DR. POORNI G. OTILINGAM


Address: 4150 Clement Street, San Francisco Veterans Affairs Medical Center, San Francisco, CA 94121-1545
Phone: 4152214810

DR. POORNI G. OTILINGAM (NPI# 1649573064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649573064
Entity Type Individual
Full Name DR. POORNI G. OTILINGAM
Credential PH.D.
Practice Address 4150 Clement Street
San Francisco Veterans Affairs Medical Center
San Francisco
CA 94121-1545
Mailing Address 4150 Clement Street
San Francisco Va Medical Center
San Francisco
CA 94121-1545
Practice Telephone 4152214810
Mailing Telephone 4152214810
Enumeration Date 2010-12-07
Last Update Date 2010-12-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TA0700X Psychologist
Specialization: Adult Development & Aging
Behavioral Health & Social Service Providers

Office Location

Street Address 4150 CLEMENT STREET
SAN FRANCISCO VETERANS AFFAIRS MEDICAL CENTER
City SAN FRANCISCO
State CA
Zip Code 94121-1545

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932143625 Debora Ann Brown Audiologist 4150 Clement Street, Audiology (126), San Francisco, CA 94121 2006-06-15
1336698836 Gabrielle Jacobs Nurse Practitioner 4150 Clement Street, San Francisco Va Medical Center, San Francisco, CA 94121 2016-09-25
1376967406 Juliana Macri Internal Medicine 4150 Clement Street, Bldg 6, Rm 317, San Francisco, CA 94121 2014-02-10
1609208446 Tess Kathryn Rubenstein Nurse Practitioner 4150 Clement Street, Sfva Medical Practice/anticoagulation Clinic, San Francisco, CA 94121 2013-08-03
1790033397 San Francisco Va Medical Center Special Hospital 4150 Clement Street, San Francisco, CA 94121 2012-08-29
1972878155 Jessica Beaman Internal Medicine 4150 Clement Street, Bldg 200, Medical Practice, Mp 136, San Francisco, CA 94121 2012-03-20
1427337047 Irina Shvartsman Social Worker 4150 Clement Street, San Francisco, CA 94121 2011-08-12
1588950158 Tonya Carmen Roach Nurse Practitioner 4150 Clement Street, Va Medical Center, San Francisco, CA 94121 2011-06-22
1518115856 Judy Kwak Pharmacist 4150 Clement Street, Primary Care Service (119), San Francisco, CA 94121 2008-08-28
1659556140 Stephen L Chan Pharmacist 4150 Clement Street, San Francisco, CA 94121 2008-01-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316443815 Joanne Mott Community Health Worker Richmond Area Multi Services, 3626 Balboa St., San Francisco, CA 94121 2018-04-03
1851897359 Jeffrey Cheng Community Health Worker Richmond Area Multi Services 3626 Balboa St., San Francisco, CA 94121 2018-04-03
1245739283 George Howard Herzog Clinical Nurse Specialist 4150 Clement St G1-111b1, San Francisco, CA 94121 2018-02-05
1063931228 Dianna Welsh Marriage & Family Therapist 750 33rd Ave., San Francisco, CA 94121 2017-09-19
1144616590 Lindsey Merrihew Haddock Internal Medicine 4150 Clement St Bldg 1306b, San Francisco, CA 94121 2015-04-13
1184027229 Laura Weissberger Social Worker 6211 Geary Blvd, 2nd Floor, San Francisco, CA 94121 2014-10-03
1548676901 Martha J Ignaszewski Psychiatry & Neurology 4150 Clement St Rm 19, San Francisco, CA 94121 2014-07-07
1912338195 Katie Francesconi Peters Physical Therapist 1921 Lake St Apt 1, San Francisco, CA 94121 2013-12-12
1649601717 William Hua Psychologist 4150 Clement St (116b), San Francisco, CA 94121 2013-11-27
1396182721 Gregory Lariviere Judson Student in an Organized Health Care Education/Training Program 4150 Clement St. Box 111a, Vamc, San Francisco, CA 94121 2013-05-24
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Taxonomy Information

Taxonomy Code 103TA0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Adult Development & Aging

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1104097187 Pacific Institute Psychologist 432 Ivy St, San Francisco, CA 94102-4254 2008-03-18
1962608257 Peter Howard Psychologist 3610 Sacramento St, San Francisco, CA 94118-1734 2007-06-22
1447461058 Tracy Artson Psychologist 2252 Fillmore St, San Francisco, CA 94115-2222 2007-05-25
1598871865 Thomas W Cicciarelli Psychologist 350 Parnassus Ave, Ste 601, San Francisco, CA 94117-3608 2006-08-21

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1649742479 Cristina Ambos Wilson Psychologist 108 Holly Way, Pismo Beach, CA 93449-3221 2018-12-18
1871097311 Chelsea By The Sea Psychologist 10211 Kukui Dr, Huntington Beach, CA 92646-2518 2018-03-20
1033636501 Khachik Petrosyan Psychologist 1225 Oakridge Dr, Glendale, CA 91205-3412 2017-08-25
1891151213 Shyma El Sayed Psychologist 1029 H St, 403, Sacramento, CA 95814-2847 2016-01-14
1720450638 Nicholas Anderson Psychologist 2901 S Sepulveda Blvd Apt 206, Los Angeles, CA 90064-3946 2015-10-30
1669864302 T. Adelstein, Ph.d., Psychologist, P.C. Psychologist 150 Morning Sun Ave, Mill Valley, CA 94941-3507 2015-03-03
1801292974 Michelle R. Ancharoff Psychologist 4281 Katella Ave #122, Los Alamitos, CA 90720 2014-11-17
1619399052 Kerry Hubel Psychologist 480 N 1st St, San Jose, CA 95112-4043 2014-01-18
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Competitor

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City SAN FRANCISCO
Zip Code 94121

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Dataset Information

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.

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