DR. ALASTAIR TABUNDA MONDALA (NPI# 1659545770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659545770 |
Entity Type | Individual |
Full Name | DR. ALASTAIR TABUNDA MONDALA |
Credential | M.D. |
Practice Address |
395 Oyster Point Blvd Ste 512 South San Francisco CA 94080-1973 |
Mailing Address |
3400 Data Drive Physician Support Services Rancho Cordova CA 95670-7956 |
Practice Telephone | 6508262945 |
Enumeration Date | 2008-04-18 |
Last Update Date | 2019-10-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | A119530 | CA | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | MT193287 | PA | Allopathic & Osteopathic Physicians |
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
A119530 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
8220 Wymark Dr Ste 200, Elk Grove, CA 95757 | 9166670600 | 9166830232 |
Street Address |
395 OYSTER POINT BLVD STE 512 |
City | SOUTH SAN FRANCISCO |
State | CA |
Zip Code | 94080-1973 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245215870 | Neal Allan Dunitz | Internal Medicine | 395 Oyster Point Blvd Ste 512, South San Francisco, CA 94080-1973 | 2005-12-06 |
1558822403 | Damian Sunday Ngodo | Nurse Practitioner | 395 Oyster Point Blvd Ste 512, South San Francisco, CA 94080-1973 | 2019-03-25 |
1558852962 | Margaret Madu-green | Nurse Practitioner | 395 Oyster Point Blvd Ste 512, South San Francisco, CA 94080-1973 | 2018-05-21 |
1184146243 | Gina Sobretodo | Registered Nurse | 395 Oyster Point Blvd Ste 512, South San Francisco, CA 94080-1973 | 2017-07-11 |
1942734082 | David Thomas Hamilton | Family Medicine | 395 Oyster Point Blvd Ste 512, South San Francisco, CA 94080-1973 | 2017-04-15 |
1700236940 | Vera Sun | Registered Nurse | 395 Oyster Point Blvd Ste 512, South San Francisco, CA 94080-1973 | 2016-06-19 |
1124482823 | Michael David Genualdi | Student in an Organized Health Care Education/Training Program | 395 Oyster Point Blvd Ste 512, South San Francisco, CA 94080-1973 | 2016-04-08 |
1811358880 | Katie Barnes | Nurse Practitioner | 395 Oyster Point Blvd Ste 512, South San Francisco, CA 94080-1973 | 2016-03-17 |
1790173326 | Anna Boyko | Nurse Practitioner | 395 Oyster Point Blvd Ste 512, South San Francisco, CA 94080-1973 | 2015-01-05 |
1750779872 | Marcia Temple | Nurse Practitioner | 395 Oyster Point Blvd Ste 512, South San Francisco, CA 94080-1973 | 2014-12-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
Find all providers in zip 94080 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
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1104392885 | Wilshire Connected Care | Family Medicine | 277 South St Ste S, San Luis Obispo, CA 93401-5039 | 2018-10-19 |
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City | SOUTH SAN FRANCISCO |
Zip Code | 94080 |
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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.