DR. KETNA MISTRY (NPI# 1093129801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093129801 |
| Entity Type | Individual |
| Full Name | DR. KETNA MISTRY |
| Credential | MD |
| Practice Address |
1 Dna Way Ms 8214 South San Francisco CA 94080-4918 |
| Practice Telephone | 6503036097 |
| Mailing Telephone | 6503036097 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 46699 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1 DNA WAY MS 8214 |
| City | SOUTH SAN FRANCISCO |
| State | CA |
| Zip Code | 94080-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332585 | Jakob Dupont | Internal Medicine | 1 Dna Way, South San Francisco, CA 94080-4918 | 2006-01-28 |
| 1710595871 | Melissa M Kimura | Pharmacist | 1 Dna Way, South San Francisco, CA 94080-4990 | 2020-07-15 |
| 1538418298 | Mark Christopher Benyunes | Internal Medicine | 1 Dna Way, Mailstop 444b, South San Francisco, CA 94080-4918 | 2012-09-09 |
| 1467709204 | Harold Vincent Barron | Specialist | 1 Dna Way, South San Francisco, CA 94080-4918 | 2012-08-11 |
| 1538436076 | Arun Villivalam, Md., Inc. | General Practice | 1 Dna Way, Building 5, South San Francisco, CA 94080-4918 | 2011-11-29 |
| 1558649194 | Melissa Garig Brammer | Internal Medicine | 1 Dna Way, South San Francisco, CA 94080-4918 | 2011-08-01 |
| 1316248180 | Salena Quan | Nurse Practitioner | 1 Dna Way, South San Francisco, CA 94080-4918 | 2010-11-10 |
| 1861627531 | Charles E Barr | Internal Medicine | 1 Dna Way, Mail Stop 66, South San Francisco, CA 94080-4918 | 2009-05-23 |
| 1720262330 | Slawomir Wojtowicz-praga | Internal Medicine | 1 Dna Way, Genentech, Mailstop 444a, South San Francisco, CA 94080-4918 | 2007-12-19 |
| 1265639454 | Patrick Shawn Twomey | Internal Medicine | 1 Dna Way, South San Francisco, CA 94080-4918 | 2007-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
| 1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
| 1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
| 1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
| 1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
| 1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
| 1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
| 1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
| 1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
| 1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
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| 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 |
|---|---|---|---|---|
| 1669887931 | Christabelle Co | Pediatrics | 161 S Spruce Ave Ste 205, South San Francisco, CA 94080-4517 | 2014-06-25 |
| 1194940551 | Jason A Sager | Pediatrics | Genentech, One Dna Way, Ms 88, South San Francisco, CA 94080 | 2007-04-13 |
| 1487705638 | Clementina Lariza Manio | Pediatrics | 483 Grand Ave, South San Francisco, CA 94080-3635 | 2007-01-15 |
| 1679083513 | Christabelle Co Md Inc | Pediatrics | 161 S Spruce Ave Ste 205, South San Francisco, CA 94080-4517 | 2017-10-05 |
| 1336271204 | Alice M Turner | Pediatrics | 306 Spruce Ave, South San Francisco Clinic-2nd Floor, South San Francisco, CA 94080-2741 | 2007-03-09 |
| 1346375763 | Chi K Co | Pediatrics | 161 S Spruce Ave, Suite 205, South San Francisco, CA 94080-4517 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879099 | Dr Sameh Elamir Md PC | Pediatrics | 1834 W Lincoln Ave Ste R, Anaheim, CA 92801-5425 | 2020-10-17 |
| 1710590971 | Javier R Rios Md, A Professional Corporation | Pediatrics | 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 | 2020-08-27 |
| 1275151342 | California Pediatric & Adolescent Care Inc | Pediatrics | 3340 W Ball Rd Ste A, Anaheim, CA 92804-3729 | 2020-07-06 |
| 1891312153 | Anna Munoz Chavira, Md | Pediatrics | 10603 Horton Ave, Downey, CA 90241-2109 | 2020-07-02 |
| 1699391219 | Margaret Dillon Burchell | Pediatrics | 1524 Columbus Ave, Burlingame, CA 94010-5512 | 2020-06-19 |
| 1780206003 | Pineapple Pediatrics | Pediatrics | 19 E Citrus Ave Ste 201, Redlands, CA 92373-4742 | 2020-05-08 |
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1790304707 | Nicollette L. Ballou, M.d. | Pediatrics | 3831 Hughes Ave Ste 602, Culver City, CA 90232-6845 | 2020-04-09 |
| 1083243091 | Anita Giselle Wright | Pediatrics | 4003 Clarinda Dr, Tarzana, CA 91356-5048 | 2020-04-02 |
| 1669005500 | Family Choice Pediatrics Inc | Pediatrics | 3801 Katella Ave Ste 221, Los Alamitos, CA 90720-3380 | 2020-02-19 |
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| City | SOUTH SAN FRANCISCO |
| Zip Code | 94080 |
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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.