ELLEN G ROSENTHAL (NPI# 1609948231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609948231 |
| Entity Type | Individual |
| Full Name | ELLEN G ROSENTHAL |
| Credential | MD |
| Practice Address |
3260 Kerner Blvd San Rafael CA 94901-4861 |
| Mailing Address |
9 Commercial Blvd Ste 103 Novato CA 94949-6118 |
| Practice Telephone | 4154737377 |
| Practice Fax Number | 4154736855 |
| Mailing Telephone | 4157983106 |
| Mailing Fax Number | 4157983180 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2016-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G82191 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G821910 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942455233 | Ellen T. Rosenthal | Social Worker | 40 Mamaroneck Road, Scarsdale, NY 10583 | 2008-12-01 |
| 1174750392 | Ellen R Rosenthal | Speech-Language Pathologist | 11940 Alpharetta Hwy, Suite 150, Alpharetta, GA 30009-2003 | 2009-06-15 |
| Street Address |
3260 KERNER BLVD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-4861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982664496 | Charles Bookoff | Obstetrics & Gynecology | 3260 Kerner Blvd, San Rafael, CA 94901-4861 | 2006-03-27 |
| 1922640366 | Alyssa Riederman | Dietitian, Registered | 3260 Kerner Blvd, San Rafael, CA 94901-4840 | 2019-10-16 |
| 1952822611 | Kyle Chuang | Student in an Organized Health Care Education/Training Program | 3260 Kerner Blvd, San Rafael, CA 94901-4840 | 2017-07-03 |
| 1922548916 | Ayah El-beshbeeshy | Dietitian, Registered | 3260 Kerner Blvd, A, San Rafael, CA 94901-4840 | 2017-02-24 |
| 1689060063 | Dana Jackson | Pediatrics | 3260 Kerner Blvd, San Rafael, CA 94901-4840 | 2015-04-13 |
| 1851622518 | Anju Goel | Internal Medicine | 3260 Kerner Blvd, San Rafael, CA 94901-4861 | 2010-01-20 |
| 1548401953 | Jacqueline Tom Jew | Registered Nurse | 3260 Kerner Blvd, San Rafael, CA 94901-4861 | 2009-03-13 |
| 1154561173 | Christine Diane Stipp | Registered Nurse | 3260 Kerner Blvd, San Rafael, CA 94901-4861 | 2009-03-03 |
| 1932349925 | Linda Kathleen Metz | Registered Nurse | 3260 Kerner Blvd, San Rafael, CA 94901-4861 | 2009-03-03 |
| 1861639734 | Rebecca Koski Siiteri | Registered Nurse | 3260 Kerner Blvd, San Rafael, CA 94901-4861 | 2009-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811558349 | Gerard Fuertes Notario | Internal Medicine | 74 Rafael Dr, San Rafael, CA 94901-2225 | 2019-06-25 |
| 1205233889 | Annette S Thorn | Internal Medicine | 161 Maywood Way, San Rafael, CA 94901 | 2014-11-26 |
| 1306245279 | Charles Fischer | Internal Medicine | 75 Dunfries Ter, San Rafael, CA 94901-2415 | 2014-08-17 |
| 1326386897 | James D Taylor Md Inc | Internal Medicine | 155 Andersen Dr Ste 1108, San Rafael, CA 94901-3999 | 2013-01-17 |
| 1104139633 | Henry N Hulter | Internal Medicine | 17 Wellbrock Hts, San Rafael, CA 94903-3787 | 2010-07-26 |
| 1174721856 | David S Fankushen | Internal Medicine | 12 Ritter St, San Rafael, CA 94912 | 2007-07-05 |
| 1609946755 | Lynette Teresa Mclamb | Internal Medicine | 1033 3rd Street, Kaiser Permanente Adult Medicine, San Rafael, CA 94901 | 2006-11-08 |
| 1447343496 | Fareed Ramzi Asfour | Internal Medicine | 834 5th Ave Ste 2, San Rafael, CA 94901-3254 | 2006-10-02 |
| 1235243775 | Bryn James Duffy | Internal Medicine | 16 Bolanos Dr, San Rafael, CA 94903-3103 | 2006-08-19 |
| 1851331094 | Jonathan M Freudman | Internal Medicine | 1010 B St, Suite 208, San Rafael, CA 94901-2922 | 2006-06-07 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
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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.