DR. JUDITH WILBER (NPI# 1073754081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073754081 |
| Entity Type | Individual |
| Full Name | DR. JUDITH WILBER |
| Credential | PH.D. |
| Practice Address |
3260 Bayshore Blvd Brisbane CA 94005-1021 |
| Practice Telephone | 4152872300 |
| Practice Fax Number | 4152872450 |
| Mailing Telephone | 4152872300 |
| Mailing Fax Number | 4152872450 |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
DRI42 | CA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780021840 | Judith J Wilber | Internal Medicine | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2013-05-30 |
| Street Address |
3260 BAYSHORE BLVD |
| City | BRISBANE |
| State | CA |
| Zip Code | 94005-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689607384 | Care Dx, Inc. | Clinical Medical Laboratory | 3260 Bayshore Blvd, Brisbane, CA 94005 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588874028 | James E. Fitzgerald, Dds Inc | Clinic/Center | 100 Old County Road, Ste 100b, Brisbane, CA 94005 | 2007-05-23 |
| 1598973190 | Barry Michael Sherman | Internal Medicine | Bipar Science, Inc., 1000 Marina Blvd., Suite 550, Brisbane, CA 94005 | 2007-05-18 |
| 1396882353 | Sadna G Patel | Counselor | 415 Swallowtail Court, Brisbane, CA 94005 | 2007-01-31 |
| 1639233133 | Frank L Fay | Dentist | 1405 Huntington Avenue, #217, South San Francisco, CA 94005 | 2006-12-20 |
| 1922386523 | Focus Surgical | Durable Medical Equipment & Medical Supplies | 100 N Hill Dr, Suite 43, Brisbane, CA 94005-1017 | 2011-07-30 |
| 1508127176 | Robert Stephen Fishman | Internal Medicine | 3280 Bayshore Blvd, Brisbane, CA 94005-1021 | 2012-05-31 |
| 1073146841 | Kit Bio | Clinical Medical Laboratory | 150 N Hill Dr Ste 10, Brisbane, CA 94005-1023 | 2020-02-19 |
| 1427580109 | Oncocyte, Corporation | Clinical Medical Laboratory | 150 N Hill Dr Ste 14, Brisbane, CA 94005-1023 | 2017-03-31 |
| 1487298162 | Razor Genomics, Inc | Clinical Medical Laboratory | 150 N Hill Dr Ste 14, Brisbane, CA 94005-1023 | 2019-11-05 |
| 1134648397 | Jamie Dananberg | Specialist | 3280 Bayshore Blvd Ste 100, Brisbane, CA 94005-1029 | 2017-09-19 |
| Find all providers in zip 94005 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915888 | Pangea Laboratory LLC | Pathology | 3189 Red Hill Ave Ste D, Costa Mesa, CA 92626-3426 | 2020-06-05 |
| 1851913354 | The Laab LLC | Pathology | 664b W Broadway, Glendale, CA 91204-1008 | 2020-05-07 |
| 1811492028 | Andy Madoyan | Pathology | 1737 E Washington Blvd Ste 5, Pasadena, CA 91104-2772 | 2018-03-28 |
| 1972045110 | Anthony Butch | Pathology | 2122 Granville Ave, Los Angeles, CA 90095-6106 | 2016-11-04 |
| 1730589102 | Dale Ann Schwab | Pathology | 5785 Corporate Ave, Cypress, CA 90630-4726 | 2014-09-03 |
| 1992366843 | Tharanga Niroshini Senaratne | Pathology | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2019-06-21 |
| 1205494218 | Jack Ji | Pathology | 180 Kimball Way, South San Francisco, CA 94080-6218 | 2019-06-04 |
| 1831753839 | Daniel Yue-king Chan | Pathology | 430 S Cataract Ave, San Dimas, CA 91773-2902 | 2019-04-24 |
| 1265700660 | Ketevan Gendzekhadze | Pathology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2011-12-13 |
| 1811295165 | Athena M Cherry | Pathology | 3375 Hillview Ave, Room 2809, Palo Alto, CA 94304-1204 | 2011-03-10 |
| Find all providers with the same taxonomy | ||||
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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.