MICHAEL W DEBOISBLANC (NPI# 1467554337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467554337 |
| Entity Type | Individual |
| Full Name | MICHAEL W DEBOISBLANC |
| Credential | MD |
| Practice Address |
2637 Shadelands Dr Walnut Creek CA 94598-2512 |
| Practice Telephone | 9259326330 |
| Practice Fax Number | 9259320139 |
| Mailing Telephone | 9259326330 |
| Mailing Fax Number | 9259320139 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2018-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A71377 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 020046653 | 05 |
| Street Address |
2637 SHADELANDS DR |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244183 | Fernando R Otero | Surgery | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2005-06-09 |
| 1568012052 | Angela Leverich | Nurse Practitioner | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2019-09-16 |
| 1811479504 | Bay Area Surgical Specialists Inc A Medical Corporation | Clinic/Center | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-08-30 |
| 1265914956 | Bay Area Surgical Specialists Inc A Medical Corporation | Clinical Medical Laboratory | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-08-30 |
| 1023501905 | Bay Area Surgical Specialists Inc A Medical Corporation | Radiology | 2637 Shadelands Dr, Walnut Creek, CA 94598 | 2018-06-14 |
| 1396245064 | Kimberly Dionne Oja | Nurse Practitioner | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-02-19 |
| 1679080071 | Corinne R Colombo | Nurse Practitioner | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-01-07 |
| 1750892501 | Kathryne Chirco | Nurse Practitioner | 2637 Shadelands Dr, Walnut Creek, CA 94598 | 2017-10-19 |
| 1295274488 | Advanced Sleep Diagnostics, Inc. | Otolaryngology | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2017-02-21 |
| 1649681982 | Heidi Chang | Obstetrics & Gynecology | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2014-05-08 |
| Find all providers in the same location | ||||
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962776245 | Brian J Keyashian | Surgery | 2637 Shadelands Dr Ste A, Walnut Creek, CA 94598-2512 | 2012-03-03 |
| 1336427939 | Salvador Gallardo Guevara | Surgery | 3003 Oak Rd Ste 104, Walnut Creek, CA 94597 | 2011-07-30 |
| 1740501691 | Charles Kasper Md A Medical Corp | Surgery | 130 La Casa Via Bldg 1, Walnut Creek, CA 94598-3045 | 2010-06-15 |
| 1013169911 | Negar Monavar Salehomoum | Surgery | 365 Lennon Ln Ste 290, Walnut Creek, CA 94598-5915 | 2008-10-22 |
| 1124280672 | Eugenia Kang | Surgery | 130 La Casa Via # 3-211, Walnut Creek, CA 94598-3045 | 2008-06-26 |
| 1366628935 | John Ulric Zink | Surgery | 2637 Shadelands Dr # 250, Walnut Creek, CA 94598-2512 | 2008-01-14 |
| 1487619490 | Eric G Leveen | Surgery | 1449 Treat Blvd Apt 813, Walnut Creek, CA 94597-7933 | 2006-04-20 |
| 1346244183 | Fernando R Otero | Surgery | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2005-06-09 |
| 1457781247 | Napa Management Services, LLC | Surgery | 365 Lennon Ln, Suite 250, Walnut Creek, CA 94598-5910 | 2013-11-15 |
| 1083956213 | Irene Jia-shin Lo | Surgery | 130 La Casa Via, Building 3, Suite 211, Walnut Creek, CA 94598-3045 | 2013-03-26 |
| Find all providers in WALNUT CREEK | ||||
| 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.