SAN FRANCISCO-PENINSULA E N T ASSOCIATES A MEDICAL CORPORATION (NPI# 1992983480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992983480 |
Entity Type | Organization |
Organization Name | SAN FRANCISCO-PENINSULA E N T ASSOCIATES A MEDICAL CORPORATION |
Other Organization Name | SAN FRANCISCO-PENINSULA E N T ASSOCIATES |
Practice Address |
77 Moraga Way Ste G Orinda CA 94563-3019 |
Practice Telephone | 9252546710 |
Practice Fax Number | 9252546713 |
Mailing Telephone | 9252546710 |
Mailing Fax Number | 9252546713 |
Enumeration Date | 2008-02-06 |
Last Update Date | 2020-08-28 |
Authorized Official Name | STEVEN THOMAS KMUCHA (PRESIDENT) |
Authorized Official Telephone | 9252546710 |
Authorized Official Credential | MD JD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
San Francisco-Peninsula E N T Associates | Doing Business As Name - Organization |
Street Address |
77 MORAGA WAY STE G |
City | ORINDA |
State | CA |
Zip Code | 94563-3019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922638923 | Christian P. Conderman, Md, A Medical Corporation | Otolaryngology | 77 Moraga Way Ste G, Orinda, CA 94563-3019 | 2020-01-19 |
1447806096 | Kanwar Kelley, Md, A Medical Corporation | Otolaryngology | 77 Moraga Way Ste G, Orinda, CA 94563-3019 | 2019-08-09 |
1336438670 | Kanwar Singh Kelley | Otolaryngology | 77 Moraga Way Ste G, Orinda, CA 94563 | 2011-04-06 |
1063741056 | Christian Patrick Conderman | Otolaryngology | 77 Moraga Way Ste G, Orinda, CA 94563-3019 | 2009-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255952842 | Sarah E. Wilson, Phd, A Professional Psychology Corporation | Psychologist | 23 Altarinda Road, Suite 201, Orinda, CA 94563 | 2020-05-05 |
1790333946 | Kristin Baines | Speech-Language Pathologist | Cameron Speech, 8 Camino Encinas Suite 210, Orinda, CA 94563 | 2019-08-30 |
1730618026 | Grace Elise Shandalov | Occupational Therapist | 24 Zander Drive, Orinda, CA 94563 | 2017-06-08 |
1346698735 | Janet Alexander | Occupational Therapist | 60 Don Gabriel Way, Orinda, CA 94563 | 2016-05-26 |
1750741021 | David Charles Hansen | Radiology | 543 Tahos Road, Orinda, CA 94563 | 2016-03-01 |
1063761609 | Melissa Bailey | Dentist | 15 Altarinda Rd., Suite 104a, Orinda, CA 94563 | 2012-08-29 |
1134493927 | Wu Hao Tu | Internal Medicine | 53 Brookside Rd, Orinda, CA 94563 | 2012-02-27 |
1134383243 | Marianna Eraklis | Pediatrics | One Camino Sobrante, Suite 208, Orinda, CA 94563 | 2008-07-17 |
1245441351 | Laro Virginia Thompson | Psychologist | 23 Altrarinda, Suite 214, Orinda, CA 94563 | 2007-05-24 |
1033329404 | Lisa B Kollin | Occupational Therapy Assistant | 8 Great Oak Circle, Orinda, CA 94563 | 2007-05-23 |
Find all providers in zip 94563 |
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 |
---|---|---|---|---|
1649476359 | Jonathan George Robert Samuel Fisher | Otolaryngology | 85 Southwood Dr, Orinda, CA 94563-3026 | 2007-06-21 |
1447806096 | Kanwar Kelley, Md, A Medical Corporation | Otolaryngology | 77 Moraga Way Ste G, Orinda, CA 94563-3019 | 2019-08-09 |
1336438670 | Kanwar Singh Kelley | Otolaryngology | 77 Moraga Way Ste G, Orinda, CA 94563 | 2011-04-06 |
1063741056 | Christian Patrick Conderman | Otolaryngology | 77 Moraga Way Ste G, Orinda, CA 94563-3019 | 2009-12-21 |
1285652859 | John Wyatt Carrigg | Otolaryngology | 12 Camino Encinas, Suite 14, Orinda, CA 94563-3395 | 2006-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
1922613207 | Resurgent Head and Neck Surgeons, Inc. | Otolaryngology | 6848 Magnolia Ave Ste 220, Riverside, CA 92506-2858 | 2020-09-13 |
1427682764 | Angela A Chang Md A Professional Corporation | Otolaryngology | 9834 Genesee Ave Ste 112, La Jolla, CA 92037-1214 | 2020-02-25 |
1376176164 | Jaime Munroe | Otolaryngology | 5333 Hollister Ave Ste 155, Santa Barbara, CA 93111-2444 | 2020-02-19 |
1003389107 | James Jaber Md A Medical Corporation | Otolaryngology | 850 S Atlantic Blvd Ste 305, Monterey Park, CA 91754-6714 | 2019-01-10 |
1033680996 | Ent Medical and Surgical Care | Otolaryngology | 100 Casa St Ste B100, San Luis Obispo, CA 93405-1883 | 2018-12-17 |
1477041952 | Ira Harold Buchalter | Otolaryngology | 2029 Tempranillo Ln, Brentwood, CA 94513-5291 | 2018-04-30 |
1316435670 | Gregory E. Washington, M.d., A Medical Corporation | Otolaryngology | 3655 Lomita Blvd Ste 321, Torrance, CA 90505-1927 | 2018-04-23 |
1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
1710480140 | Jill Mazza, M.d., A Professional Corporation | Otolaryngology | 191 S Buena Vista St Ste 320, Burbank, CA 91505-4556 | 2018-03-12 |
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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.