DR. JAIKRISHNA BALKISSOON (NPI# 1508974056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508974056 |
| Entity Type | Individual |
| Full Name | DR. JAIKRISHNA BALKISSOON |
| Credential | MD |
| Practice Address |
2999 Regent St Suite 300 Berkeley CA 94705-2146 |
| Practice Telephone | 5105481717 |
| Practice Fax Number | 5105481715 |
| Mailing Telephone | 5105481717 |
| Mailing Fax Number | 5105481715 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
G071363 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2999 REGENT ST SUITE 300 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962487421 | Shahin M Javaheri | Plastic Surgery | 2999 Regent St, Number 626, Berkeley, CA 94705-2146 | 2005-12-07 |
| 1326585449 | Golden Gate Urology Inc | Non-Pharmacy Dispensing Site | 2999 Regent St, Suite 612 & 626, Berkeley, CA 94705-2190 | 2017-01-26 |
| 1639553217 | Susan Su | Optometrist | 2999 Regent St, Suite 425, Berkeley, CA 94705-2190 | 2015-07-14 |
| 1487908802 | Robert J. Stallone M.d., Inc. | Surgery | 2999 Regent St, Suite 622, Berkeley, CA 94705-2190 | 2012-11-07 |
| 1205115128 | Jaikrishna Balkisson,md & Laurie E. Schweitzer, Md | Specialist | 2999 Regent St, 300, Berkeley, CA 94705-2190 | 2011-08-09 |
| 1407150139 | Ryan Lawrence Horn, D.d.s. | Dentist | 2999 Regent St, Suite #403, Berkeley, CA 94705-2190 | 2011-01-10 |
| 1841593472 | Elizabeth Slass Lee A Medical Corporation | Plastic Surgery | 2999 Regent St, Suite 401, Berkeley, CA 94705-2190 | 2010-12-21 |
| 1215191002 | Unilab Corporation | Clinical Medical Laboratory | 2999 Regent St, Suite 101, Berkeley, CA 94705-2146 | 2008-07-11 |
| 1962678979 | Beth Schneider | Acupuncturist | 2999 Regent St, Ste 225, Berkeley, CA 94705-2146 | 2008-04-30 |
| 1023283025 | Williamtennantdds/williamgiannidds | Dentist | 2999 Regent St, Suite 714, Berkeley, CA 94705-2146 | 2008-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447211784 | Jeffrey Stern | Surgery | 2001 Dwight Way, 2nd Floor, Berkeley, CA 94704-2608 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418702 | Farzad Alemi Md Inc | Surgery | 3628 E Imperial Hwy Ste 103, Lynwood, CA 90262-2600 | 2020-05-13 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1225511835 | Brendan Boland Md Inc | Surgery | 9001 Wilshire Blvd Ste 207, Beverly Hills, CA 90211-1843 | 2018-09-10 |
| 1508377409 | Curetology Surgical Oncology Medical Corporation & Associates | Surgery | 1127 Wilshire Blvd Ste 1604, Los Angeles, CA 90017-4007 | 2017-10-18 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1336572734 | Lana D Louie | Surgery | 18370 Burbank, Suite 607, Tarzana, CA 91356-2833 | 2013-08-21 |
| 1942544515 | Leland J Foshag, Md Inc | Surgery | 11818 Wilshire Blvd Ste 200, Los Angeles, CA 90025-6647 | 2012-11-20 |
| 1447516935 | Fank B Callipari X | Surgery | 14914 Huntington Gate Dr, Poway, CA 92064-6709 | 2012-04-09 |
| 1649549767 | Joseph Dotan | Surgery | 1618 Woodlands Rd, Beaumont, CA 92223-8569 | 2011-12-19 |
| 1679801609 | Carl Mason Sutherland II | Surgery | 539 28th Ave, San Mateo, CA 94403-2601 | 2009-12-02 |
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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.