EITAN HOMA MD AND JENNIFER KRASNOFF MD INC (NPI# 1164514881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164514881 |
| Entity Type | Organization |
| Organization Name | EITAN HOMA MD AND JENNIFER KRASNOFF MD INC |
| Other Organization Name | DERMATOLOGY ASSOCIATES OF THE BAY AREA |
| Practice Address |
500 Alfred Nobel Dr Ste 245 Hercules CA 94547 |
| Practice Telephone | 5107417418 |
| Practice Fax Number | 5107417456 |
| Mailing Telephone | 5107417418 |
| Mailing Fax Number | 5107417456 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | MS. MARLENE KOLE (OFFICE MANAGER) |
| Authorized Official Telephone | 5107417418 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHILED | ZZZ00647Z | 01 |
| CA | RAILROAD MEDICARE | C14303 | 01 |
| Other Name | Type Code |
|---|---|
| Dermatology Associates of the Bay Area | Doing Business As Name - Organization |
| Street Address |
500 ALFRED NOBEL DR STE 245 |
| City | HERCULES |
| State | CA |
| Zip Code | 94547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245205632 | Jonathan J Uy | Podiatrist | 500 Alfred Nobel Dr, Suite 265, Hercules, CA 94547-1838 | 2006-02-21 |
| 1437600723 | Sarabjeet Singh | Dentist | 500 Alfred Nobel Dr, 130, Hercules, CA 94547-1838 | 2016-10-21 |
| 1225588395 | Mencita Dabu Masangkay Dmd Inc. | Dentist | 500 Alfred Nobel Dr, Suite 145, Hercules, CA 94547-1838 | 2016-10-12 |
| 1578817961 | Douglas Lin, Dds, Inc | Dentist | 500 Alfred Nobel Dr, Suite 130, Hercules, CA 94547-1838 | 2012-11-06 |
| 1396037263 | Victor Cp Kerenyi | Chiropractor | 500 Alfred Nobel Dr, Suite 175, Hercules, CA 94547-1838 | 2011-05-10 |
| 1427223379 | Elizabeth Posadas Mora | Dentist | 500 Alfred Nobel Dr, Suite 180, Hercules, CA 94547-1838 | 2008-04-22 |
| 1003005349 | T. Nguyen, Dds, Corporation | Preferred Provider Organization | 500 Alfred Nobel Dr, 285, Hercules, CA 94547-1838 | 2007-10-23 |
| 1235257197 | Yee Fong Chen | Acupuncturist | 500 Alfred Nobel Dr, Suite # 220, Hercules, CA 94547-1838 | 2007-03-27 |
| 1124143227 | Oksana M Peters | Physician Assistant | 500 Alfred Nobel Dr, Suite 245, Hercules, CA 94547-1838 | 2007-03-20 |
| 1023145273 | Ashley Huong Ho | Dentist | 500 Alfred Nobel Dr, Suite # 165, Hercules, CA 94547-1838 | 2007-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768286 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4080 San Pablo Ave, Hercules, CA 94547 | 2020-01-06 |
| 1407415144 | Julita Chinyere Agwumezie | Pharmacist | 1590 Sycamore Avenue, Hercules, CA 94547 | 2019-06-06 |
| 1730545666 | Evelyn Gomez | Behavioral Analyst | 115 Starling Way, Hercules, CA 94547 | 2016-01-07 |
| 1730572264 | Laith Anwar Yacoub | Pharmacist | 530 Silver Maple Dr., Hercules, CA 94547 | 2015-03-09 |
| 1396171526 | Yeun Joo Kim | Dentist | 9 Arete Court, Hercules, CA 94547 | 2013-09-19 |
| 1568751527 | Sophie Chen | Dentist | 500 Alfred Nobel Drive, Suite 130, Hercules, CA 94547 | 2011-03-30 |
| 1962654517 | Jason M. Hataye | Student in an Organized Health Care Education/Training Program | 572 Turquoise Drive, Hercules, CA 94547 | 2008-10-15 |
| 1649454802 | Lovely C. Manlapaz | Dentist | 844 Willow Avenue, Suite - A6, Hercules, CA 94547 | 2007-12-24 |
| 1386823805 | Vincent T Chen | Dentist | 500 Alfred Nobel Dr., Ste. 280, Hercules, CA 94547 | 2007-11-01 |
| 1902950132 | Leonard Alexander Newman | Ophthalmology | 500 Alfred Noble Dr, Ste 225, Hercules, CA 94547 | 2007-01-23 |
| Find all providers in zip 94547 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
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| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1033730981 | Adrianna Janell Browne, Md, Inc. | Dermatology | 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 | 2020-05-01 |
| 1215564877 | Jasmine Khachatrian | Dermatology | 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 | 2020-03-24 |
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1457982001 | Modesty Joy Isaguirre | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-02-03 |
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1336784206 | Barbara Kinkle Pa Inc., A Physician Assistant Corporation | Dermatology | 24575 Hunt Ave, Corning, CA 96021-8607 | 2019-11-14 |
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
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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.