AALIYAH HODGE (NPI# 1053711176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
6121 Margarido Drive, Oakland, CA 94618 | 5103847842 |
Street Address |
975 SERENO DR |
City | VALLEJO |
State | CA |
Zip Code | 94589-2441 |
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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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 |
Find all providers in zip 94589 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
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 |
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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.