WILLIAM JERVIS, M.D., F. A. C. S., INC. (NPI# 1225361629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225361629 |
Entity Type | Organization |
Organization Name | WILLIAM JERVIS, M.D., F. A. C. S., INC. |
Other Organization Name | ADVANCED COSMETIC SURGERY OF WALNUT CREEK |
Practice Address |
1844 San Miguel Dr Suite 109 Walnut Creek CA 94596-4962 |
Practice Telephone | 9259377100 |
Practice Fax Number | 9259373896 |
Mailing Telephone | 9259377100 |
Mailing Fax Number | 9259373896 |
Enumeration Date | 2009-09-16 |
Last Update Date | 2009-09-16 |
Authorized Official Name | DR. WILLIAM HORACE JERVIS JR. (MEDICAL DIRECTOR) |
Authorized Official Telephone | 9259377100 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
G8005 | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Advanced Cosmetic Surgery of Walnut Creek | Doing Business As Name - Organization |
Street Address |
1844 SAN MIGUEL DR SUITE 109 |
City | WALNUT CREEK |
State | CA |
Zip Code | 94596-4962 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487644159 | Daniel James Moore | Dentist | 1844 San Miguel Dr, Suite 100, Walnut Creek, CA 94596-4962 | 2005-10-25 |
1245778216 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 1844 San Miguel Dr, Suite 302, Walnut Creek, CA 94596-4962 | 2017-02-09 |
1013376508 | Ngan Chiropractic Inc | Chiropractor | 1844 San Miguel Dr, Suite 308a, Walnut Creek, CA 94596-4962 | 2016-02-12 |
1992174049 | Francine Ball | Acupuncturist | 1844 San Miguel Dr, Suite 203, Walnut Creek, CA 94596-4962 | 2015-09-18 |
1720490121 | Kourosh Harandi Dental Practice | Dentist | 1844 San Miguel Dr, Suite 309, Walnut Creek, CA 94596-4962 | 2014-05-20 |
1447661582 | Scott Pope | Dentist | 1844 San Miguel Dr, Suite 200, Walnut Creek, CA 94596-4962 | 2014-05-12 |
1457761975 | Katie Ngan | Chiropractor | 1844 San Miguel Dr, Suite 308a, Walnut Creek, CA 94596-4962 | 2014-05-06 |
1932449618 | Jayson Williams | Hearing Instrument Specialist | 1844 San Miguel Dr, Suite 302, Walnut Creek, CA 94596-4962 | 2013-02-18 |
1437418597 | Kls Hearing Systems, Inc | Audiologist | 1844 San Miguel Dr, Suite 302, Walnut Creek, CA 94596-4962 | 2012-05-10 |
1083987465 | Steven Allen Schane | Psychiatry & Neurology | 1844 San Miguel Dr, Suite 311, Walnut Creek, CA 94596-4963 | 2012-02-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
Find all providers in zip 94596 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770061459 | Walnut Creek Surgery Center LLC | Clinic/Center | 460 N Wiget Ln Ste C, Walnut Creek, CA 94598-2408 | 2018-08-03 |
1427585280 | Pinnacle Surgery Center, Inc | Clinic/Center | 100 N Wiget Ln Ste 140, Walnut Creek, CA 94598-5917 | 2017-05-11 |
1245620954 | Shadelands Endovascular, LLC | Clinic/Center | 460 N Wiget Ln Ste B, Walnut Creek, CA 94598-2408 | 2015-02-02 |
1609274505 | Bay Area Surgical Specialist Services, LLC | Clinic/Center | 460 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2014-12-09 |
1851568067 | Walnut Creek Endoscopy Center LLC | Clinic/Center | 365 Lennon Ln Ste 100, Walnut Creek, CA 94598-5911 | 2008-05-15 |
1710177795 | Aspen Surgery Center, LLC | Clinic/Center | 133 La Casa Via, Walnut Creek, CA 94598 | 2007-07-26 |
1184798837 | Shadelands Advanced Endoscopy Institute, Inc. | Clinic/Center | 498 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2006-11-17 |
1316939556 | Sequoia Surgical Center Lp | Clinic/Center | 2405 Shadelands Dr, Suite 200, Walnut Creek, CA 94598-2444 | 2005-08-15 |
1124658083 | Meridian Surgery Center, Inc | Clinic/Center | 100 N Wiget Ln Ste 140, Walnut Creek, CA 94598-5917 | 2020-01-20 |
1710012869 | Shadelands Surgery Center, LLC | Clinic/Center | 100 N Wiget Ln, Suite #110, Walnut Creek, CA 94598-5988 | 2007-02-22 |
Find all providers in WALNUT CREEK |
City | WALNUT CREEK |
Zip Code | 94596 |
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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.