SHELLY RAE DAWSON (NPI# 1619068103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619068103 |
| Entity Type | Individual |
| Full Name | SHELLY RAE DAWSON |
| Credential | MD |
| Practice Address |
3130 Del Monte Blvd Marina CA 93933-3047 |
| Mailing Address |
100 Wilson Rd Ste 100 Monterey CA 93940-7885 |
| Practice Telephone | 8318833330 |
| Practice Fax Number | 8318833335 |
| Mailing Telephone | (831) 649-1000 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2017-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C146662 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0101238261 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
3130 DEL MONTE BLVD |
| City | MARINA |
| State | CA |
| Zip Code | 93933-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457793275 | Marina Doctors On Duty | Non-Pharmacy Dispensing Site | 3130 Del Monte Blvd, Marina, CA 93933-3047 | 2013-07-22 |
| 1992034250 | Adele Constance Buncke | General Practice | 3130 Del Monte Blvd, Marina, CA 93933-3047 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803012 | Caterina Poehner | Social Worker | 617 Bayonet Cirle, Marina, CA 93933 | 2020-08-28 |
| 1972036499 | Stephanie Blalock | Counselor | 617 Bayonet Circle, Marina, CA 93933 | 2017-04-11 |
| 1588110340 | Monique Theaker | Counselor | 299b Twelfth Street, Marina, CA 93933 | 2016-08-31 |
| 1053709220 | Mehry Khazan | Marriage & Family Therapist | 299 Twelfth Street, Marina, CA 93933 | 2014-12-22 |
| 1306241476 | Tiffany Avery | Counselor | 299 12th St Ste B, Marina, CA 93933 | 2014-10-30 |
| 1881037141 | Marilyn Anderson | Counselor | 3043 Macarthur Dr, Marina, CA 93933 | 2013-04-16 |
| 1669744280 | Leslie Penley | Dentist | 3154 Deforest Rd. Suitea, Marina, CA 93933 | 2012-01-27 |
| 1215221510 | Janet Hernandez Barajas | Social Worker | 299a 12th Street, Marina, CA 93933 | 2011-06-03 |
| 1538302740 | Sonia Cortes | Counselor | 613 Bayonet Cir., Marina, CA 93933 | 2009-04-17 |
| 1144476003 | Carolina Cortez | Counselor | 2982 Bayonet Ct, Marina, CA 93933 | 2008-08-12 |
| Find all providers in zip 93933 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710131370 | Dunecrest Medical Group | Family Medicine | 232 Reservation Rd, Marina, CA 93933-3083 | 2008-11-10 |
| 1669584827 | Karin Ida Forno | Family Medicine | 2930 2nd Ave Ste 120, Marina, CA 93933-6244 | 2006-08-31 |
| 1689684698 | Ifeanyi Chinedu Umeh | Family Medicine | 3155 De Forest Rd, Marina, CA 93933-2702 | 2006-08-09 |
| 1336157478 | Nancy W Chang | Family Medicine | 2930 2nd Ave, #200, Marina, CA 93933-6244 | 2006-08-04 |
| 1588617955 | County of Monterey | Family Medicine | 3155 De Forest Rd., Marina, CA 93933-2702 | 2006-05-18 |
| 1376546044 | Deborah Brown | Family Medicine | 215 Reservation Rd, D, Marina, CA 93933-3059 | 2005-05-24 |
| 1427463140 | Jean-philippe Melillo Abraham | Family Medicine | 2930 2nd Ave Ste 200, Marina, CA 93933-6244 | 2014-06-23 |
| 1912310855 | County of Monterey | Family Medicine | 299 12th St, Marina, CA 93933-6003 | 2014-06-09 |
| 1841465648 | Lellivi Sanchez Carmen | Family Medicine | 2930 2nd Ave, 200, Marina, CA 93933-6244 | 2008-04-23 |
| 1750419420 | County of Monterey | Family Medicine | 3155 De Forest Rd, Marina, CA 93933-2702 | 2007-03-02 |
| Find all providers in MARINA | ||||
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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.