MAUDE E DULL


Address: 550 16th St Fl 5, San Francisco, CA 94158-2545
Phone: 4154765153

MAUDE E DULL (NPI# 1184681603) 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) 1184681603
Entity Type Individual
Full Name MAUDE E DULL
Credential MD
Practice Address 550 16th St Fl 5
San Francisco
CA 94158-2545
Mailing Address 3333 California St # S1-10
San Francisco
CA 94118-1981
Practice Telephone 4154765153
Mailing Telephone 4154765153
Enumeration Date 2006-04-27
Last Update Date 2020-01-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 228170 NY Allopathic & Osteopathic Physicians
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
C152808 CA Allopathic & Osteopathic Physicians
N 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
228170 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 02889949 05
PA 1020856180001 05
IHA 1214337 01
UNIVERA 00028182101 01
BC/BS 000529327003 01
FIDELIS 071221000006 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
245 Governors Dr Se, Huntsville, AL 358012700 2562651000 2562657065

Office Location

Street Address 550 16TH ST FL 5
City SAN FRANCISCO
State CA
Zip Code 94158-2545

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982101002 Yalin Audrey Lin Pediatrics 550 16th St Fl 5, San Francisco, CA 94143-2549 2018-04-06
1316311509 Jose Joaquin Estalilla Hernandez Surgery 550 16th St Fl 5, San Francisco, CA 94158-2549 2015-11-25
1245624691 Janet Trang Student in an Organized Health Care Education/Training Program 550 16th St Fl 5, San Francisco, CA 94143 2015-03-24
1154711836 Ellen Marie Dejong Pediatrics 550 16th St Fl 5, San Francisco, CA 94158-2545 2015-02-02
1487092987 Tracy Marrs Conner Pediatrics 550 16th St Fl 5, San Francisco, CA 94158-2545 2013-06-06
1124366109 Anna Tran Nurse Practitioner 550 16th St Fl 5, Box 0570, San Francisco, CA 94158-2549 2013-01-24
1841557980 Emily Sara Stieren Pediatrics 550 16th St Fl 5, Ucsf Pediatrics, Box 0734, San Francisco, CA 94158-2549 2012-04-13
1376855866 Maria Teresa Zuluaga Pediatrics 550 16th St Fl 5, San Francisco, CA 94158-2545 2010-07-13
1780903419 Danielle Justine Usatin Student in an Organized Health Care Education/Training Program 550 16th St Fl 5, Box 0136, San Francisco, CA 94158-2549 2010-05-20
1457582470 Elena K Amin Pediatrics 550 16th St Fl 5, San Francisco, CA 94158-2545 2009-08-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114532298 Carla Stern Occupational Therapist 940 4th Street, San Francisco, CA 94158 2020-09-15
1386272771 Olga Agnieszka Lannon Registered Nurse 701 China Basin Street, San Francisco, CA 94158 2020-03-31
1679110407 Drew Yoder Physical Medicine & Rehabilitation Chase Center - Bbops, 1 Warriors Way, San Francisco, CA 94158 2019-11-27
1518448430 Christine Caitlin-quinley Magdalin Physical Therapist 1600 Owens Street, 6th Floor, San Francisco, CA 94158 2018-08-28
1477050730 Daniel Bradford Cary Woolridge Student in an Organized Health Care Education/Training Program 1975 Fourth St., San Francisco, CA 94158 2018-04-12
1992223069 Ambili N Thannil Nurse Practitioner 550 16th Street 5th Floor, San Francisco, CA 94158 2017-09-08
1831637974 Michele Brown Foster Nurse Practitioner 1975 Fourth Street, San Francisco, CA 94158 2017-02-09
1124487525 Jennifer Waters Occupational Therapist 1975 4th Street, Box 4050, Rehab Services, San Francisco, CA 94158 2016-02-15
1598148173 Gabriel Perez Schwartz Registered Nurse 1825 Fourth Street, Fourth Floor, San Francisco, CA 94158 2015-07-01
1235424086 Fanny Mojdeh Elahi Psychiatry & Neurology 675 Nelson Rising Lane, Ucsf Memory and Aging, San Francisco, CA 94158 2011-06-09
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871737270 Shan Lyn Ward Pediatrics 3333 California St # S110, San Francisco, CA 94118-1981 2009-04-29
1376855866 Maria Teresa Zuluaga Pediatrics 550 16th St Fl 5, San Francisco, CA 94158-2545 2010-07-13
1942382817 Satish Rajagopal Pediatrics 1975 4th St, San Francisco, CA 94143-2351 2006-10-20
1578668299 Sanjeev Ashok Datar Pediatrics 505 Parnassus Ave, M-680, Box 0106, San Francisco, CA 94143-2204 2006-09-14
1053300798 Arup Roy-burman Pediatrics 505 Parnassus Ave, M680, San Francisco, CA 94143-0106 2005-10-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417368804 Sara Aghamohammadi Pediatrics 4650 W Sunset Blvd # Ms 3, Los Angeles, CA 90027-6062 2014-05-19
1023367422 Batool Alsheikh Pediatrics 6235 N Fresno St Ste 103, Fresno, CA 93710 2012-08-31
1699093880 Richard P Lion Pediatrics 11234 Anderson St Rm 5763, Loma Linda, CA 92354-2804 2010-05-12
1558505719 Ryan Richard Taylor Pediatrics Mattel Childrens Hospital At Ucla, 10833 Le Conte Ave., 12-494, Mdcc, Los Angeles, CA 90095-0001 2009-04-30
1932341641 Anas Al Kawass Pediatrics 17100 Euclid Street, Picu, Fountain Valley, CA 92708 2009-03-26
1497996649 Andreas Schwingshackl Pediatrics Rrmc 400 Westwood Blvd, Los Angeles, CA 90095-2113 2009-03-18
1588804801 Carol Elizabeth Nicholson Pediatrics 6461 Zuma View Pl, #149, Malibu, CA 90265-4495 2009-02-26
1831355320 Niveditha Vilasagar Pediatrics 4867 W Sunset Blvd Fl 5, Los Angeles, CA 90027-5969 2008-08-04
1154519072 Eloa S. Adams Pediatrics 275 W Macarthu, Oakland, CA 94611-5641 2007-10-04
1770787046 Samer Yousfi Pediatrics 1000 Carson Street, Harbor-ucla Medical Center, Torrance, CA 90509 2007-06-12
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Competitor

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City SAN FRANCISCO
Zip Code 94158

Improve Information

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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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