MEENA SURESH GURBANI (NPI# 1518015494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518015494 |
Entity Type | Individual |
Full Name | MEENA SURESH GURBANI |
Credential | MD |
Practice Address |
1505 W 17th St San Bernardino CA 92411-1202 |
Mailing Address |
685 Carnegie Dr. Suite 230 San Bernardino CA 92408 |
Practice Telephone | 9098876494 |
Practice Fax Number | 9098876043 |
Mailing Telephone | 9098900407 |
Mailing Fax Number | 9098900575 |
Enumeration Date | 2007-01-08 |
Last Update Date | 2012-11-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | A55112 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A551120 | 05 |
Street Address |
1505 W 17TH ST |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92411-1202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295823078 | Sanford Schneider | Psychiatry & Neurology | 1505 W 17th St, San Bernardino, CA 92411-1202 | 2006-10-10 |
1285081729 | Meagan Noelle Orris | Physician Assistant | 1505 W 17th St, San Bernardino, CA 92411-1202 | 2016-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
Find all providers in zip 92411 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982987095 | Apex Pediatrics Inc | Pediatrics | 399 E Highland Ave Ste 329, San Bernardino, CA 92404-3861 | 2011-09-25 |
1639400708 | Roshunda Michelle Coleman | Pediatrics | 190 E. Highland Blvd., San Bernardino, CA 92405-3658 | 2010-01-28 |
1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
1700058526 | Rishikesh S Chavan | Pediatrics | 250 E Caroline St Ste E, San Bernardino, CA 92408-3758 | 2008-04-01 |
1346412244 | Matthew Bryan Fong | Pediatrics | 250 S G St, San Bernardino, CA 92410-3320 | 2008-03-31 |
1629249859 | Tara Rithaporn Agena | Pediatrics | 565 North Mt Vernon Ave, San Bernardino, CA 92411-2661 | 2008-03-15 |
1073795027 | Irene Styadi Tsai | Pediatrics | 685 Carnegie Dr, Ste. #230, San Bernardino, CA 92408-3502 | 2007-12-01 |
1235351206 | Edgar Eduardo Alfaro- Mcfield | Pediatrics | 1800 Western Ave Ste 305, San Bernardino, CA 92411-1354 | 2007-05-02 |
1659497535 | Alan Irving Lee | Pediatrics | 1906 Commercenter E Ste 101, San Bernardino, CA 92408-3423 | 2007-03-22 |
1679612212 | Aena D Han | Pediatrics | 1505 W 17th St Ste 1, San Bernardino, CA 92411-1202 | 2007-02-06 |
Find all providers in SAN BERNARDINO |
City | SAN BERNARDINO |
Zip Code | 92411 |
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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.