DR. JOHN B WOODBURY (NPI# 1275562878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275562878 |
| Entity Type | Individual |
| Full Name | DR. JOHN B WOODBURY |
| Credential | DO |
| Practice Address |
1205 E North St Manteca CA 95336-4932 |
| Mailing Address |
3916 State St #300 Santa Barbara CA 93105-5602 |
| Practice Telephone | 2092398301 |
| Mailing Telephone | 8055633011 |
| Mailing Fax Number | 8055645087 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2009-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 20A5306 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 20A5306 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX53060 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124015672 | John D Woodbury | Internal Medicine | 17521 Douglas St, Omaha, NE 68118-3016 | 2005-09-30 |
| 1861729584 | John Raymond Woodbury | Pharmacist | 700 S Greeley Hwy, Cheyenne, WY 82007-2848 | 2009-11-17 |
| Street Address |
1205 E NORTH ST |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669450722 | Noemi Estevez Macasinag | Registered Nurse | 1205 E North St, Manteca, CA 95336-4932 | 2006-01-08 |
| 1538709563 | Cep America - Anesthesia PC | Anesthesiology | 1205 E North St, Manteca, CA 95336-4932 | 2020-01-07 |
| 1982254322 | Tabitha Ortiz | Registered Nurse | 1205 E North St, Manteca, CA 95336-4932 | 2019-09-18 |
| 1033580246 | Honeycomb Medical Services, A Med Corp | Physician Assistant | 1205 E North St, Manteca, CA 95336-4932 | 2015-10-14 |
| 1417339938 | Kimberly Lam | Pharmacist | 1205 E North St, Manteca, CA 95336-4932 | 2015-06-20 |
| 1457783458 | Yosemite Inpatient Services, A Medical Corporation | Internal Medicine | 1205 E North St, Manteca, CA 95336-4932 | 2013-08-01 |
| 1548600224 | Ali Pandamouz | Family Medicine | 1205 E North St, Manteca, CA 95336-4932 | 2013-06-26 |
| 1487840690 | Kimberly Michelle Woody | General Acute Care Hospital | 1205 E North St, Manteca, CA 95336-4932 | 2007-09-20 |
| 1013117647 | Hoi Ki Louis Lam | Pharmacist | 1205 E North St, Manteca, CA 95336-4932 | 2007-07-22 |
| 1003018433 | Tammie Ngoc Tu Nguyen | Pharmacist | 1205 E North St, Manteca, CA 95336-4932 | 2007-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952357741 | Thomas Geraci | Emergency Medicine | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-05-25 |
| 1245400019 | Amanda L Perez | Emergency Medicine | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2008-03-07 |
| 1578731261 | Sophie Kay | Emergency Medicine | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2008-02-14 |
| 1871671156 | Victor Alexander | Emergency Medicine | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-02 |
| 1205915352 | Max William Miller | Emergency Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-02 |
| 1710065396 | Paulette M. Gori | Emergency Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| 1154409068 | Kenneth C. Moy | Emergency Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| 1376621185 | Daniel F. Merges | Emergency Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| 1285712091 | Yasmin E. Emery | Emergency Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| 1134207954 | Kanwal S. Gill | Emergency Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| Find all providers in MANTECA | ||||
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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.