DR. IRIANI SUTANTO-DANG


Address: 7677 Oakport St Ste 300, Oakland, CA 94621-1933
Phone: 5103831200

DR. IRIANI SUTANTO-DANG (NPI# 1124226352) 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) 1124226352
Entity Type Individual
Full Name DR. IRIANI SUTANTO-DANG
Credential M.D.
Practice Address 7677 Oakport St Ste 300
Oakland
CA 94621-1933
Practice Telephone 5103831200
Mailing Telephone 5103831200
Enumeration Date 2007-07-10
Last Update Date 2007-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics G78054 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 7677 OAKPORT ST STE 300
City OAKLAND
State CA
Zip Code 94621-1933

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144734864 Alameda Home Care & Hospice LLC Home Health 300 Pendleton Way Ste 328, Oakland, CA 94621 2017-11-17
1760931968 Maria Martinez Counselor 8330 Birch St., Apt. A, Oakland, CA 94621 2016-09-28
1902231301 East Bay Agencey for Children Community/Behavioral Health 1025 81st Ave, Oakland, CA 94621 2013-09-05
1710268016 Srideep Chatterjee Pharmacist 8102 E 14 Th Street, Oakland, CA 94621 2011-08-31
1285953943 Martin Pacheco Counselor 333 Hegenberger Road #600, Oakland, CA 94621 2010-05-20
1821234816 Raul Mark Miranda Grageda Physical Therapist 7817 Oakport Street, Oakland, CA 94621 2008-12-23
1306032156 Adrienne Claire Lopez Tiley Counselor 401 Roland Way Suite 100, Oakland, CA 94621 2007-09-14
1609067610 Sandra Gaspar Marriage & Family Therapist 410 Roland Way. Suite 100, Oakland, CA 94621 2007-08-05
1053512608 Ellis W. Jones Counselor 7501 International Blvd., Oakland, CA 94621 2007-05-30
1851507016 Keith Reese Social Worker 1933-57 Th Avenue, Oakland, CA 94621 2007-05-15
Find all providers in zip 94621

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063831386 Ron Yalon Pediatrics 469 51st St, Oakland, CA 94609-2143 2014-04-15
1801136262 Anthony S Raimo Pediatrics 645 Ramapo Valley Rd, Oakland, NJ 07436-2813 2013-02-21
1326314816 Darrow Debs Deluca Pediatrics 747 52nd Street, Room 201, Pediatric Multispecialty Medical Group, Oakland, CA 94609-1809 2012-03-28
1366760175 Lynne N Rosen Pediatrics 3451 East 12th St., Oakland, CA 94601-3425 2010-05-04
1568698090 Juan Raul Gutierrez Pediatrics 1030 International Ave., Oakland, CA 94606-3730 2009-06-10
1265691190 Donna J Lombardi-goldfus Pediatrics 50 Overlook Ridge, Oakland, NJ 07436 2008-06-05
1578721551 Josephine A Roen Pediatrics 125 2nd St Apt 411, Oakland, CA 94607-4565 2008-05-27
1124294665 Omid Gheysar Pediatrics 1800 Harrison Street 7th Street, Oakland, CA 94612-3429 2008-05-05
1336312891 Lisa Meredith Siskind Pediatrics 3505 Broadway Fl 6, Oakland, CA 94611-5714 2008-04-04
1205027760 Lisa Ann B Michaels Pediatrics 11 E Oak St, Oakland, NJ 07436-2721 2007-08-08
Find all providers in OAKLAND

Competitor

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City OAKLAND
Zip Code 94621

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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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