DR. MICHAEL JOHN MARTINUCCI (NPI# 1932142619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932142619 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOHN MARTINUCCI |
| Credential | M.D. |
| Practice Address |
411 30th St #508 Oakland CA 94609 |
| Mailing Address |
2125 Oak Grove Rd Ste 200 Walnut Creek CA 94598-2520 |
| Practice Telephone | 9252744950 |
| Practice Fax Number | 9252744975 |
| Mailing Telephone | 9252967150 |
| Mailing Fax Number | 9252967171 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2018-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G81884 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
411 30TH ST #508 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588656847 | Philip Young-suh Chyu | Radiology | 411 30th St, #508, Oakland, CA 94609 | 2005-08-22 |
| 1841724218 | Jennifer Lynne Stanley | Internal Medicine | 411 30th St, Oakland, CA 94609-3310 | 2017-04-12 |
| 1558702886 | Catherine Yen Lowder | Acupuncturist | 411 30th St, Suite 308, Oakland, CA 94609-3310 | 2013-07-15 |
| 1760740468 | East Bay Family Institute | Psychologist | 411 30th St, 305, Oakland, CA 94609-3310 | 2012-05-01 |
| 1659648905 | Gretchen Ann Thompson | Case Manager/Care Coordinator | 411 30th St, Suite 303, Oakland, CA 94609-3310 | 2011-11-30 |
| 1174842835 | Wade R. Cartwright M.d. A Professional Corporation | Otolaryngology | 411 30th St, Suite 401, Oakland, CA 94609-3310 | 2010-05-20 |
| 1912229097 | Taylor Beebe | Counselor | 411 30th St, Oakland, CA 94609-3310 | 2010-02-17 |
| 1750612552 | Ruby Elmer | Counselor | 411 30th St, Oakland, CA 94609-3310 | 2010-01-19 |
| 1619206877 | Tasia Holland | Specialist | 411 30th St, Oakland, CA 94609-3310 | 2009-12-17 |
| 1518108794 | Deborah L Sullivan | Registered Nurse | 411 30th St, Oakland, CA 94609-3310 | 2009-03-17 |
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| 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 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841583457 | Gabriel Philip Howles-banerji | Radiology | 3600 Broadway, 2nd Floor, Interventional Radiology, Oakland, CA 94611 | 2011-05-16 |
| 1215141114 | Jason Hwang | Radiology | 411 30th Street #508, Oakland, CA 91460 | 2007-05-09 |
| 1194848150 | Donald A Breyer | Radiology | 6861 Gunn Dr, Oakland, CA 94611-1442 | 2007-04-06 |
| 1841311305 | Howard Bruce Glazer | Radiology | 1411 East 14th St., Oakland, CA 94602 | 2007-04-03 |
| 1730203316 | Norcal Imaging | Radiology | 3200 Telegraph Ave, Oakland, CA 94609-3016 | 2007-03-19 |
| 1669515334 | Paul E. Morris | Radiology | 32 Ross Cir, Oakland, CA 94618-1912 | 2007-02-14 |
| 1801997721 | Stuart S. London Md,inc | Radiology | 3330 Telegraph Ave, Oakland, CA 94609-3028 | 2006-09-25 |
| 1083715908 | Stuart S London | Radiology | 3330 Telegraph Ave., Oakland, CA 94609-3028 | 2006-09-25 |
| 1164529285 | Jody Elizabeth Balich | Radiology | 1155 Clarendon Cres, Oakland, CA 94610-1807 | 2006-09-20 |
| 1689618415 | Sonali Wadhwa | Radiology | 1800 Harrison Street, 7th Floor, Tpmg Hr Compliance and Administration-npi, Oakland, CA 94612 | 2006-06-15 |
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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.