DWAYNE P VANDERBERG (NPI# 1225012008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225012008 |
| Entity Type | Individual |
| Full Name | DWAYNE P VANDERBERG |
| Credential | M.D. |
| Practice Address |
4941 Olivehurst Ave Olivehurst CA 95961-4225 |
| Mailing Address |
Po Box A D Yuba City CA 95992-1396 |
| Practice Telephone | 5307434611 |
| Practice Fax Number | 5307435770 |
| Mailing Telephone | 5307513769 |
| Mailing Fax Number | 5307511237 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2011-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G73626 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4941 OLIVEHURST AVE |
| City | OLIVEHURST |
| State | CA |
| Zip Code | 95961-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356325120 | Karl F. Valrey | Internal Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2005-12-05 |
| 1447772124 | Kimberly D Wilson | Dental Hygienist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2017-07-13 |
| 1790229391 | Srikanth Kolli | Chiropractor | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2016-12-15 |
| 1932579943 | Sara Marie Skinner | Nurse Practitioner | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2015-10-02 |
| 1346510419 | Kaneshka Alamshahi | Family Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2012-01-06 |
| 1609195270 | Tiffany N Winters | Dental Hygienist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2010-05-21 |
| 1396981692 | Gursharon Kaur Gill | Dental Hygienist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2008-12-17 |
| 1356443485 | Huy Q Phung | Family Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2006-09-01 |
| 1053423202 | Harpreet K Johl | Family Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2006-08-31 |
| 1407875487 | Indira Grey | Physician Assistant | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596315 | Shelby Marie Mclaughlin | Counselor | 471 Century Park Drive B, Yuba City, CA 95961 | 2019-03-07 |
| 1780125583 | Elia Moreno Thomas | Counselor | 1754 Skinner Ave, Olivehurst, CA 95961 | 2017-03-13 |
| 1356652549 | Hyesung Han | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961 | 2010-06-23 |
| 1225283195 | Pao Choua Lor | Driver | 4552 Meadow Wy, Olivehurst, CA 95961 | 2008-11-19 |
| 1235385725 | Thera Lynn Hampton | Specialist | 1345 Lady Fern St., Plumas Lake, CA 95961 | 2008-08-15 |
| 1841444049 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 5075 Olivehurst Avenue, Olivehurst, CA 95961-4023 | 2008-11-14 |
| 1699382192 | Ryan Sauer | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 | 2020-09-28 |
| 1649721648 | Vandana Chaudhari | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 | 2016-10-14 |
| 1679880850 | Tilak Baviskar | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 | 2010-09-08 |
| 1255464871 | Olivehurst Drug Store Inc | Pharmacy | 4897 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2007-03-13 |
| Find all providers in zip 95961 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1356325120 | Karl F. Valrey | Internal Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225872 | Prime Medicine Partners Inc | Internal Medicine | 7647 N Fresno St, Fresno, CA 93720-2578 | 2020-11-08 |
| 1710587670 | Physicians of Southern California Inc | Internal Medicine | 1304 W Holt Blvd Ste A, Ontario, CA 91762-3640 | 2020-10-29 |
| 1538768064 | Express Carenow, Inc | Internal Medicine | 4100 Central Ave Ste 101, Riverside, CA 92506-2930 | 2020-10-26 |
| 1861091795 | Sequoia Radiation Oncology Servics, Inc | Internal Medicine | 4945 W Cypress Ave Ste A, Visalia, CA 93277-1592 | 2020-10-21 |
| 1639778673 | Deepak Mehta | Internal Medicine | C/o Medical Staff Office, Cmf, Vacaville, CA 95696 | 2020-10-21 |
| 1053919332 | Kingsley Clinic of California, PC | Internal Medicine | 275 E Hillcrest Dr Ste 160, Thousand Oaks, CA 91360-7772 | 2020-10-09 |
| 1144836826 | Dr. Stephanie Mcclellen, Md PC | Internal Medicine | 900 Hyde St Fl 4, San Francisco, CA 94109-4806 | 2020-09-18 |
| 1346856358 | Kahala Biosciences Inc | Internal Medicine | 3 Whatney Ste 200, Irvine, CA 92618-2826 | 2020-09-16 |
| 1063027050 | Vinay Panchal Md Inc | Internal Medicine | Colusa Medical Center, 199 E Webster St, Colusa, CA 95932-2954 | 2020-09-15 |
| 1962017269 | One Primary Care Inc. | Internal Medicine | 800 S Central Ave Ste 212, Glendale, CA 91204-4388 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | OLIVEHURST |
| Zip Code | 95961 |
Please comment or provide details below to improve the information on DWAYNE P VANDERBERG.
| 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.