DR. JEFFREY DONALD NELSON (NPI# 1295720936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295720936 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY DONALD NELSON |
| Credential | M.D. |
| Practice Address |
2222 Bancroft Ext University Health Service- Clinical Services Berkeley CA 94720-4303 |
| Mailing Address |
Po Box 4446 Berkeley CA 94704-0446 |
| Practice Telephone | 5106437110 |
| Practice Fax Number | 5106439790 |
| Mailing Telephone | 5106427955 |
| Mailing Fax Number | 5106436999 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
G72339 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIF. MEDICAL LISCENCE | G72339 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467786871 | Jeffrey Ryan Nelson | Chiropractor | 715 Mall Ring Cir Ste 205, Henderson, NV 89014-6667 | 2009-10-01 |
| 1942450564 | Jeffrey Starr Nelson | Internal Medicine | 7543 Baldwin Dam Rd, Folsom, CA 95630-1501 | 2008-09-19 |
| 1124149455 | Jeffrey Ray Nelson | Dentist | 1109 Highway 70 N, Kingston, OK 73439-8232 | 2007-04-03 |
| 1972682706 | Jeffrey Alan Nelson | Dentist | 3900 Joe Ramsey Blvd E # 7-a, Greenville, TX 75401-7727 | 2006-11-03 |
| 1306942255 | Jeffrey S Nelson | Physical Therapist | 3556 Pontiac Dr, Carlsbad, CA 92010-2131 | 2006-09-16 |
| 1326067943 | Jeffrey S Nelson | Counselor | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2006-07-18 |
| 1972539971 | Jeffrey Loren Nelson | Psychiatry & Neurology | 105 Nw First St., Coupeville, WA 98239 | 2006-06-23 |
| 1225088024 | Jeffrey A Nelson | Technician/Technologist | 7322 Lake Worth Rd, Lake Worth, FL 33467-2529 | 2006-05-11 |
| 1609865724 | Jeffrey M Nelson | Specialist | 7416 N La Cholla Blvd, Tucson, AZ 85741-2306 | 2005-10-20 |
| 1619961315 | Jeffrey S Nelson | Emergency Medicine | 8899 S 700 E, Suite 155, Sandy, UT 84070-1810 | 2005-09-08 |
| Street Address |
2222 BANCROFT EXT UNIVERSITY HEALTH SERVICE- CLINICAL SERVICES |
| City | BERKELEY |
| State | CA |
| Zip Code | 94720-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003013269 | Jillian Margaret Chelson | Physician Assistant | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-06-29 |
| 1871790030 | Laura Ortiz Guillen | Psychologist | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-06-29 |
| 1710182944 | Susan Lynn Rode | Social Worker | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-06-18 |
| 1245441237 | Mary K Popylisen | Physical Therapist | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-05-24 |
| 1407074032 | Elise Patricia Eichenberg | Internal Medicine | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-04-20 |
| 1922132885 | Karen Hipkins | Nurse Practitioner | 2222 Bancroft Ext, #4300, Berkeley, CA 94720-4300 | 2007-03-15 |
| 1922135649 | Robert Edward Stuart | Obstetrics & Gynecology | 2222 Bancroft Ext, Berkeley, CA 94720-4303 | 2007-02-28 |
| 1952459240 | Diane Liu | Preventive Medicine | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-01-05 |
| 1073677613 | Christina Susanne Wilmer | Optometrist | 2222 Bancroft Ext, Berkeley, CA 94720-4303 | 2006-12-20 |
| 1184788713 | Anne D.m.u. Moy | Optometrist | 2222 Bancroft Ext, Berkeley, CA 94720-4303 | 2006-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
| 1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
| 1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
| 1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
| 1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
| 1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
| 1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
| 1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
| 1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
| 1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
| Find all providers in zip 94720 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134290612 | Cindy Jee-sing Chang | Family Medicine | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875570 | Nader Sobh Inc | Family Medicine | 11740 San Vicente Blvd Ste 205, Los Angeles, CA 90049-6610 | 2020-06-15 |
| 1124596010 | Cam Md | Family Medicine | 1968 S Coast Hwy # 401, Laguna Beach, CA 92651-3681 | 2018-11-08 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1114313616 | Michelle Sriwongtong | Family Medicine | 834 Castro St, 3, San Francisco, CA 94114-2858 | 2015-04-10 |
| 1225433006 | Harut Madatovian | Family Medicine | 2595 E Washington Blvd Ste 106, Pasadena, CA 91107-1409 | 2014-10-23 |
| 1760801880 | Kyle William Meyer | Family Medicine | 24910 Las Brisas Rd Ste 105, Murrieta, CA 92562 | 2014-04-16 |
| 1720403553 | Dianne Longo | Family Medicine | 1319 Evergreen Ave, Apt N2, Fullerton, CA 92835-2063 | 2014-03-03 |
| 1255760633 | Steven William Marles | Family Medicine | 4265 Tapestry Way, Turlock, CA 95382-7448 | 2013-11-05 |
| 1497098909 | Joshua David Sampson | Family Medicine | 2299 Post St Ste 107, San Francisco, CA 94115-3460 | 2013-04-03 |
| 1699015529 | Andrew Saleh | Family Medicine | 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 | 2013-03-01 |
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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.