DR. JON A PROCTOR (NPI# 1245210582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245210582 |
| Entity Type | Individual |
| Full Name | DR. JON A PROCTOR |
| Credential | MD |
| Practice Address |
39141 Civic Center Dr Suite 350 Fremont CA 94538-5818 |
| Mailing Address |
1364 Briones Ct Pleasanton CA 94588-5316 |
| Practice Telephone | 5102486900 |
| Practice Fax Number | 5102486980 |
| Mailing Telephone | 5102486900 |
| Mailing Fax Number | 5102486980 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
G87835 | CA | Allopathic & Osteopathic Physicians |
| N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
MD00042176 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
39141 CIVIC CENTER DR SUITE 350 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-5818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927241 | Kranthi Kumar Achanta | Surgery | 39141 Civic Center Dr, Suite 335, Fremont, CA 94538-5818 | 2005-07-29 |
| 1730572603 | Nina Khatibi | Physician Assistant | 39141 Civic Center Dr, 335, Fremont, CA 94538-5818 | 2015-03-16 |
| 1831529700 | Kory Langwell | Physical Therapist | 39141 Civic Center Dr, Suite 120, Fremont, CA 94538-5818 | 2013-11-13 |
| 1760829188 | Chester Maulion Santos | Case Manager/Care Coordinator | 39141 Civic Center Dr, Suite 350, Fremont, CA 94538-5818 | 2013-05-24 |
| 1396020624 | Ashwinder Kaur Wadhawan | Physical Therapist | 39141 Civic Center Dr, Suite 120, Fremont, CA 94538-5818 | 2011-10-18 |
| 1346535507 | Kate Diep Dirksen | Physician Assistant | 39141 Civic Center Dr, Suite 335, Fremont, CA 94538-5818 | 2011-06-16 |
| 1932405453 | Kimberly N Kurtz | Physician Assistant | 39141 Civic Center Dr, Suite #130, Fremont, CA 94538-5818 | 2011-01-31 |
| 1730419052 | Richard Hudson | Spec/Tech, Cardiovascular | 39141 Civic Center Dr, Suite 130, Fremont, CA 94538-5818 | 2010-01-08 |
| 1720214125 | East Bay Hand & Plastic Surgery Center Inc. | Plastic Surgery | 39141 Civic Center Dr, Suite 110, Fremont, CA 94538-5818 | 2009-05-31 |
| 1215174560 | Brian Richard Badduke | Surgery | 39141 Civic Center Dr, Suite 335, Fremont, CA 94538-5818 | 2009-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235429861 | Ijeoma Okeigwe | Obstetrics & Gynecology | 3200 Kearney St, Fremont, CA 94538 | 2011-04-16 |
| 1164565917 | Sunny Jun | Obstetrics & Gynecology | 3200 Kearney Street, Fremont, CA 94538-2299 | 2007-02-14 |
| 1487792487 | Wen-hui Shen | Obstetrics & Gynecology | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2007-02-02 |
| 1346278967 | Anthony Dobson | Obstetrics & Gynecology | 3200 Kearney St, Fremont, CA 94538-2299 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363552 | Global Premier Fertility - Orange County PC Dba Rise Fertility | Obstetrics & Gynecology | 3333 W Coast Hwy Ste 300, Newport Beach, CA 92663-4058 | 2020-07-13 |
| 1326665621 | Reproductive Medicine Associates of San Diego | Obstetrics & Gynecology | 4510 Executive Dr Ste 150, San Diego, CA 92121-2155 | 2020-07-02 |
| 1861958985 | Lin Fertility Ivf Network, Inc. | Obstetrics & Gynecology | 400 E Rincon St Ste 108, Corona, CA 92879-1389 | 2019-02-13 |
| 1235646985 | Los Angeles Reproductive Center | Obstetrics & Gynecology | 16055 Ventura Blvd Ste 1127, Encino, CA 91436-2612 | 2018-01-03 |
| 1033575956 | Lane Fertility Institute | Obstetrics & Gynecology | 101 Rowland Way Ste 305, Novato, CA 94945-5056 | 2016-01-07 |
| 1992065692 | Tracy Nicole Hadnott Harrison | Obstetrics & Gynecology | 9500 Gilman Drive #0633, La Jolla, CA 92093-0633 | 2012-05-29 |
| 1043584956 | Harvey S Richmond A Prof Corp | Obstetrics & Gynecology | 8631 W. Third St, #240e, Los Angeles, CA 90048 | 2012-02-24 |
| 1992088926 | Scott J Morin | Obstetrics & Gynecology | 150 Spear St Ste 500, San Francisco, CA 94105-1537 | 2011-09-26 |
| 1477846095 | Tannaz Toloubeydokhti | Obstetrics & Gynecology | 9500 Gilman Dr Dept 633, La Jolla, CA 92093-0633 | 2011-05-16 |
| 1770883050 | Homayoun Sadeghi, Md Inc | Obstetrics & Gynecology | 312 S. Beverly Drive #3861, Beverly Hills, CA 90212-0861 | 2010-11-02 |
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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.