AL V TAIRA


Address: 100 S San Mateo Dr, San Mateo, CA 94401-3805
Phone: 6506964509

AL V TAIRA (NPI# 1346322567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346322567
Entity Type Individual
Full Name AL V TAIRA
Credential MD
Practice Address 100 S San Mateo Dr
San Mateo
CA 94401-3805
Mailing Address 325 Distel Cir
Los Altos
CA 94022-1408
Practice Telephone 6506964509
Enumeration Date 2006-10-19
Last Update Date 2020-02-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
A111479 CA Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
ML20008759 WA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
701 E. El Camino Real, Mountain View, CA 940402833 6509347000

Office Location

Street Address 100 S SAN MATEO DR
City SAN MATEO
State CA
Zip Code 94401-3805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073517009 Jeffrey J. Guttas. Md, Inc. Allergy & Immunology 100 S San Mateo Dr, Ste 400, San Mateo, CA 94401-3805 2005-06-08
1114572690 Vivian Huiyin Chow Physical Therapist 100 S San Mateo Dr, San Mateo, CA 94401-3805 2019-08-02
1821556762 Elizabeth Hisashima Nurse Practitioner 100 S San Mateo Dr, San Mateo, CA 94401 2019-03-11
1285122499 Michelle Lee Nurse Practitioner 100 S San Mateo Dr, San Mateo, CA 94401 2018-04-24
1841744992 Sutter Bay Medical Foundation Internal Medicine 100 S San Mateo Dr, San Mateo, CA 94401-3805 2016-08-06
1043670342 Sutter Bay Hospitals Psychiatric Unit 100 S San Mateo Dr, San Mateo, CA 94401-3805 2016-02-29
1710346937 Denise Mildred Lee Nurse Practitioner 100 S San Mateo Dr, San Mateo, CA 94401-3805 2016-02-16
1356749089 Lauren Schenck Genetic Counselor, MS 100 S San Mateo Dr, San Mateo, CA 94401-3805 2014-12-11
1730592148 Jeanine Gore Emergency Medicine 100 S San Mateo Dr, San Mateo, CA 94401-3805 2014-06-04
1477972388 Katrina Fischer Internal Medicine 100 S San Mateo Dr, San Mateo, CA 94401-3805 2014-04-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841800760 Monica Marie Rivas Behavior Technician 429 Peninsula Avenue, San Mateo, CA 94401 2020-08-05
1609412865 Cindy Toshiko Hedlin Marriage & Family Therapist 1117 S. B Street, Suite 9, San Mateo, CA 94401 2019-11-22
1750846655 James Court Manor Inc. Assisted Living Facility 1316 James Court, San Mateo, CA 94401 2019-02-05
1467991778 Maria Elena Lopez Student in an Organized Health Care Education/Training Program 325 Villa Terrace, San Mateo, CA 94401 2017-02-20
1487198339 Johnie Pangelina Behavioral Analyst 242 Peninsula Ave, San Mateo, CA 94401 2016-12-12
1740736230 Meredith Eileen Morgan Dentist 100 S. Ellsworth Av, #601, San Mateo, CA 94401 2016-08-25
1376998963 Lior Tamir Dentist 800 B Street Suite #200, San Mateo, CA 94401 2016-05-02
1609233584 Delicia Ortega Behavioral Analyst 424 Peninsula Avenue, San Mateo, CA 94401 2016-01-22
1396122388 Ramy Salah Internal Medicine 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 2015-04-29
1508255902 Risso Counseling, Inc. Marriage & Family Therapist 120 North El Camino Real, San Mateo, CA 94401 2015-01-22
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225236649 Clara Y. Choi Radiology 3020 Monterey St, San Mateo, CA 94403-3249 2007-07-06
1366616807 Dhara Ming Macdermed Radiology 100 S San Mateo Dr, San Mateo, CA 94401 2008-04-16
1114918851 Steven Marc Kurtzman Radiology 100 S San Mateo Dr, San Mateo, CA 94401-3805 2005-11-02
1881685527 Western Radiation Oncology Inc Radiology 100 S San Mateo Dr, San Mateo, CA 94401-3805 2005-11-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154933034 Andrew Lim Radiology 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 2020-08-20
1083275200 Centerpoint Radiation Oncology, Inc. Radiology 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 2019-06-27
1922450840 Cynthia Bajada Chasan Radiology 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 2016-07-02
1871906396 Sammy Mohamed Ashouri Radiology 300 Pasteur Dr Rm H1330, Stanford, CA 94305 2014-06-03
1235540469 Julian C Hong Radiology 1825 4th St Rm M2260, San Francisco, CA 94143-2350 2014-05-09
1295155422 Rishabh Chaudhari Radiology 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 2014-04-28
1407278211 Vincent S. T. Cheng Radiology 6022 W Sweet Dr, Visalia, CA 93291-8924 2014-01-13
1487085221 Peter Allison Austin Radiology 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 2013-12-04
1760820666 Sandra Birdwell Radiology 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 2013-06-13
1063859874 John Vidyadhar Hegde Radiology Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 2013-06-03
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Competitor

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City SAN MATEO
Zip Code 94401

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Dataset Information

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.

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