PHILLIP MICHAEL GROB (NPI# 1588725253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588725253 |
| Entity Type | Individual |
| Full Name | PHILLIP MICHAEL GROB |
| Credential | M. D. |
| Practice Address |
339 College Ave Santa Rosa CA 95401-5117 |
| Mailing Address |
3322 Chanate Rd Santa Rosa CA 95404-1708 |
| Practice Telephone | 7075730223 |
| Practice Fax Number | 7075730222 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2014-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
G85079 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
339 COLLEGE AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780817973 | Marie L. Rogers | Nurse Practitioner | 339 College Ave, Santa Rosa, CA 95405 | 2009-09-03 |
| 1073742136 | Cheryl Ann Fox | Registered Nurse | 339 College Ave, Santa Rosa, CA 95404 | 2009-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154873909 | Aliuddin Khaja, Md., Inc | Psychiatry & Neurology | 1300 W. Florida Ave, Suite - C, Hemet, CA 92543 | 2016-10-27 |
| 1831446657 | Kulwinder Singh Md, California Center of Healthy Aging | Psychiatry & Neurology | 2079 Norse Dr, #96, Pleasant Hill, CA 94523-1871 | 2012-08-10 |
| 1366717431 | Estelita B. Calica, M.d., Apc. | Psychiatry & Neurology | 1505 Wilson Ter Ste 230, Glendale, CA 91206-4074 | 2012-03-21 |
| 1467730812 | Sarah Brunelle | Psychiatry & Neurology | Ucsd Dept of Psychiatry 9500 Gilman Dr, 9116a, La Jolla, CA 92093-0001 | 2011-08-02 |
| 1730411240 | Richard Almond | Psychiatry & Neurology | 550 Hamilton Ave Ste 339, Palo Alto, CA 94301-2031 | 2010-02-08 |
| 1023249869 | David Paul Trachtenberg | Psychiatry & Neurology | 1888 Appia Ct, Walnut Creek, CA 94598-2238 | 2009-07-28 |
| 1710018403 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 6930 Bevis Street, Van Nuys, CA 91405-3844 | 2007-03-07 |
| 1982734109 | Izzet Cagri Yazgan | Psychiatry & Neurology | 2052 Sellars Ct, Capitola, CA 95010 | 2007-03-06 |
| 1962548701 | Linda Feldman Duritz | Psychiatry & Neurology | 36 El Camino Real, Berkeley, CA 94705-2424 | 2007-01-29 |
| 1396881207 | Sameh Elsanadi Md,inc. | Psychiatry & Neurology | 9070 Irvine Center Dr, Suite# 105, Irvine, CA 92618-4678 | 2007-01-29 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
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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.