EDWARD LEON KAFTARIAN (NPI# 1245376615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245376615 |
| Entity Type | Individual |
| Full Name | EDWARD LEON KAFTARIAN |
| Credential | M.D. |
| Practice Address |
1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 |
| Mailing Address |
3203 Fait Ave Baltimore MD 21224-4032 |
| Practice Telephone | 4152793879 |
| Mailing Telephone | 3014375878 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
A98911 | CA | Allopathic & Osteopathic Physicians |
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
A98911 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A98911 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1080 MARINA VILLAGE PKWY STE 100 |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94501-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235186313 | Kent C Eller | Psychiatry & Neurology | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2006-05-27 |
| 1518587567 | Tyler William Gamlen | Counselor | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2020-04-20 |
| 1376038943 | Shane Francis | Registered Nurse | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2018-06-26 |
| 1316463433 | Jackson Watts | Student in an Organized Health Care Education/Training Program | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2017-08-21 |
| 1427446319 | Brenda Senseman Holder | Registered Nurse | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2014-12-31 |
| 1346652732 | Joseph Landell Roy | Counselor | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2014-05-20 |
| 1700208972 | Michelle Bae | Counselor | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2014-01-07 |
| 1477811677 | Oshalique Bass | Counselor | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2012-04-25 |
| 1487953956 | Thomas Bravo | Counselor | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2011-03-22 |
| 1467754846 | Karen Marie Jones | Registered Nurse | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2010-11-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259158 | Hailee Ann Heiselbetz | Behavior Technician | 1025 Atlantic Ave. Ste 101, Alameda, CA 94501 | 2020-09-09 |
| 1134745961 | Linda Nykin | Naturopath | 2002 Monterey Cir, Alameda, CA 94501 | 2020-06-17 |
| 1801427570 | Mirna Rodriguez Lopez | Behavior Technician | 1025 Atlantic Ave. Ste. 101, Alameda, CA 94501 | 2020-01-30 |
| 1356987010 | Guadalupe H Hernandez | Technician | 3650 Mount Diablo Blvd, Layayette, CA 94501 | 2019-11-18 |
| 1952951832 | Lily T Nguyen | Behavior Technician | 1025 Atlantic Ave, Suite 101, Alameda, CA 94501 | 2019-09-12 |
| 1326503004 | Mary Macpherson | Speech-Language Pathologist | 2308 Central Ave., Alameda, CA 94501 | 2019-02-06 |
| 1285103838 | Stephanie Owens | Behavioral Analyst | 2213 Clinton Ave #a, Alameda, CA 94501 | 2018-11-13 |
| 1508349390 | Cindy Cabrera | Behavioral Analyst | 1025 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-09-08 |
| 1629554928 | Anita Elizabeth Bower | Behavioral Analyst | 125 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-07-19 |
| 1659862571 | Mariana Rocio Pacas Mexicano | Behavioral Analyst | 1025 Atlantic Ave. Suite 101, Alameda, CA 94501 | 2018-05-26 |
| Find all providers in zip 94501 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902027873 | Said A Shefayee | Psychiatry & Neurology | 1429 Oak St, Alameda, CA 94501-4568 | 2007-05-01 |
| 1386660447 | Edward Mina Lim | Psychiatry & Neurology | 1050 Marina Village Pkwy, Suite 104, Alameda, CA 94501-1099 | 2006-07-14 |
| 1801829965 | Henry Theodore Freeland | Psychiatry & Neurology | 512 Westline Dr, Suite 203, Alameda, CA 94501-7649 | 2006-07-09 |
| 1235186313 | Kent C Eller | Psychiatry & Neurology | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 | 2006-05-27 |
| 1013096569 | Henry T Freeland Med Corp | Psychiatry & Neurology | 512 Westline Dr, Suite 203, Alameda, CA 94501-7649 | 2006-11-03 |
| 1013019116 | Steven M Joseph | Psychiatry & Neurology | 450 Park St, Suite 101, Alameda, CA 94501-6295 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1053910158 | Open Mind Mental Health Inc | Psychiatry & Neurology | 5241 Alzeda Dr, La Mesa, CA 91941-5726 | 2020-10-20 |
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1730794223 | Margarita Alonso Md LLC | Psychiatry & Neurology | 4401 Manchester Ave Ste 101, Encinitas, CA 92024-4938 | 2020-09-10 |
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1326658204 | Michael Martyna | Psychiatry & Neurology | 401 Quarry Road, Room 2208, Stanford Neuropsychiatry Fellowship Program Department, Stanford, CA 94305-5723 | 2020-08-05 |
| 1568072767 | Capitol City Psychiatry | Psychiatry & Neurology | 300 Harding Blvd Ste 118, Roseville, CA 95678-2472 | 2020-08-03 |
| 1164031530 | Katherine Ann Valdivia | Psychiatry & Neurology | 710 Madison St # A, Watsonville, CA 95076-2702 | 2020-07-30 |
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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.