MR. JAMES EITEL (NPI# 1326173691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326173691 |
| Entity Type | Individual |
| Full Name | MR. JAMES EITEL |
| Credential | MD |
| Practice Address |
3451 E 12th Street Oakland CA 94601 |
| Mailing Address |
1601fruitvale Ave Oakland CA 94601-2322 |
| Practice Telephone | 5105353601 |
| Mailing Telephone | 5105354000 |
| Mailing Fax Number | 5108354428 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2010-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G28063 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC710217F | 05 | |
| CA | FPACT | HAP71021F | 01 |
| CA | FQHC MEDICARE PART B | ZZZ29799Z | 01 |
| CA | FQHC MEDICARE PART A | 55-1975 | 01 |
| Street Address |
3451 E 12TH STREET |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174626485 | Scott Taylor | Registered Nurse | 3451 E 12th Street, Oakland, CA 94601 | 2006-09-06 |
| 1477700813 | Jessica Marie Marques | Nurse Practitioner | 3451 E 12th Street, Oakland, CA 94601 | 2008-08-27 |
| 1215158183 | Rosario Decarmen Martinez | Registered Nurse | 3451 E 12th Street, Oakland, CA 94601 | 2007-05-01 |
| 1174646947 | Joan R Thompson | Nutritionist | 3451 E 12th Street, Oakland, CA 94601 | 2007-04-09 |
| 1083737852 | Roxanna Buenrosto | Registered Nurse | 3451 E 12th Street, Oakland, CA 94601 | 2007-04-09 |
| 1326182957 | Susan Cole Sykes | Obstetrics & Gynecology | 3451 E 12th Street, Oakland, CA 94601 | 2007-02-16 |
| 1750448304 | Teresa Thongsinthusak | Pharmacist | 3451 E 12th Street, Oakland, CA 94601 | 2007-01-02 |
| 1023177912 | Erica Eckroad Mason | Nurse Practitioner | 3451 E 12th Street, Oakland, CA 94601 | 2006-12-06 |
| 1659450427 | Kathryn Maclaughlin | Nurse Practitioner | 3451 E 12th Street, Oakland, CA 94601 | 2006-11-03 |
| 1144314006 | Clyde Hinsz | Pharmacist | 3451 E 12th Street, Oakland, CA 94601-2322 | 2006-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063831386 | Ron Yalon | Pediatrics | 469 51st St, Oakland, CA 94609-2143 | 2014-04-15 |
| 1801136262 | Anthony S Raimo | Pediatrics | 645 Ramapo Valley Rd, Oakland, NJ 07436-2813 | 2013-02-21 |
| 1326314816 | Darrow Debs Deluca | Pediatrics | 747 52nd Street, Room 201, Pediatric Multispecialty Medical Group, Oakland, CA 94609-1809 | 2012-03-28 |
| 1366760175 | Lynne N Rosen | Pediatrics | 3451 East 12th St., Oakland, CA 94601-3425 | 2010-05-04 |
| 1568698090 | Juan Raul Gutierrez | Pediatrics | 1030 International Ave., Oakland, CA 94606-3730 | 2009-06-10 |
| 1265691190 | Donna J Lombardi-goldfus | Pediatrics | 50 Overlook Ridge, Oakland, NJ 07436 | 2008-06-05 |
| 1578721551 | Josephine A Roen | Pediatrics | 125 2nd St Apt 411, Oakland, CA 94607-4565 | 2008-05-27 |
| 1124294665 | Omid Gheysar | Pediatrics | 1800 Harrison Street 7th Street, Oakland, CA 94612-3429 | 2008-05-05 |
| 1336312891 | Lisa Meredith Siskind | Pediatrics | 3505 Broadway Fl 6, Oakland, CA 94611-5714 | 2008-04-04 |
| 1205027760 | Lisa Ann B Michaels | Pediatrics | 11 E Oak St, Oakland, NJ 07436-2721 | 2007-08-08 |
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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.