PETER ROBIN KIMMEL (NPI# 1316586522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316586522 |
| Entity Type | Individual |
| Full Name | PETER ROBIN KIMMEL |
| Credential | MD |
| Practice Address |
9050 Broadway Ter Oakland CA 94611-1952 |
| Practice Telephone | 9492787048 |
| Mailing Telephone | 9492787048 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
G28090 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
9050 BROADWAY TER |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134292014 | Janice Annette Jones | Psychiatry & Neurology | 2220 Mountain Blvd, Suite 240, Oakland, CA 94611-2905 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437546355 | Gilbert W Kliman | Psychiatry & Neurology | 573 Summerfield Rd, Santa Rosa, CA 95405-5239 | 2015-04-17 |
| 1427378389 | Michel Ross Mandel | Psychiatry & Neurology | 1828 South St, Redding, CA 96001-1809 | 2010-06-02 |
| 1013237064 | Artha Gillis | Psychiatry & Neurology | 760 Westwood Plz Rm C8-193, Los Angeles, CA 90024-5055 | 2010-06-01 |
| 1942538343 | Alex Sahba Md, A Medical Corp | Psychiatry & Neurology | 2355 Westwood Blvd # 129, Los Angeles, CA 90064-2109 | 2009-11-23 |
| 1235362237 | Eric Henry Marcus | Psychiatry & Neurology | 2648 W Canyon Ave, San Diego, CA 92123-4684 | 2009-08-25 |
| 1689803884 | Albert Shnaider | Psychiatry & Neurology | 5833 Cahill Ave, Tarzana, CA 91356-1205 | 2009-07-08 |
| 1538309745 | David J Sheffner | Psychiatry & Neurology | 320 Superior Ave Ste 330, Newport Beach, CA 92663-2772 | 2009-02-27 |
| 1710123112 | Kenneth I. Gottlieb, M.d. A Professional Corporation | Psychiatry & Neurology | 909 Hyde St Ste 430, San Francisco, CA 94109-4846 | 2009-01-06 |
| 1700035367 | Todd Stuart Elwyn | Psychiatry & Neurology | 1000 Marina Boulevard, Suite 100, Brisbane, CA 94005-1839 | 2008-09-18 |
| 1144478751 | Russell Howard Marks | Psychiatry & Neurology | 851 Murray Ave, San Luis Obispo, CA 93405-1736 | 2008-09-08 |
| Find all providers with the same taxonomy | ||||
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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.