JEROME B. DECK JR. (NPI# 1073691168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073691168 |
| Entity Type | Individual |
| Full Name | JEROME B. DECK JR. |
| Credential | MD |
| Practice Address |
7601 Stoneridge Dr Pleasanton CA 94588-4501 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 9258475000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G72861 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G728610 | 05 |
| Street Address |
7601 STONERIDGE DR |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477551505 | Candace Remer Katz | Allergy & Immunology | 7601 Stoneridge Dr, Pleasanton, CA 94588-4501 | 2005-07-12 |
| 1427582196 | Candice Chan | Pharmacist | 7601 Stoneridge Dr, Pleasanton, CA 94588-4501 | 2017-04-19 |
| 1285168112 | Hung Le | Pharmacist | 7601 Stoneridge Dr, Pleasanton South 1 Pharmacy, Pleasanton, CA 94588-4501 | 2017-04-18 |
| 1174057392 | Frozan Yawar | Pharmacist | 7601 Stoneridge Dr, Pleasanton, CA 94588-4501 | 2017-04-13 |
| 1679007173 | Shirley Gong | Pharmacist | 7601 Stoneridge Dr, Pleasanton, CA 94588-4501 | 2017-04-12 |
| 1457884603 | Vivian S Huang | Pharmacist | 7601 Stoneridge Dr, Pleasanton, CA 94588-4501 | 2017-04-05 |
| 1962934562 | Anthony Young | Pharmacist | 7601 Stoneridge Dr, Pleasanton, CA 94588-4501 | 2017-04-01 |
| 1245762053 | Deborah Tam | Pharmacist | 7601 Stoneridge Dr, Pleasanton, CA 94588-4501 | 2017-03-30 |
| 1033641857 | Sharon Chan | Pharmacist | 7601 Stoneridge Dr, South 1 Pharmacy 1st Floor, Pleasanton, CA 94588-4501 | 2017-03-30 |
| 1689020786 | Anna Venecia Koper | Counselor | 7601 Stoneridge Dr, Pleasanton, CA 94588-4501 | 2016-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134499049 | Missouri Emergency Services, P.C. | Internal Medicine | 5000 Hopyard Rd Ste 100, Pleasanton, CA 94588-3146 | 2012-01-09 |
| 1932401601 | Fernandina G Lo Md Inc | Internal Medicine | 5720 Stoneridge Mall Rd Ste 270, Pleasanton, CA 94588-2854 | 2010-12-01 |
| 1205141322 | Saba Lahsaei | Internal Medicine | 5137 Willowview Ct, Pleasanton, CA 94588-3750 | 2010-08-12 |
| 1457560948 | Donna Marie Hartl | Internal Medicine | 3539 Bernal Ave, #d, Pleasanton, CA 94566-7949 | 2007-05-21 |
| 1396961777 | Bijal Maulin Patel | Internal Medicine | 1447 Cedarwood Ln Ste A, Pleasanton, CA 94566-6140 | 2007-04-17 |
| 1134257702 | Ramford Ng | Internal Medicine | 5565 W Las Positas Blvd Ste 230, Pleasanton, CA 94588-5806 | 2007-03-02 |
| 1285783746 | Kevin G Hart | Internal Medicine | 2324 Santa Rita Rd Ste 8, Pleasanton, CA 94566-4150 | 2007-01-10 |
| 1962559310 | Tri-valley Ecg Medical Group Inc | Internal Medicine | 5565 West Las Positas Blvd, Suite 260, Pleasanton, CA 94588-5807 | 2007-01-05 |
| 1497865448 | Vernon C Haverlah | Internal Medicine | 220 W Goodwin St, Ste. A, Pleasanton, TX 78064-4115 | 2006-08-30 |
| 1245347608 | Badeia Abdel Morsy | Internal Medicine | 5860 Owens Dr, Ste 220, Pleasanton, CA 94588-3900 | 2006-08-23 |
| Find all providers in PLEASANTON | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
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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.