395 Lisa Jane Chandler Internal Medicine 5433 Thomas Ave, Oakland, CA 94618-1749 2011-07-18
1679872444 Mitchell Liverant Internal Medicine 3600 Broadway Fl 2, Oakland, CA 94611-5730 2011-03-19
1770880163 Astha Kanani Internal Medicine 3451 E 12ths St, Oakland, CA 94601-3463 2011-02-21
1861705725 Jose A Lopez M.d P.a Internal Medicine 30 Remington Rd, Suite 2, Oakland, FL 34787-9797 2010-07-21
Find all providers in OAKLAND

Competitor

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City OAKLAND
Zip Code 94609

Improve Information

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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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