AALIYAH HODGE


Address: 975 Sereno Dr, Vallejo, CA 94589-2441
Phone: 7076511000

AALIYAH HODGE (NPI# 1053711176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053711176
Entity Type Individual
Full Name AALIYAH HODGE
Credential MD
Practice Address 975 Sereno Dr
Vallejo
CA 94589-2441
Mailing Address Po Box 3175
Oakland
CA 94609-0175
Practice Telephone 7076511000
Enumeration Date 2014-08-26
Last Update Date 2019-03-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics A149007 CA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care
N 172V00000X Community Health Worker Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6121 Margarido Drive, Oakland, CA 94618 5103847842

Office Location

Street Address 975 SERENO DR
City VALLEJO
State CA
Zip Code 94589-2441

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316940620 James A Carolan Specialist 975 Sereno Dr, Vallejo, CA 94589-2441 2005-05-31
1386243483 Chrismichael C Caniaveral Pulmonary Function Technologist 975 Sereno Dr, Vallejo, CA 94589-2441 2020-10-20
1598376188 Justin Parungao Vallarta Pharmacist 975 Sereno Dr, Vallejo, CA 94589-2441 2020-08-16
1083232524 Jeremy Cobb Mutter Respiratory Therapist, Certified 975 Sereno Dr, Vallejo, CA 94589-2441 2020-07-10
1083230361 Rabeea Abbas Orthopaedic Surgery 975 Sereno Dr, Vallejo, CA 94589-2441 2020-06-22
1518588490 Claudia S Vanover Radiology 975 Sereno Dr, Vallejo, CA 94589-2441 2020-05-01
1013536937 Nicole Anne Madrilejo Student in an Organized Health Care Education/Training Program 975 Sereno Dr, Vallejo, CA 94589-2441 2020-04-10
1457970527 Sean N Ryan Physical Therapist 975 Sereno Dr, Vallejo, CA 94589-2441 2020-04-09
1528687787 Natalie Sukie White Student in an Organized Health Care Education/Training Program 975 Sereno Dr, Vallejo, CA 94589-2441 2020-04-08
1801423223 Jacqueline Yu Student in an Organized Health Care Education/Training Program 975 Sereno Dr, Vallejo, CA 94589-2441 2020-03-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366903478 Nabreea Dianna Moore Behavioral Analyst 1300 Donner Pass Rd, Vallejo, CA 94589 2019-03-29
1588131221 Alejandra Hernandez De Leon Behavioral Analyst 151 Mimosa Ct, Vallejo, CA 94589 2018-10-31
1821588948 Angela Ancheta Laco Behavioral Analyst 71 Los Cerritos Dr, Vallejo, CA 94589 2018-05-14
1851750764 Shauntell Hudson Counselor 112 Basalt Dr, Vallejo, CA 94589 2016-02-19
1982997680 Shuttle California Transit, LLC Private Vehicle 322 Lemon St, Vallejo, CA 94589 2011-05-27
1588813455 Shay Teresa Loftus Psychologist 1761 Broadway, Suite 100, Vallejo, CA 94589 2008-09-16
1063629236 Michael Francis Edziak Dentist 150 Hospital Dr., Vallejo, CA 94589 2007-05-17
1346454220 Diljit Bahuleyan Karayil Internal Medicine 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 2007-05-09
1174745525 Thomas Welch Gross Emergency Medicine Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 2007-05-03
1639207756 James D Prigmore Dentist 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 2007-03-01
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083647325 Sophie A Lay Pediatrics 2001 Springs Rd, Vallejo, CA 94591 2006-07-09
1932132297 North Bay Pediatrics Pediatrics 160 Glen Cove Marina Rd #103, Vallejo, CA 94591 2006-07-09
1396089512 Robyn Nicole George Pediatrics 975 Sereno Dr, Vallejo, CA 94589-2441 2012-11-15
1568743722 Nicole Rebecca Loeffler-siu Pediatrics 975 Sereno Dr, Vallejo, CA 94589-2441 2011-09-01
1740575455 Deepti K Mehta Pediatrics 975 Sereno Dr, Vallejo, CA 94589-2441 2011-06-10
1073834644 Kimberly Lynn Seaton-smith Pediatrics 100 Hospital Drive, Suite 200, Vallejo, CA 94589-2582 2010-06-18
1588827067 Philip Joseph Malouf Pediatrics 365 Tuolumne St, Vallejo, CA 94590-5700 2008-07-06
1104099951 Tami Hendriksz Pediatrics 365 Tuolumne St, Vallejo, CA 94590-5700 2008-04-11
1952570939 Keedra Deshauna Mcneill Pediatrics 975 Sereno Dr, Vallejo, CA 94589-2441 2008-02-25
1821120858 Gary D. Evans Pediatrics 975 Sereno Dr, Vallejo, CA 94589-2441 2007-03-13
Find all providers in VALLEJO

Competitor

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City VALLEJO
Zip Code 94589

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Dataset Information

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.

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