AMY M. HUIBONHOA, M.D. ,INC (NPI# 1134302540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134302540 |
| Entity Type | Organization |
| Organization Name | AMY M. HUIBONHOA, M.D. ,INC |
| Practice Address |
2999 Regent St Suite 201 Berkeley CA 94705-2146 |
| Practice Telephone | 5102040971 |
| Practice Fax Number | 5105490334 |
| Mailing Telephone | 5102040971 |
| Mailing Fax Number | 5105490334 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2007-12-07 |
| Authorized Official Name | DR. AMY M HUIBONHOA (OWNER) |
| Authorized Official Telephone | 5102040971 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | G77311 | CA | Managed Care Organizations |
| Street Address |
2999 REGENT ST SUITE 201 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962487421 | Shahin M Javaheri | Plastic Surgery | 2999 Regent St, Number 626, Berkeley, CA 94705-2146 | 2005-12-07 |
| 1326585449 | Golden Gate Urology Inc | Non-Pharmacy Dispensing Site | 2999 Regent St, Suite 612 & 626, Berkeley, CA 94705-2190 | 2017-01-26 |
| 1639553217 | Susan Su | Optometrist | 2999 Regent St, Suite 425, Berkeley, CA 94705-2190 | 2015-07-14 |
| 1487908802 | Robert J. Stallone M.d., Inc. | Surgery | 2999 Regent St, Suite 622, Berkeley, CA 94705-2190 | 2012-11-07 |
| 1205115128 | Jaikrishna Balkisson,md & Laurie E. Schweitzer, Md | Specialist | 2999 Regent St, 300, Berkeley, CA 94705-2190 | 2011-08-09 |
| 1407150139 | Ryan Lawrence Horn, D.d.s. | Dentist | 2999 Regent St, Suite #403, Berkeley, CA 94705-2190 | 2011-01-10 |
| 1841593472 | Elizabeth Slass Lee A Medical Corporation | Plastic Surgery | 2999 Regent St, Suite 401, Berkeley, CA 94705-2190 | 2010-12-21 |
| 1215191002 | Unilab Corporation | Clinical Medical Laboratory | 2999 Regent St, Suite 101, Berkeley, CA 94705-2146 | 2008-07-11 |
| 1962678979 | Beth Schneider | Acupuncturist | 2999 Regent St, Ste 225, Berkeley, CA 94705-2146 | 2008-04-30 |
| 1023283025 | Williamtennantdds/williamgiannidds | Dentist | 2999 Regent St, Suite 714, Berkeley, CA 94705-2146 | 2008-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649668377 | Joseph W Tietz | Preferred Provider Organization | 1538 Edith St, Berkeley, CA 94703-1154 | 2015-01-05 |
| 1366995219 | Nicole Melwani, Mot/l | Preferred Provider Organization | 2198 6th St, Suite 100, Berkeley, CA 94710-2233 | 2016-07-27 |
| 1154738615 | Eric Stullman Lmft | Preferred Provider Organization | 2428 Dwight Way, Berkeley, CA 94704-3506 | 2014-07-16 |
| 1639472301 | Berkeley Foot Clinic Podiatry Group A Professional Corporation | Preferred Provider Organization | 3000 Colby St Ste 104, Berkeley, CA 94705-2090 | 2010-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961142 | Hoag Physcian Partners | Preferred Provider Organization | 16148 Sand Canyon Ave Fl 2, Irvine, CA 92618-3700 | 2020-01-08 |
| 1356806525 | Premierone Plus Aco | Preferred Provider Organization | 1210 N Jefferson St Ste D, Anaheim, CA 92807-1630 | 2019-02-01 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1184100471 | Care Allies Ipa, Inc | Preferred Provider Organization | 1211 W La Palma Ave Ste 309, Anaheim, CA 92801-2811 | 2018-07-19 |
| 1245723071 | Pacific Associates Medical Group, Inc. | Preferred Provider Organization | 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 | 2018-06-06 |
| 1821585266 | Anthony Nguyen Dds Inc | Preferred Provider Organization | 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 | 2018-04-20 |
| 1275038051 | Ryan Lange D.m.d. Inc. | Preferred Provider Organization | 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 | 2018-03-26 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
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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.