DR. DAWN M GROTEN (NPI# 1407880693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407880693 |
Entity Type | Individual |
Full Name | DR. DAWN M GROTEN |
Credential | MD |
Practice Address |
1510 4th St Suite 1 Berkeley CA 94710-1717 |
Mailing Address |
3212 Jefferson St # 196 Napa CA 94558-3436 |
Practice Telephone | 5105258980 |
Practice Fax Number | 5105258982 |
Mailing Telephone | 7072558825 |
Mailing Fax Number | 7072529325 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2014-06-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
G54516 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G545161 | 05 |
Street Address |
1510 4TH ST SUITE 1 |
City | BERKELEY |
State | CA |
Zip Code | 94710-1717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871568899 | Bernard Leroy Bennett | Internal Medicine | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2006-02-22 |
1447705603 | Kimberly Chang | Nurse Practitioner | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2016-08-17 |
1457710998 | Naresh Kumar Joshi | Internal Medicine | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2016-02-11 |
1538547237 | Firoza Rahimi | Nurse Practitioner | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2015-05-13 |
1013316488 | Maki Matsumura | Nurse Practitioner | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2014-08-21 |
1063822187 | Amy Lynn Choy | Physician Assistant | 1510 4th St, Ste 1, Berkeley, CA 94710-1717 | 2014-04-28 |
1548605587 | Virgilio Y Baluyut | Nurse Practitioner | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2013-05-03 |
1942598289 | Christina Garza | Internal Medicine | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2011-07-20 |
1316255094 | Linda Beulah Tran | Internal Medicine | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2010-09-16 |
1437489994 | Inpatient Consultants of California, Inc | Family Medicine | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2010-01-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740836857 | Elizabeth B. Isono | Occupational Therapy Assistant | 2550 9th Street, Suite115, Berkeley, CA 94710 | 2019-08-14 |
1861967622 | Liliana Teves Sierra | Nurse Practitioner | 837 Addison St, Berkeley, CA 94710 | 2018-10-09 |
1841774213 | Erin Royle | Nurse Practitioner | 800 Dwight Way, Berkeley, CA 94710 | 2018-09-20 |
1790293389 | Nga Thien Ho | Pharmacist | 1500 Gilman St, Berkeley, CA 94710 | 2018-01-17 |
1942710140 | Laila Rania Tannura | Nurse Practitioner | 837 Addison St., Berkeley, CA 94710 | 2017-10-03 |
1578016556 | Elizaveta Pachepsky | Counselor | 1061 Eastshore Hwy, Albany, CA 94710 | 2016-07-26 |
1245624832 | Jody Slendebroek | Behavioral Analyst | 2560 9th Street Suite 220a, Ste Consultants LLC, Berkeley, CA 94710 | 2015-03-23 |
1104234731 | Felicia Ma | Physician Assistant | 2344 Sixth Street, Berkeley, CA 94710 | 2014-07-28 |
1699197228 | Henriette Agnes Lenssen | Acupuncturist | 809 Delaware St, Berkeley, CA 94710 | 2014-01-16 |
1598198350 | Fiona C. Lundy | Social Worker | 837 Addison Street, Berkeley, CA 94710 | 2013-08-15 |
Find all providers in zip 94710 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851786792 | Michael Lee Goldrich | Internal Medicine | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2015-03-30 |
1578641346 | Joan Lucile King-angell | Internal Medicine | 3260 Sacramento St, Over 60 Clinic, Berkeley, CA 94702 | 2006-11-01 |
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1972065704 | Joseph A Habis Md | Internal Medicine | 359 Bel Marin Keys Blvd Ste 22, Novato, CA 94949-5637 | 2019-04-01 |
1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
1972081412 | Ahra Cho, M.d., Inc | Internal Medicine | 2727 W Olympic Blvd Ste 205, Los Angeles, CA 90006-2640 | 2018-08-06 |
1013401975 | Robert H Moon Md, Inc | Internal Medicine | 181 Rea Ave, El Cajon, CA 92020-3985 | 2018-06-14 |
1821587585 | Aost Healthcare Services | Internal Medicine | 10990 Lower Azusa Rd Ste 4, El Monte, CA 91731-1353 | 2018-05-08 |
1396233185 | Caroline Petrossian | Internal Medicine | 1880 Century Park East Suite 711, Century City, CA 90067 | 2018-04-26 |
1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
1427588417 | Vivacitas Medical Group PC | Internal Medicine | 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954-1190 | 2017-06-13 |
1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
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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.