ROSA BRODY (NPI# 1669542213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669542213 |
| Entity Type | Individual |
| Full Name | ROSA BRODY |
| Credential | MD |
| Practice Address |
222 W 39th Ave San Mateo CA 94403-4364 |
| Practice Telephone | 6505732222 |
| Mailing Telephone | 6505732222 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A51839 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A518390 | 05 |
| Street Address |
222 W 39TH AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683789 | Diana V Jao | Internal Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2005-07-20 |
| 1306465125 | Rennie Burke | Student in an Organized Health Care Education/Training Program | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-04-11 |
| 1447887856 | Michelle Wong | Physical Therapist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-03-25 |
| 1508406398 | Alexandria Vanessa Perez | Counselor | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-01-09 |
| 1275197899 | Connie Chen | General Practice | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2019-04-29 |
| 1063075596 | Jiaochen Ke | General Practice | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2019-04-19 |
| 1952877524 | Asmi Mehta | Physical Therapist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-10-22 |
| 1649753427 | Ariane Beck | Emergency Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-09-08 |
| 1114408176 | Matthew Tyler Sachs | Registered Nurse | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-08-27 |
| 1679066047 | Niloofar Zabihi | Pharmacist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| Find all providers in zip 94403 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1568639904 | Lindsey Alana Force | Pediatrics | 101 S. San Mateo Drive Suite #311, San Mateo, CA 94401 | 2008-05-14 |
| 1851430425 | Regina Gar Yee | Pediatrics | 1000 Franklin Pkwy, San Mateo, CA 94403-1922 | 2007-02-06 |
| 1669548665 | James Anthony Ferrara | Pediatrics | 123 S San Mateo Dr, San Mateo, CA 94401-3804 | 2006-11-28 |
| 1568578474 | Lois Shiow Balster | Pediatrics | 50 So. San Mateo Drive, Ste 260, San Mateo, CA 94401 | 2006-08-22 |
| 1083657415 | Allan Richard Weisshar | Pediatrics | 1674 Marina Ct Apt F, San Mateo, CA 94403-1682 | 2006-06-14 |
| 1922063601 | Ayako Yano | Pediatrics | 40 N San Mateo Dr, Nihon Bay Clinic, San Mateo, CA 94401-2824 | 2006-04-18 |
| 1346510096 | Grace Ting Kam | Pediatrics | 210 Baldwin Ave, San Mateo, CA 94401-3915 | 2012-01-11 |
| 1891075784 | Connie Streifinger Kniveton | Pediatrics | 210 Baldwin Ave, San Mateo, CA 94401-3915 | 2011-08-23 |
| 1033402847 | Brita Christina Almog | Pediatrics | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2011-05-26 |
| Find all providers in SAN MATEO | ||||
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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.