SNF SPECIALISTS MEDICAL CORPORATION (NPI# 1497265565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497265565 |
| Entity Type | Organization |
| Organization Name | SNF SPECIALISTS MEDICAL CORPORATION |
| Practice Address |
1255 Travis Blvd Fairfield CA 94533-4801 |
| Mailing Address |
2300 Henry Ave Pinole CA 94564-1714 |
| Practice Telephone | 7078641056 |
| Practice Fax Number | 7078641095 |
| Mailing Telephone | 7078641056 |
| Mailing Fax Number | 7078641095 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |
| Authorized Official Name | GURPREET DHUGGA (PRESIDENT) |
| Authorized Official Telephone | 7078641056 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A63219 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1255 TRAVIS BLVD |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780669093 | Fairfield Health Care, Inc. | Skilled Nursing Facility | 1255 Travis Blvd, Fairfield, CA 94533-4801 | 2005-12-08 |
| 1003431313 | Michael Tiopianco | Physical Therapist | 1255 Travis Blvd, Fairfield, CA 94533-4801 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1023664125 | Emily Knowlton | Internal Medicine | 2000 Post Rd Ste 202, Fairfield, CT 06824-5730 | 2019-08-14 |
| 1508215377 | Robert S Galvin | Internal Medicine | 376 Hillside Rd, Fairfield, CT 06824-2140 | 2016-06-12 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1588083075 | Clarisse Elaine Cadang | Internal Medicine | 4520 Business Center Dr Ste 200, Fairfield, CA 94534-6888 | 2014-04-10 |
| 1912262643 | Khushleen Jaggi | Internal Medicine | 3900 Business Center Dr Apt 9303, Fairfield, CA 94534-4238 | 2012-07-09 |
| 1831462951 | Vincent E Kerr | Internal Medicine | 77 Mailands Rd, Fairfield, CT 06824-3999 | 2012-02-21 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1992038285 | Absolute Health Medical Spa | Internal Medicine | 4820 Business Center Dr, Suite 110, Fairfield, CA 94534-1696 | 2009-09-17 |
| 1962653576 | Wallace Bernard Lebowitz | Internal Medicine | 1699 Fairfield Beach Rd, Fairfield, CT 06824-6522 | 2008-10-02 |
| Find all providers in FAIRFIELD | ||||
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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.