DALE SOVAK (NPI# 1518003243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518003243 |
Entity Type | Individual |
Full Name | DALE SOVAK |
Credential | D.P.M., C.PED |
Practice Address |
4576 E 2nd St H Benicia CA 94510-1046 |
Practice Telephone | 7077511630 |
Practice Fax Number | 9252263184 |
Mailing Telephone | 7077511630 |
Mailing Fax Number | 9252263184 |
Enumeration Date | 2007-01-29 |
Last Update Date | 2010-10-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
E4144 | CA | Podiatric Medicine & Surgery Service Providers |
Street Address |
4576 E 2ND ST H |
City | BENICIA |
State | CA |
Zip Code | 94510-1046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982903720 | Jackrabbit Shoes and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 4576 E 2nd St, H, Benicia, CA 94510-1046 | 2011-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578114690 | Stacie Coveleski | Psychologist | 701 Southhampton Road, Suite 102, Benicia, CA 94510 | 2019-09-20 |
1962065227 | Susan Samuelsz | Marriage & Family Therapist | 1350 Hayes St. Suite A33, Benicia, CA 94510 | 2019-04-22 |
1982150546 | Christine Torres | Health Educator | 777 West H Street, Benicia, CA 94510 | 2016-09-01 |
1548654692 | Paul Villamizar | Pharmacist | 900 Cambridge Drive Unit 11, Benicia, CA 94510 | 2015-03-26 |
1457768079 | Gail Frizzell | Social Worker | 865 West I Street, Benicia, CA 94510 | 2014-07-15 |
1093150740 | Mjq Family Dentistry | Dentist | 125 East N Street, Benicia, CA 94510 | 2013-05-08 |
1528328283 | Julie Laura Rose | Acupuncturist | 555 First St., Suite 200, Benicia, CA 94510 | 2012-05-29 |
1720379175 | Gary Archie Plaskett | Counselor | 591 Capitol Dr, Benicia, CA 94510 | 2011-04-20 |
1104062405 | Dan Gary Wertheimer | Social Worker | 1901 Shoreline Drive, Apt 303, Alameda, CA 94510 | 2008-12-17 |
1023266053 | Mark David Levine Md Vallejo Professional Corporation | Psychiatry & Neurology | 1021 First St Ste 5, Benicia, CA 94510 | 2008-09-03 |
Find all providers in zip 94510 |
Taxonomy Code | 213ES0000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Sports Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992164628 | Marin Foot and Ankle | Podiatrist | 7 N Knoll Rd Ste 3, Mill Valley, CA 94941-1665 | 2016-02-23 |
1528363249 | Tres Peros Inc | Podiatrist | 222 Front St Fl 6, San Francisco, CA 94111-4422 | 2011-01-12 |
1033271705 | Arnold Serkin | Podiatrist | 3400 Lomita Blvd Ste 403, Torrance, CA 90505-4930 | 2006-12-15 |
1104998434 | Alona Kashanian | Podiatrist | 3984 South Figueroa Street, Los Angeles, CA 90037 | 2006-11-14 |
1790866887 | Remy Ardizzone | Podiatrist | 900 Hyde Street, Suite 1100, Center for Sports Medicine, San Francisco, CA 94109 | 2006-10-17 |
1164515623 | Irwin D Cohen | Podiatrist | 585 Kelly St, Half Moon Bay, CA 94019 | 2006-10-02 |
1477664662 | David Ray Hannaford | Podiatrist | 750 Las Gallinas Ave Ste 102, San Rafael, CA 94903-3431 | 2006-08-31 |
1003920851 | Colleen Schwartz | Podiatrist | 273 Spring St, Pleasanton, CA 94566-6625 | 2006-08-18 |
1295766475 | Neil Brian Mansdorf | Podiatrist | 555 N Tustin St, Orange, CA 92867-7611 | 2006-07-05 |
1770525065 | Ashkan Soleymani | Podiatrist | 18370 Burbank Blvd Ste 714, Tarzana, CA 91356-2827 | 2006-06-12 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DALE SOVAK.
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.