DR. BRENT SEIJI IZU (NPI# 1912004367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912004367 |
| Entity Type | Individual |
| Full Name | DR. BRENT SEIJI IZU |
| Credential | MD |
| Practice Address |
4053 Lone Tree Way Ste 200 Antioch CA 94531-6210 |
| Mailing Address |
4053 Lone Tree Way Antioch CA 94531-6210 |
| Practice Telephone | 9257767725 |
| Mailing Telephone | 9257767725 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 1012919 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 35.088603 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE MEDICAL LICENSE | C156246 | 01 |
| CA | FEDERAL DEA LICENSE | FI7912810 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 88mdg 4881 Sugar Maple Drive, Wpafb, OH 45433 | 9372999902 |
| Street Address |
4053 LONE TREE WAY STE 200 |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94531-6210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720043862 | Sabri Sen | Urology | 4053 Lone Tree Way Ste 200, Antioch, CA 94531-6210 | 2006-04-20 |
| 1235472754 | Edward Youn | Podiatrist | 4053 Lone Tree Way Ste 200, Antioch, CA 94531 | 2013-04-03 |
| 1134355787 | Gulmohor D Roy | Psychiatry & Neurology | 4053 Lone Tree Way Ste 200, Antioch, CA 94531-6210 | 2009-06-09 |
| 1376781575 | Vipul Gupta | Internal Medicine | 4053 Lone Tree Way Ste 200, Antioch, CA 94531 | 2009-01-26 |
| 1295885002 | Pascal R. Fuchshuber | Family Medicine | 4053 Lone Tree Way Ste 200, Antioch, CA 94531 | 2007-01-12 |
| 1295759355 | Christopher Solis | Surgery | 4053 Lone Tree Way Ste 200, Antioch, CA 94531-6210 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406051 | Jayden Mendoza | Behavior Technician | 4849 Lone Tree Way Suite C, Antioch, CA 94531 | 2020-10-28 |
| 1093369720 | Lorena N/a Lepezmagana I | Behavior Technician | 4856 Weler Peak Way, 4856 Wexler Peak Way, Antioch, CA 94531 | 2019-07-31 |
| 1063976538 | Donna C Martinez | Respiratory Therapist, Registered | 4509 Sand Creek Rd, Antioch, CA 94531 | 2019-01-29 |
| 1215428107 | Sierra Singharath | Behavioral Analyst | 5344 Catanzaro Way, Antioch, CA 94531 | 2018-05-25 |
| 1972005551 | Meily Samantha Reyna | Behavioral Analyst | 1858 Mount Goethe Way, Antioch, CA 94531 | 2018-02-28 |
| 1225536477 | Constance Eileen Matous | Physical Therapy Assistant | 4041 Lone Tree Way Suite # 106, Antioch, CA 94531 | 2018-01-23 |
| 1851825921 | Alexander Lim Dds Inc | Dentist | 5171 Lone Tree Way, Antioch, CA 94531 | 2017-04-17 |
| 1467831222 | Jaylan Ishac | Behavioral Analyst | 4749 Crestone Peak Ct, Antioch, CA 94531 | 2015-05-27 |
| 1164831830 | Akape Home Care Agency | Home Health | 2487 Stanford Way, Ste 1a, Antioch, CA 94531 | 2014-08-07 |
| 1679992515 | Joseph Vojtko | Ophthalmology | 4501 Sand Creek Rd Dept Of, Antioch, CA 94531 | 2014-04-08 |
| Find all providers in zip 94531 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770756884 | Joseph M Brandel | Surgery | 2350 Country Hills Dr, Antioch, CA 94509-7436 | 2008-04-09 |
| 1689858748 | East Bay Surgical Associates, A Medical Corporation | Surgery | 3903 Lone Tree Way, Suite 210, Antioch, CA 94509-6249 | 2007-12-26 |
| 1245320001 | Phillip Willie Tan Polido | Surgery | 3903 Lone Tree Way, Suite 210, Antioch, CA 94509-6249 | 2006-10-13 |
| 1013013218 | Hamid R. Rassai | Surgery | 3903 Lone Tree Way, Antioch, CA 94509-6249 | 2006-09-15 |
| 1265440101 | Michael Lee Ditmars | Surgery | 3903 Lone Tree Way, Suite 210, Antioch, CA 94509-6270 | 2006-08-04 |
| 1295759355 | Christopher Solis | Surgery | 4053 Lone Tree Way Ste 200, Antioch, CA 94531-6210 | 2006-07-26 |
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|---|---|---|---|---|
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| 1619584497 | Prohealth Partners A Medical Group | Surgery | 3628 E Imperial Hwy Ste 303, Lynwood, CA 90262-2646 | 2020-09-25 |
| 1235744004 | Yvette Speight Md Inc | Surgery | 433 N Doheny Dr, Beverly Hills, CA 90210-5734 | 2020-09-09 |
| 1538786900 | Tdwo Inc | Surgery | 57445 29 Palms Hwy Ste 301, Yucca Valley, CA 92284-2947 | 2020-07-01 |
| 1003439746 | Howard Takiff | Surgery | 760 La Canada St, La Jolla, CA 92037-6724 | 2020-05-27 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1497380638 | Bay Area Medical and Surgical Group, Inc. | Surgery | 490 Post St Ste 530, San Francisco, CA 94102-1412 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
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| 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.