Dale Alvin Kooistra (NPI# 1831182971, PAC ID# 1658565015) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1831182971 |
| PAC ID by PECOS | 1658565015 |
| Professional Enrollment ID | I20101029000319 |
| Full Name | Dale Alvin Kooistra |
| Address |
15525 Pomerado Rd D2 Poway CA 92064-2426 |
| Phone Number | 8586758001 |
| Gender | M |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15525 Pomerado Rd, D2, Poway, CA 92064-2426 | 8586758001 |
| Street Address |
15525 POMERADO RD D2 |
| City | POWAY |
| State | CA |
| Zip | 92064-2426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa A London | Dermatology | Bernardo Dermatology Medical Group Inc | 15525 Pomerado Rd, A2, Poway, CA 92064-2425 |
| Joshua M Hall | Psychiatry | 15525 Pomerado Rd, Suite E3, Poway, CA 92064-2427 | |
| Jonathan Nissanoff | Orthopedic Surgery | 15525 Pomerado Rd, Suite E6, Poway, CA 92064-2427 | |
| Leah M Brown | Nurse Practitioner | Bernardo Dermatology Medical Group Inc | 15525 Pomerado Rd, A2, Poway, CA 92064-2425 |
| Violette A Jackson | Clinical Social Worker | 15525 Pomerado Rd, Suite E 4, Poway, CA 92064-2427 | |
| Kathy M Clewell | Internal Medicine | 15525 Pomerado Rd, Suite A4, Poway, CA 92064-2425 | |
| Ronald M Levin | Anesthesiology | 15525 Pomerado Rd, Suite E2, Poway, CA 92064-2427 | |
| Theresa M Walker | Clinical Social Worker | 15525 Pomerado Rd, Suite E4, Poway, CA 92064-2427 | |
| Francis Augustine Barber Jr. | Dermatology | 15525 Pomerado Rd, Suite A2, Poway, CA 92064-2425 | |
| Ruth A Larson | Dermatology | Bernardo Dermatology Medical Group Inc | 15525 Pomerado Rd, A2, Poway, CA 92064-2425 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart Douglas Klein | Internal Medicine | North County Internists Medical Corporation | 15721 Pomerado Rd, Poway, CA 92064-2021 |
| Akber M Safi | Internal Medicine | North County Internists Medical Corporation | 15721 Pomerado Rd, Poway, CA 92064-2021 |
| Kevin B Merkes | Internal Medicine | North County Internists Medical Corporation | 15721 Pomerado Rd, Poway, CA 92064-2021 |
| Jill Cottel | Internal Medicine | 15721 Pomerado Rd, Poway, CA 92064-2021 | |
| Patrocinia A Magat | Family Medicine | 15706 Pomerado Rd, Suite 104, Poway, CA 92064-2032 | |
| Damon Cobb | Obstetrics/gynecology | Damon Cobb Do Incorporated | 15706 Pomerado Rd, Suite 110, Poway, CA 92064-2032 |
| Farina Islam | Obstetrics/gynecology | Damon Cobb Do Incorporated | 15706 Pomerado Rd, Suite 110, Poway, CA 92064-2032 |
| Randy J Robinson | Psychologist, Clinical | 15706 Pomerado Rd, Suite 210, Poway, CA 92064-2033 | |
| Patti J Dewoskin | Clinical Social Worker | 15708 Pomerado Rd, Suite 201, Poway, CA 92064-2036 | |
| Sam Filiciotto | General Surgery | 15708 Pomerado Rd, Poway, CA 92064-2036 | |
| Find all physicians in zip 92064 | |||
| City | POWAY |
| Zip Code | 92064 |
| Specialty | DERMATOLOGY |
| City + Specialty | POWAY + DERMATOLOGY |
Please comment or provide details below to improve the information on Dale Alvin Kooistra.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.