DR. JODY ELIZABETH BALICH (NPI# 1164529285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164529285 |
| Entity Type | Individual |
| Full Name | DR. JODY ELIZABETH BALICH |
| Credential | M.D. |
| Practice Address |
1155 Clarendon Cres Oakland CA 94610-1807 |
| Practice Telephone | 5104653998 |
| Mailing Telephone | 5104653998 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G52253 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1155 CLARENDON CRES |
| City | OAKLAND |
| State | CA |
| Zip Code | 94610-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467944033 | Danielle Elissa Comerford | Marriage & Family Therapist | 370 Grand Ave Ste 4, Oakland, CA 94610 | 2018-05-30 |
| 1073042628 | Thien Lake Acupuncture | Clinic/Center | 3654 Grand Aveune, Oakland, CA 94610 | 2017-06-07 |
| 1508239302 | Montserrat Corsino | Acupuncturist | 493 Prince St, Oakland, CA 94610 | 2015-11-03 |
| 1376978593 | Mazen Abudllah Basidiq | Registered Nurse | 271 Jayne Ave. Suite # 11, Oakland, CA 94610 | 2013-09-06 |
| 1740523026 | Katiah Llerena | Psychologist | 414 Lake Park Ave, #595, Oakland, CA 94610 | 2013-04-04 |
| 1033459409 | Shelly Lynn Henderson-hansen | Speech-Language Pathologist | 3756 Grand Ave, Suite 401, Oakland, CA 94610 | 2013-02-22 |
| 1013267806 | Sara-jean Lizabeth Bartky | Speech-Language Pathologist | 55 Santa Clara Ave #203, Oakland, CA 94610 | 2012-09-19 |
| 1053667139 | Juanita Lerma Hernandez-morin | Counselor | 1375 55th Street, Emeryville, CA 94610 | 2012-07-26 |
| 1396030672 | Catherine Maness | Marriage & Family Therapist | 123 Bay Place, Ste 6, Oakland, CA 94610 | 2011-06-14 |
| 1871807529 | Jaime Beth Levy | Marriage & Family Therapist | 1001 Warfield Ave Apt 103, Oakland, CA 94610 | 2010-08-04 |
| Find all providers in zip 94610 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841583457 | Gabriel Philip Howles-banerji | Radiology | 3600 Broadway, 2nd Floor, Interventional Radiology, Oakland, CA 94611 | 2011-05-16 |
| 1215141114 | Jason Hwang | Radiology | 411 30th Street #508, Oakland, CA 91460 | 2007-05-09 |
| 1194848150 | Donald A Breyer | Radiology | 6861 Gunn Dr, Oakland, CA 94611-1442 | 2007-04-06 |
| 1841311305 | Howard Bruce Glazer | Radiology | 1411 East 14th St., Oakland, CA 94602 | 2007-04-03 |
| 1730203316 | Norcal Imaging | Radiology | 3200 Telegraph Ave, Oakland, CA 94609-3016 | 2007-03-19 |
| 1669515334 | Paul E. Morris | Radiology | 32 Ross Cir, Oakland, CA 94618-1912 | 2007-02-14 |
| 1801997721 | Stuart S. London Md,inc | Radiology | 3330 Telegraph Ave, Oakland, CA 94609-3028 | 2006-09-25 |
| 1083715908 | Stuart S London | Radiology | 3330 Telegraph Ave., Oakland, CA 94609-3028 | 2006-09-25 |
| 1689618415 | Sonali Wadhwa | Radiology | 1800 Harrison Street, 7th Floor, Tpmg Hr Compliance and Administration-npi, Oakland, CA 94612 | 2006-06-15 |
| 1588656847 | Philip Young-suh Chyu | Radiology | 411 30th St, #508, Oakland, CA 94609 | 2005-08-22 |
| Find all providers in OAKLAND | ||||
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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.