TIN M DO


Address: 495 Stanyan St, San Francisco, CA 94117
Phone: 4157505700

TIN M DO (NPI# 1154419034) 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) 1154419034
Entity Type Individual
Full Name TIN M DO
Credential M.D.
Practice Address 495 Stanyan St
San Francisco
CA 94117
Mailing Address 2100 Powell St
Suite 920
Emeryville
CA 94608-1826
Practice Telephone 4157505700
Mailing Telephone 5103502600
Enumeration Date 2006-10-10
Last Update Date 2008-05-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine A84566 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A845660 05

Office Location

Street Address 495 STANYAN ST
City SAN FRANCISCO
State CA
Zip Code 94117

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497231765 Tsz Ching Isaac Chung Counselor 2020 Hayes Street, San Francisco, CA 94117 2018-07-19
1124578901 Michelle Elizabeth Cohen Nurse Practitioner 350 Parnassus Ave Ste 908, San Francisco, CA 94117 2016-10-05
1235686346 Amy Burtelow Massage Therapist 425 Divisadero Street Suite 300, San Francisco, CA 94117 2016-09-07
1851790430 Elissa Stevens Counselor 1757 Waller Street, San Francisco, CA 94117 2014-08-19
1831508043 Colmed Laboratories & Radiology Clinical Medical Laboratory 560 Haight Street #104, San Francisco, CA 94117 2014-08-13
1972917847 Radha Yerneni Internal Medicine 450 Stanyan St Fl 6, San Francisco, CA 94117 2014-06-18
1811333594 Julia Wong Counselor 425 Divisadero Street, Suite 300, San Francisco, CA 94117 2013-05-21
1740623529 Cody Elizabeth Berry Social Worker 425 Divisadero, Suite 300, San Francisco, CA 94117 2013-04-11
1235471848 Steven Ryan Vidrine Psychiatry & Neurology 350 Parnassus Ave Ste 201, San Francisco, CA 94117 2013-03-21
1699043810 Podiatry Plan Inc Podiatrist 1353b Haight Street, San Francisco, CA 94117 2011-12-02
Find all providers in zip 94117

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265051304 Madhok Medical Corporation Emergency Medicine 2309 Noriega St # 5, San Francisco, CA 94122-4239 2020-04-09
1710451158 Charles Evans Saunders Emergency Medicine 2712 Pacific Ave, San Francisco, CA 94115-1130 2019-01-18
1104357169 Edward D Grom Emergency Medicine Ucsf Medical Center, 505 Parnassus Ave, M-24, Campus Box 0203, San Francisco, CA 94143 2017-03-22
1003351891 Paul Robinson Emergency Medicine 1230 Arguello Blvd Apt 2, San Francisco, CA 94122-2777 2017-01-03
1649635095 William Cherniak Emergency Medicine 468 Sanchez St, San Francisco, CA 94114-2027 2015-12-29
1235524083 Tomas Diaz Emergency Medicine Ucsf Department of Emergency Medicine, 505 Parnassus Avenue, Room M24, San Francisco, CA 94143-0001 2015-03-30
1316357411 Roger Stephen Ellis Emergency Medicine 301 Edgehill Way, San Francisco, CA 94127 2014-04-29
1669891503 Sammy Hodroge Emergency Medicine 25 Camp St Apt 2, San Francisco, CA 94110 2014-04-08
1336585264 Nicole Tatsui D'arcy Emergency Medicine 1001 Potrero Ave Rm 1e22a, San Francisco, CA 94110 2013-05-19
1093159527 Matthew H Wetschler Emergency Medicine 2691 Bryant St, San Francisco, CA 94110-4223 2013-04-26
Find all providers in SAN FRANCISCO

Competitor

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City SAN FRANCISCO
Zip Code 94117

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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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