PETER JULIAN EWALD


Address: 1600 Holloway Ave, Student Health Services San Francisco State University, San Francisco, CA 94132-4200
Phone: 4153381351

PETER JULIAN EWALD (NPI# 1144299801) 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) 1144299801
Entity Type Individual
Full Name PETER JULIAN EWALD
Credential MD
Practice Address 1600 Holloway Ave
Student Health Services San Francisco State University
San Francisco
CA 94132-4200
Practice Telephone 4153381351
Practice Fax Number 4153386834
Mailing Telephone 4153381351
Mailing Fax Number 4153386834
Enumeration Date 2006-03-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics C34963 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1600 HOLLOWAY AVE
STUDENT HEALTH SERVICES SAN FRANCISCO STATE UNIVERSITY
City SAN FRANCISCO
State CA
Zip Code 94132-4200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619327491 Gloria Juarez Specialist/Technologist 1600 Holloway Ave, San Francisco, CA 94132-1722 2016-06-13
1669881306 Caren Y. Cubas-forsyth Nurse Practitioner 1600 Holloway Ave, San Francisco, CA 94132-1722 2014-08-06
1952712481 Christina Cardenas Castelein Nurse Practitioner 1600 Holloway Ave, Student Health Services, San Francisco, CA 94132-1722 2014-05-19
1093133571 Glenna Pyo Lee Nurse Practitioner 1600 Holloway Ave, San Francisco, CA 94132-1722 2014-04-02
1497069827 Jaeyoun Shin Marriage & Family Therapist 1600 Holloway Ave, Ssb208, San Francisco, CA 94132-1722 2010-07-27
1114252889 Stephanie Tung Speech-Language Pathologist 1600 Holloway Ave, Burk Hall 114, San Francisco, CA 94132-1722 2009-10-13
1629209416 Yeon-shim Lee Counselor 1600 Holloway Ave, Hss #216, San Francisco, CA 94132-1722 2009-07-28
1053588178 Offalyn V Samatra Pharmacy Technician 1600 Holloway Ave, San Francisco, CA 94132-1722 2008-05-08
1164695946 Brenda Hyde Registered Nurse 1600 Holloway Ave, San Francisco, CA 94132-1722 2008-04-11
1659583763 Andrea Grace Renwanz Boyle Nurse Practitioner 1600 Holloway Ave, San Francisco, CA 94132-1722 2007-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790194538 Stillpoint Counseling Community/Behavioral Health 259 Arch Street, Unit B, San Francisco, CA 94132 2014-08-06
1841549326 Angela Leung, Dds,pc Clinic/Center 595 Buckingham Way #432, San Francisco, CA 94132 2012-08-30
1215210240 Pure Panambo Pharmacist 2550 Ocean Avenue, San Francisco, CA 94132 2011-09-26
1306025457 Thomas Milton Thickett Dentist 90 Woodacre, Suite 107, San Francisco, CA 94132 2007-10-25
1699844373 Myoung C Lee Dentist 90 Woodacre Dr, #108, San Francisco, CA 94132 2006-11-07
1548365950 James David Jacobitz Dermatology 190 Eucalyptus, San Francisco, CA 94132 2006-09-13
1811009004 John S Blankfort Dentist 2515 Ocean Ave # 1, San Francisco, CA 94132 2006-08-31
1043327240 Chris S Manitsas Obstetrics & Gynecology 506 Gellert Drive, San Francisco, CA 94132 2006-08-24
1720024987 Tyrone Chan Dentist 2645 Ocean Avenue, Suite 302, San Fransisco, CA 94132 2006-06-22
1568730711 April Trinh Pharmacist 3931 Alemany Blvd, Suite 2001, San Francisco, CA 94132 2011-12-02
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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
1871158675 Robert H. Langston Pediatrics 3838 California St Rm 815, San Francisco, CA 94118-1510 2019-05-07
1205367919 Howard Chao Pediatrics 550 16th St # 110, San Francisco, CA 94143-2549 2017-03-23
1508226200 Private Medical Physicians Inc. Pediatrics 3580 California St Ste 202, San Francisco, CA 94118-1717 2016-02-24
1326433491 Emily Rebecca Peitzman Pediatrics 1823 Union St Fl 550164, San Francisco, CA 94123-4307 2015-04-05
1972998037 Elizabeth Yang Pediatrics Ucsf Pediatrics 550 16th St Fl 4, San Francisco, CA 94143-0001 2015-04-05
1801281175 Jessica Maddox Pediatrics 2762 23rd St, San Francisco, CA 94110-3442 2015-04-02
1780076448 Michael Smith Pediatrics Ucsf Pediatrics, 550 16th St Fl 4, San Francisco, CA 94131 2015-03-04
1942629704 Gayatri Boddupalli Madduri Pediatrics 50 Parnassus Ave, San Francisco, CA 94117-4343 2014-04-09
1609294909 Ekaterina Vaisberg Pediatrics Dept of Pediatrics Uc San Francisco M691, 505 Parnassus, Box 0110, San Francisco, CA 94143-0001 2014-04-03
1255758512 Kimberly Nicole Grelli Pediatrics Po Box 734, San Francisco, CA 94104-0734 2014-03-25
Find all providers in SAN FRANCISCO

Competitor

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City SAN FRANCISCO
Zip Code 94132

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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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