YEEYIE EVA FOGARTY


Address: 2500 Merced Street, San Leandro, CA 94577-4201
Phone: 5104541000

YEEYIE EVA FOGARTY (NPI# 1063586675) 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) 1063586675
Entity Type Individual
Full Name YEEYIE EVA FOGARTY
Other Name YEEYIE E. LIESKOVSKY
Credential M.D.
Practice Address 2500 Merced Street
San Leandro
CA 94577-4201
Practice Telephone 5104541000
Practice Fax Number 5107321357
Mailing Telephone 5104541000
Mailing Fax Number 5107321357
Enumeration Date 2006-11-17
Last Update Date 2015-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
A78233 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE PTAN EL487Z 01
CA 00A782330 05

Office Location

Street Address 2500 MERCED STREET
City SAN LEANDRO
State CA
Zip Code 94577-4201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114901667 Kiran Mayi Nandamuri Internal Medicine 2500 Merced Street, San Leandro, CA 94577-4201 2005-11-29
1700299260 Uma Vinayagasundaram Pediatrics 2500 Merced Street, Kaiser Foundation Hospital- San Leandro, San Leandro, CA 94577 2014-06-03
1033539143 Solomon H. Young Dietitian, Registered 2500 Merced Street, San Leandro, CA 94577-4201 2014-04-16
1538407481 Cindy Lee Nurse Anesthetist, Certified Registered 2500 Merced Street, San Leandro, CA 94577-4201 2013-01-28
1780948125 Giselle Del Rosario Tan Physical Therapist 2500 Merced Street, San Leandro, CA 94577-4201 2012-06-29
1760716260 Kyle Andrew Drullinger Student in an Organized Health Care Education/Training Program 2500 Merced Street, San Leandro, CA 94577-4201 2009-09-30
1336383652 Kian Mostafavi Surgery 2500 Merced Street, San Leandro, CA 94577-4201 2009-04-30
1255572780 Jessica Mary Zuraw Emergency Medicine 2500 Merced Street, San Leandro, CA 94577-4201 2009-03-12
1558526624 Michelle Ortega Dimaano Physical Therapist 2500 Merced Street, San Leandro, CA 94577-4201 2008-07-28
1255595393 Michael Thomas Madland Student in an Organized Health Care Education/Training Program 2500 Merced Street, San Leandro, CA 94577-4201 2008-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093358574 A Caring Heart Home Health Inc. In Home Supportive Care 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 2019-10-28
1871070052 New Connections Neuropsychology, PC Clinical Neuropsychologist 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 2018-07-20
1790287266 Jennifer Capilla Behavior Technician 333 Estudillo Ave #204, San Leandro, CA 94577 2018-03-01
1891296760 Maryann Kruse Bens Clinical Neuropsychologist 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 2018-02-26
1811406721 Brendon Hoang Nguyen Dentist 145 E 14th St, San Leandro, CA 94577 2017-09-22
1801311774 Calvin Walker Counselor 3801 Teagarden Street, San Leandro, CA 94577 2017-08-11
1184154999 Shauntrinae Mason Marriage & Family Therapist 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 2017-06-14
1912453135 Dr. Marshea Evans Point of Service 1068 E14th Street, San Leandro, CA 94577 2016-08-28
1902252935 Mobility Express Medical Transportation Non-emergency Medical Transport (VAN) 1695 Abram Ct Ste 202, San Leandro, CA 94577 2016-05-09
1194170381 Girls Incorporated of Alameda County Community/Behavioral Health 2251 Bancroft Ave, San Leandro, CA 94577 2016-04-26
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154933034 Andrew Lim Radiology 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 2020-08-20
1083275200 Centerpoint Radiation Oncology, Inc. Radiology 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 2019-06-27
1922450840 Cynthia Bajada Chasan Radiology 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 2016-07-02
1871906396 Sammy Mohamed Ashouri Radiology 300 Pasteur Dr Rm H1330, Stanford, CA 94305 2014-06-03
1235540469 Julian C Hong Radiology 1825 4th St Rm M2260, San Francisco, CA 94143-2350 2014-05-09
1295155422 Rishabh Chaudhari Radiology 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 2014-04-28
1407278211 Vincent S. T. Cheng Radiology 6022 W Sweet Dr, Visalia, CA 93291-8924 2014-01-13
1487085221 Peter Allison Austin Radiology 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 2013-12-04
1760820666 Sandra Birdwell Radiology 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 2013-06-13
1063859874 John Vidyadhar Hegde Radiology Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 2013-06-03
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Competitor

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City SAN LEANDRO
Zip Code 94577

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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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