DR. EDWARD F CONNOLLY (NPI# 1467465674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467465674 |
| Entity Type | Individual |
| Full Name | DR. EDWARD F CONNOLLY |
| Credential | MD |
| Practice Address |
2101 Vale Rd #301 San Pablo CA 94806-3835 |
| Practice Telephone | 5102364500 |
| Practice Fax Number | 5102360291 |
| Mailing Telephone | 5102364500 |
| Mailing Fax Number | 5102360291 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G23552 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G235520 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750369419 | Edward A Connolly | Orthopaedic Surgery | 520 Valley View Dr, Moline, IL 61265-6194 | 2006-01-04 |
| 1447386578 | Edward Sander Connolly Jr. | Neurological Surgery | 710 W 168th St, Room 435, New York, NY 10032-3726 | 2007-02-25 |
| 1093872103 | Edward Leo Connolly | Clinical Neuropsychologist | 9 Post Rd, Suite D-1, Oakland, NJ 07436-1615 | 2007-01-02 |
| Street Address |
2101 VALE RD #301 |
| City | SAN PABLO |
| State | CA |
| Zip Code | 94806-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417923145 | Robert A Fox | Psychiatry & Neurology | 2101 Vale Rd, Suite 101, San Pablo, CA 94806-3835 | 2006-02-23 |
| 1700259892 | John Muir Physician Network | Internal Medicine | 2101 Vale Rd, #201, San Pablo, CA 94806-3835 | 2015-11-11 |
| 1720426893 | Js Capital Group | Pharmacy | 2101 Vale Rd, Suite 100, San Pablo, CA 94806-3835 | 2013-06-11 |
| 1154526895 | Henry Albert Chen | Internal Medicine | 2101 Vale Rd, #201, San Pablo, CA 94806-3835 | 2007-06-20 |
| 1467500785 | Warren Sen Chin | Pharmacist | 2101 Vale Rd, 101, San Pablo, CA 94806-3835 | 2007-01-05 |
| 1699830034 | Rosemary Boss | Pharmacist | 2101 Vale Rd, San Pablo, CA 94806-3835 | 2006-12-26 |
| 1720153109 | Donald William Price | Psychiatry & Neurology | 2101 Vale Rd, Ste 101, San Pablo, CA 94806-3835 | 2006-11-21 |
| 1457446957 | Edward Yoon | Internal Medicine | 2101 Vale Rd, San Pablo, CA 94806-3835 | 2006-10-03 |
| 1043323991 | East Bay Cardiology Medical Group | Internal Medicine | 2101 Vale Rd, Suite 201, San Pablo, CA 94806-3835 | 2006-08-16 |
| 1902819576 | David M. Hill | Internal Medicine | 2101 Vale Rd, Sutie 201, San Pablo, CA 94806-3835 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
| 1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
| 1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
| 1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
| 1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
| 1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
| 1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
| 1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
| Find all providers in zip 94806 | ||||
| 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 |
|---|---|---|---|---|
| 1659410140 | Brian Matthew Swope | Pediatrics | Brookside Community Health Center, 2023 Vale Road, Suite 107, San Pablo, CA 94806-3834 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879099 | Dr Sameh Elamir Md PC | Pediatrics | 1834 W Lincoln Ave Ste R, Anaheim, CA 92801-5425 | 2020-10-17 |
| 1710590971 | Javier R Rios Md, A Professional Corporation | Pediatrics | 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 | 2020-08-27 |
| 1275151342 | California Pediatric & Adolescent Care Inc | Pediatrics | 3340 W Ball Rd Ste A, Anaheim, CA 92804-3729 | 2020-07-06 |
| 1891312153 | Anna Munoz Chavira, Md | Pediatrics | 10603 Horton Ave, Downey, CA 90241-2109 | 2020-07-02 |
| 1699391219 | Margaret Dillon Burchell | Pediatrics | 1524 Columbus Ave, Burlingame, CA 94010-5512 | 2020-06-19 |
| 1780206003 | Pineapple Pediatrics | Pediatrics | 19 E Citrus Ave Ste 201, Redlands, CA 92373-4742 | 2020-05-08 |
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1790304707 | Nicollette L. Ballou, M.d. | Pediatrics | 3831 Hughes Ave Ste 602, Culver City, CA 90232-6845 | 2020-04-09 |
| 1083243091 | Anita Giselle Wright | Pediatrics | 4003 Clarinda Dr, Tarzana, CA 91356-5048 | 2020-04-02 |
| 1669005500 | Family Choice Pediatrics Inc | Pediatrics | 3801 Katella Ave Ste 221, Los Alamitos, CA 90720-3380 | 2020-02-19 |
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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.