DR. EDWIN SAMUEL KULUBYA JR. (NPI# 1164970372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164970372 |
| Entity Type | Individual |
| Full Name | DR. EDWIN SAMUEL KULUBYA JR. |
| Credential | MD |
| Practice Address |
4860 Y St Sacramento CA 95817 |
| Mailing Address |
1619 G St Apt 3 Sacramento CA 95814 |
| Practice Telephone | 9167343071 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 0 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922027218 | Edwin Samuel Kulubya | Anesthesiology | 5475 E La Palma Ave, Suite 202, Anaheim, CA 92807-2075 | 2006-07-18 |
| Street Address |
4860 Y ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075536 | Julianna Landon Burton | Pharmacist | 4860 Y St, Sacramento, CA 95817-2307 | 2005-07-07 |
| 1467913954 | Brandon Victor Hassid | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2019-03-27 |
| 1750853230 | Mandy Michelle Stanton | Registered Nurse | 4860 Y St, Sacramento, CA 95817-2307 | 2018-12-21 |
| 1881176543 | Wesam Hakki Alduleme | Respiratory Therapist, Registered | 4860 Y St, Sacramento, CA 95817-2307 | 2018-08-29 |
| 1174020960 | Jorge Carlos Cuza | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2018-04-09 |
| 1073019089 | Obinna Chukwuemeka Oko | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2018-03-30 |
| 1871097956 | Jonathan C Hu | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2018-03-22 |
| 1508390147 | Ifeanyi Cliff Onyeji | Student in an Organized Health Care Education/Training Program | 4860 Y St, Suite 3500, Sacramento, CA 95817-2307 | 2017-04-19 |
| 1942733720 | Nicole Sadika Yee | Student in an Organized Health Care Education/Training Program | 4860 Y St, Suite 2500, Sacramento, CA 95817-2307 | 2017-04-07 |
| 1831622869 | Mark William Evans | Student in an Organized Health Care Education/Training Program | 4860 Y St, Suite 2500, Sacramento, CA 95817-2307 | 2017-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114284478 | Yi-ren Chen | Neurological Surgery | 3939 J St Ste 250, Sacramento, CA 95819-3637 | 2012-04-11 |
| 1942449244 | Jennifer Shinae Jennings | Neurological Surgery | 3939 J St Ste 380, Sacramento, CA 95819-3671 | 2009-02-10 |
| 1689864506 | Kevin E Hsieh | Neurological Surgery | 1430 22nd St, Sacramento, CA 95816 | 2007-07-26 |
| 1710018551 | Orin Bloch | Neurological Surgery | 3160 Folsom Blvd Ste 3900, Sacramento, CA 95816-5271 | 2007-03-07 |
| 1760524979 | Griffith R Harsh Iv | Neurological Surgery | 4860 Y St Ste 3740, Sacramento, CA 95817-2307 | 2007-02-13 |
| 1003921388 | Anne H. Sholes | Neurological Surgery | 2801 K St Ste 410, Neurosurgery, Sacramento, CA 95816-5119 | 2006-08-20 |
| 1215915517 | Kiarash Shahlaie | Neurological Surgery | Department of Neurological Surgery, 4860 Y Street, Suite #3740, Sacramento, CA 95817 | 2006-01-06 |
| 1942810858 | Allan Russell Martin | Neurological Surgery | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-08-05 |
| 1700309168 | Tejas Karnati | Neurological Surgery | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2017-07-18 |
| 1972999712 | Fady Girgis | Neurological Surgery | 4860 Y Street, 3740, Sacramento, CA 95817-2307 | 2015-04-08 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.