Kelley Christian Booth (NPI# 1053830851, PAC ID# 1759640956) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053830851 |
| PAC ID by PECOS | 1759640956 |
| Professional Enrollment ID | I20180116001339 |
| Full Name | Kelley Christian Booth |
| Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
| Address |
350 30th St Suite 100 Oakland CA 94609-3422 |
| Phone Number | 5102048290 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284538778 |
| Number of Group Practice Members | 2620 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050043 | ALTA BATES SUMMIT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 350 30th St, Suite 100, Oakland, CA 94609-3422 | 5102048290 | SUTTER BAY MEDICAL FOUNDATION |
| Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
| Physicians | 2773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriela Ramos-pamplona | Nurse Practitioner | Sutter Bay Medical Foundation | 2095 Diamond Blvd, Suite 150, Concord, CA 94520-5832 |
| Ja Young Kim | Nurse Practitioner | Sutter Bay Medical Foundation | 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 |
| Gannon Dudlar | Emergency Medicine | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Teresa Safer | Obstetrics/gynecology | Sutter Bay Medical Foundation | 1580 Valencia St, Suite 802, San Francisco, CA 94110-4415 |
| Aly M Mohamed | Gastroenterology | Sutter Bay Medical Foundation | 1662 Dominican Way, Santa Cruz, CA 95065-1522 |
| Inxs M Chandler | Nurse Practitioner | Sutter Bay Medical Foundation | 580 N Rengstorff Ave, Unit 5, Mountain View, CA 94043-2894 |
| Elsa Petronella Van Berry | Nurse Practitioner | Sutter Bay Medical Foundation | 3100 Summit St, Fl 2, Oakland, CA 94609-3412 |
| Joshua D Menefee | Internal Medicine | Sutter Bay Medical Foundation | 7225 Rainbow Dr, San Jose, CA 95129-4552 |
| Nicole Sue Gong | Physical Therapy | Sutter Bay Medical Foundation | 1085 W El Camino Real, Sunnyvale, CA 94087-1030 |
| Melanie Manaku | Internal Medicine | Sutter Bay Medical Foundation | 350 Rhode Island St, Suite 200, San Francisco, CA 94103-5188 |
| Street Address |
350 30TH ST SUITE 100 |
| City | OAKLAND |
| State | CA |
| Zip | 94609-3422 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Arthur Pugh | Orthopedic Surgery | 350 30th St, Suite 530, Oakland, CA 94609-3426 | |
| Clare Elizabeth Moynihan | Endocrinology | University Healthcare Alliance | 350 30th St, Suite 320, Oakland, CA 94609-3425 |
| Michael W Tsang | Cardiovascular Disease (cardiology) | Sutter Bay Medical Foundation | 350 30th St, Suite 411, Oakland, CA 94609-3425 |
| James V Felt | Hospitalist | Sutter Bay Medical Foundation | 350 30th St, Suite 100, Oakland, CA 94609-3422 |
| Cheryl A Albuquerque | Obstetrics/gynecology | East Bay Perinatal Center | 350 30th St, Suite 205, Oakland, CA 94609-3425 |
| Anna C. Frick | Obstetrics/gynecology | Sutter Bay Medical Foundation | 350 30th St, Suite 100, Oakland, CA 94609-3422 |
| Jeffrey A Mann | Orthopedic Surgery | California Sports and Orthopaedic | 350 30th St, Suite 530, Oakland, CA 94609-3426 |
| William Beck Lewis | Otolaryngology | University Healthcare Alliance | 350 30th St, Suite 320, Oakland, CA 94609-3425 |
| Lishuang Huang | Qualified Audiologist | University Healthcare Alliance | 350 30th St, Suite 311, Oakland, CA 94609-3425 |
| Bernard J Drury | Otolaryngology | University Healthcare Alliance | 350 30th St, Suite 320, Oakland, CA 94609-3425 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia A Frederick | Chiropractic | 6434 Telegraph Ave, Oakland, CA 94609-1112 | |
| Douglas B Ross | Chiropractic | 6434 Telegraph Ave, Oakland, CA 94609-1112 | |
| Andrea L Long | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Richard W Burg | Chiropractic | 6330 Telegraph Ave, Oakland, CA 94609-1329 | |
| Lisa Gibson | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Dawn J Loretz | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Kathryn Rittenberg | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Nancy Kathleen Bryan | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Chelsea S Landolin | Nurse Practitioner | Bonita House, Inc. | 6333 Telegraph Ave, Suite 102, Oakland, CA 94609-1359 |
| Manton S Hurd | Nurse Practitioner | Bonita House, Inc. | 6333 Telegraph Ave, Suite 102, Oakland, CA 94609-1359 |
| Find all physicians in zip 94609 | |||
| City | OAKLAND |
| Zip Code | 94609 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OAKLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelley Christian Booth.
| 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.