DR. PETER MICHAEL LOOMER (NPI# 1508082819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508082819 |
| Entity Type | Individual |
| Full Name | DR. PETER MICHAEL LOOMER |
| Credential | D.D.S. |
| Practice Address |
707 Parnassus Avenue Box 0762 San Francisco CA 94903-0762 |
| Mailing Address |
521 Parnassus Ave. C628 Box 0650 San Francisco CA 94903-5004 |
| Practice Telephone | 4154761731 |
| Mailing Telephone | 4155027896 |
| Mailing Fax Number | 4155024990 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
SP198 | CA | Dental Providers |
| Street Address |
707 PARNASSUS AVENUE BOX 0762 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94903-0762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508359902 | L Swayamprakasam Dds Corp | Dentist | 1550 Lombard St, San Francisco, CA 94123-3154 | 2018-06-11 |
| 1720427651 | Nicole Olivares | Dentist | 450 Sutter St Rm 1314, San Francisco, CA 94108-4002 | 2013-06-25 |
| 1578827226 | Jeff Takai | Dentist | 882 Presidio Ave, San Francisco, CA 94115-2921 | 2012-06-27 |
| 1356624175 | Sohyun Park | Dentist | 450 Sutter St Rm 2400, San Francisco, CA 94108-4203 | 2011-09-28 |
| 1114218153 | Joyce Yi-tzy Cheng | Dentist | 1356 3rd Ave, San Francisco, CA 94122-2719 | 2011-04-25 |
| 1376832337 | John Bigelow Hartman | Dentist | 685 Commercial St, San Francisco, CA 94111-2503 | 2011-03-30 |
| 1962720433 | Christina Gasper | Dentist | 450 Sutter St Rm 2336, San Francisco, CA 94108-4202 | 2010-05-09 |
| 1881856383 | Jung Sun Han | Dentist | 170 King St, Suite 105, San Francisco, CA 94107-1917 | 2008-06-26 |
| 1760682074 | Thomas Ridge Baker | Dentist | 450 Sutter St Rm 1935, San Francisco, CA 94108-4107 | 2007-07-24 |
| 1801095104 | Eric Engert | Dentist | 450 Sutter St Rm 2326, San Francisco, CA 94108-4202 | 2007-07-16 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94903 |
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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.