JAY I. LA BOURENE (NPI# 1215015847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215015847 |
| Entity Type | Individual |
| Full Name | JAY I. LA BOURENE |
| Credential | MD |
| Practice Address |
1550-g Tiburon Blvd Tiburon CA 94920 |
| Mailing Address |
1550 Tiburon Blvd Ste G Tiburon CA 94920-2531 |
| Practice Telephone | 4158332000 |
| Mailing Telephone | 4158332000 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | G79536 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G795360 | 05 | |
| CA | NPI-TYPE 2 | 1225508385 | 01 |
| Street Address |
1550-G TIBURON BLVD |
| City | TIBURON |
| State | CA |
| Zip Code | 94920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427514116 | Cassie Merrier | Physical Therapist | 0 Alcatraz Ave, Tiburon, CA 94920 | 2019-02-18 |
| 1295123701 | Geoffrey Collins | Family Medicine | 14 Leeward Rd, Belvedere, CA 94920 | 2015-01-06 |
| 1154758548 | James Lynne Bennington | Pathology | 55 Beach Road, Belvedere, CA 94920 | 2013-10-01 |
| 1922442532 | Olav Nicholas Norman | Anesthesiology | 42 Norman Way, Tiburon, CA 94920 | 2013-04-25 |
| 1619162864 | Sarah Dihmes | Psychologist | 17 Captain's Landing, Tiburon, CA 94920 | 2007-09-11 |
| 1578632279 | James Patrick Hardy | Anesthesiology | 18 Salt Lnd, Bel Tiburon, CA 94920 | 2006-11-07 |
| 1780767103 | Gretchen K Andreis | Chiropractor | 1640 Tiburon Blvd, Tiburon, CA 94920 | 2006-10-21 |
| 1215573324 | Eileeen Grace Mckenzie | Marriage & Family Therapist | 4850 Paradise Dr, Tiburon, CA 94920-1001 | 2019-11-24 |
| 1972546695 | Harvey A Gilbert | Radiology | 159 Saint Thomas Way, Tiburon, CA 94920-1031 | 2006-06-13 |
| 1053425116 | Gregory Michael Bell | Internal Medicine | 157 Trinidad Dr, Tiburon, CA 94920-1037 | 2006-08-18 |
| Find all providers in zip 94920 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
| 1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
| 1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
| 1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
| 1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
| 1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
| 1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
| 1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
| 1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
| 1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
| Find all providers with the same taxonomy | ||||
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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.