DR. SUSAN D JEIVEN (NPI# 1386606804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386606804 |
Entity Type | Individual |
Full Name | DR. SUSAN D JEIVEN |
Credential | M.D. |
Practice Address |
2121 Ygnacio Valley Rd, Ste. E200 Walnut Creek CA 94598-3338 |
Practice Telephone | 9259397344 |
Practice Fax Number | 9259397345 |
Mailing Telephone | 9259397344 |
Mailing Fax Number | 9259397345 |
Enumeration Date | 2006-04-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
A54202 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | INDIVIDUAL PROVIDER # | 00A542020 | 01 |
Street Address |
2121 YGNACIO VALLEY RD, STE. E200 |
City | WALNUT CREEK |
State | CA |
Zip Code | 94598-3338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
Find all providers in zip 94598 |
Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750562864 | Fadi G. Haddad, Md, Inc | Pediatrics | 1455 Montego, Suite 101, Walnut Creek, CA 94598 | 2007-11-16 |
1780119966 | Norcal Pediatric Gastroenterology | Pediatrics | 1776 Ygnacio Valley Rd, Ste 108, Walnut Creek, CA 94598-3190 | 2017-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134531254 | Mary Catherine Sawh | Pediatrics | 1625 Stockton Blvd Ste 105, Sacramento, CA 95816-7098 | 2014-05-22 |
1477899474 | Thomas W Self | Pediatrics | 7514 Girard Ave Ste 1, La Jolla, CA 92037-5199 | 2012-12-19 |
1174882047 | Marwa Abu El Haija | Pediatrics | 3801 Sacramento St Ste 216, San Francisco, CA 94118 | 2012-05-11 |
1518251636 | Travis Loyd Piester | Pediatrics | 4650 W Sunset Blvd # Ms 76, Los Angeles, CA 90027-6062 | 2011-06-06 |
1235422197 | Emily Whang | Pediatrics | 10833 Le Conte Ave # 12-383, Los Angeles, CA 90095-2804 | 2011-05-25 |
1851616056 | Kelly Beth Haas | Pediatrics | 2516 Stockton Blvd Ste 367, Sacramento, CA 95817-2208 | 2010-03-30 |
1538490230 | Pediatric Gastroenterology of Monterey Inc. | Pediatrics | 1900 Garden Road Suite 110, Pediatric Group of Monterey, Monterey, CA 93940 | 2010-01-19 |
1558490912 | Khyati Pravin Mehta | Pediatrics | 25845 Barton Rd Ste 101, Loma Linda, CA 92354-5300 | 2007-03-03 |
1841341427 | Walter Edward Benkert Sipe | Pediatrics | 500 Parnasus Ave, Box 0136, San Francisco, CA 94143-0136 | 2007-01-12 |
1679653000 | Beth Carter | Pediatrics | 4650 W Sunset Blvd # 78, Los Angeles, CA 90027-6062 | 2006-10-17 |
Find all providers with the same taxonomy |
City | WALNUT CREEK |
Zip Code | 94598 |
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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.