BEVERLY JONG (NPI# 1346476884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346476884 |
| Entity Type | Individual |
| Full Name | BEVERLY JONG |
| Credential | MD |
| Practice Address |
2120 Cowell Blvd Davis CA 95618-7835 |
| Mailing Address |
Po Box 252 Davis CA 95617-0252 |
| Practice Telephone | 2166440074 |
| Mailing Telephone | 2166440074 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2015-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 136770 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2120 COWELL BLVD |
| City | DAVIS |
| State | CA |
| Zip Code | 95618-7835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205894466 | Davis Surgery Center, Lp | Clinic/Center | 2120 Cowell Blvd, Suite 142, Davis, CA 95618-7840 | 2006-05-03 |
| 1467629436 | Joseph Michael Ribaudo | Anesthesiology | 2120 Cowell Blvd, Ste 142, Davis, CA 95618-7835 | 2008-05-09 |
| 1497962914 | Charles T Campbell | Anesthesiology | 2120 Cowell Blvd, Ste. 142, Davis, CA 95618-7835 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568013332 | Maria Pilar Alonso Nunez | Social Worker | 2707 Henri Ct, Davis, CA 95618 | 2019-09-24 |
| 1437616349 | Dagon Jones Dds Inc. | Dentist | 2800 5th Street, Suite 100, Davis, CA 95618 | 2019-02-27 |
| 1265938484 | Martel Elizabeth Costa | Nurse Practitioner | 1909 Galileo Ct Ste A, Davis, CA 95618 | 2018-04-05 |
| 1952785644 | Avineet Boparai | Dentist | 4515 Fermi Pl Ste 106, Davis, CA 95618 | 2015-07-13 |
| 1063841096 | Sergio Vicuna Dental Corporation | Dentist | 4515 Fermi Place Suite 106, Davis, CA 95618 | 2013-11-12 |
| 1700103314 | Daren Allen Casagrande | Counselor | 315 Mace Blvd, Davis, CA 95618 | 2010-04-23 |
| 1689802803 | Rocky P.j. Jedick | Emergency Medicine | 2206 Halsey Cir, Davis, CA 95618 | 2009-06-25 |
| 1356463004 | Vincent & Associates | Speech-Language Pathologist | 3560 J Street, Suite 1, Sacramento, CA 95618 | 2007-04-04 |
| 1316075138 | New Life Clinic | Acupuncturist | 1736 Picasso Ave., Suite B, Davis, CA 95618 | 2007-03-01 |
| 1558419622 | Baoping Li | Acupuncturist | 1736 Picasso Ave, Suite B, Davis, CA 95618 | 2007-01-08 |
| Find all providers in zip 95618 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265526941 | Eric B Lefever | Anesthesiology | 1801 Hanover Drive, #f, Davis, CA 95616 | 2006-10-03 |
| 1881605640 | Joseph G Antony | Anesthesiology | 1801 Hanover Dr, Suite F, Davis, CA 95616-1066 | 2006-08-10 |
| 1508108085 | Gordon Yungchu Chen | Anesthesiology | 2000 Sutter Pl, Davis, CA 95616 | 2013-03-21 |
| 1417184433 | Victor Tubbesing | Anesthesiology | 2000 Sutter Pl, Davis, CA 95616-6201 | 2009-06-17 |
| 1467629436 | Joseph Michael Ribaudo | Anesthesiology | 2120 Cowell Blvd, Ste 142, Davis, CA 95618-7835 | 2008-05-09 |
| 1497962914 | Charles T Campbell | Anesthesiology | 2120 Cowell Blvd, Ste. 142, Davis, CA 95618-7835 | 2007-05-16 |
| 1104048131 | Hannah Kwon | Anesthesiology | 2000 Sutter Pl, Davis, CA 95616-6201 | 2007-05-02 |
| 1467522482 | Kelly Jo Doerzbacher | Anesthesiology | 2000 Sutter Pl, Davis, CA 95616-6201 | 2006-11-08 |
| 1568556173 | Henry T King | Anesthesiology | 1801 Hanover Drive, #f, Davis, CA 95616 | 2006-10-03 |
| 1104926930 | Scott S Patrick | Anesthesiology | 2000 Sutter Pl, Davis, CA 95616-6201 | 2006-09-22 |
| Find all providers in DAVIS | ||||
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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.