MALA KOKILA KRISHNAMOORTHY (NPI# 1194145920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194145920 |
| Entity Type | Individual |
| Full Name | MALA KOKILA KRISHNAMOORTHY |
| Practice Address |
280 W Macarthur Blvd Oakland CA 94611-5642 |
| Mailing Address |
2500 Merced St San Leandro CA 94577-4201 |
| Practice Telephone | 7742321549 |
| Mailing Telephone | 5109147874 |
| Enumeration Date | 2014-04-19 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
140784 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
280 W MACARTHUR BLVD |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113236 | Kathleen Elizabeth Weston | Registered Nurse | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2005-09-02 |
| 1174033062 | Jennifer Dacuma Darden | Registered Nurse | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2017-10-04 |
| 1487026225 | Sarah De La Cerda | Social Worker | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2015-10-20 |
| 1548654007 | Tiffany Tsai | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2015-03-23 |
| 1720472277 | Bryan Lee | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2015-03-23 |
| 1003220310 | Jessica Chang | Pharmacist | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2014-06-13 |
| 1831502541 | Martha Jane Elster | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2014-06-10 |
| 1346650090 | Spencer Christensen | Internal Medicine | 280 W Macarthur Blvd, Oakland, CA 94611 | 2014-05-03 |
| 1063822138 | Talya Judith Brettler | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Rm. #118, Oakland, CA 94611-5642 | 2014-04-29 |
| 1598185662 | Geraldine Slean | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2014-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508876194 | James Mittelberger | Internal Medicine | 6155 Girvin Dr, Oakland, CA 94611-2444 | 2006-08-08 |
| 1831130236 | Claudia Landau Ph.d.,m.d. | Internal Medicine | 110 41st St, Oakland, CA 94611-5250 | 2006-06-09 |
| 1114903341 | Catherine K. Buchanan | Internal Medicine | 100 Bay Pl, Oakland, CA 94610-4448 | 2005-12-20 |
| 1144705328 | Kajal Gandhi | Internal Medicine | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2018-10-03 |
| 1659722619 | Fiona Wilmot | Internal Medicine | 1955 San Pablo Ave, Oakland, CA 94612-1367 | 2016-06-30 |
| 1124384110 | Ali Asghar Torbati | Internal Medicine | 275 W Macarthur Blvd, Oakland, CA 94611 | 2012-04-04 |
| 1225180029 | Julie Sandoval-perry | Internal Medicine | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2007-01-18 |
| 1164594982 | Susan H. Wakerlin | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-15 |
| 1205914082 | Anuradha Shankar | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| 1689684250 | Evan Seevak | Internal Medicine | 1411 East 31st Street, Oakcare Medical Group, Oakland, CA 94602 | 2006-08-08 |
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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.