DR. CHERUBA PRABAKAR (NPI# 1679701858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679701858 |
| Entity Type | Individual |
| Full Name | DR. CHERUBA PRABAKAR |
| Credential | M.D |
| Practice Address |
365 Hawthorne Ave Ste 301 Oakland CA 94609-3107 |
| Practice Telephone | 5108931700 |
| Mailing Telephone | 5108931700 |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2017-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A136084 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
365 HAWTHORNE AVE STE 301 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184686156 | Rupert Roupen Horoupian | Specialist | 365 Hawthorne Ave, Suite 101, Oakland, CA 94609-3107 | 2006-04-05 |
| 1588061378 | First Surgical Consultants | General Acute Care Hospital | 365 Hawthorne Ave, 101, Oakland, CA 94609-3107 | 2014-11-24 |
| 1477826683 | Kelley Lockwood Brennan | Nurse Practitioner | 365 Hawthorne Ave, Suite 301, Oakland, CA 94609-3107 | 2012-02-17 |
| 1891084117 | Debbie Choi Man Chan | Physician Assistant | 365 Hawthorne Ave, #201, Oakland, CA 94609-3107 | 2011-04-07 |
| 1487813697 | Christa Kong | Physician Assistant | 365 Hawthorne Ave, Suite 201, Oakland, CA 94609-3107 | 2008-06-03 |
| 1922205442 | Associated Neurology Medical Group, Inc. | Psychiatry & Neurology | 365 Hawthorne Ave, Suite 203, Oakland, CA 94609-3107 | 2007-06-28 |
| 1720284011 | Thomas Raymond Hardey | Clinical Neuropsychologist | 365 Hawthorne Ave, Suite 104, Oakland, CA 94609-3107 | 2007-06-22 |
| 1992913859 | Diane Kwan | Surgery | 365 Hawthorne Ave, Suite 101, Oakland, CA 94609-3107 | 2007-05-21 |
| 1598806986 | Douglas Stannage Patton | Surgery | 365 Hawthorne Ave, Suite 101, Oakland, CA 94609 | 2007-02-09 |
| 1639233687 | Robert Norman Nelson | Obstetrics & Gynecology | 365 Hawthorne Ave, #301, Oakland, CA 94609 | 2006-12-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164798625 | Rachel Anne Yakrus | Obstetrics & Gynecology | 365 Hawthorne Ave # Mdc41, Oakland, CA 94609-3107 | 2012-03-29 |
| 1508165754 | Rachna Vanjani | Obstetrics & Gynecology | Highland Hospital - Department of Obgyn, 1411 East 31st Street, Oakland, CA 94602 | 2011-03-26 |
| 1801125406 | Monica Berletti | Obstetrics & Gynecology | 490 Grand Ave, Oakland, CA 94610-5057 | 2009-12-10 |
| 1811125016 | Sara Livingston Johnson | Obstetrics & Gynecology | 3451 East 12th St, Transit Village Women's 2nd Floor, Oakland, CA 94601-3425 | 2009-06-25 |
| 1336346691 | Abigail Therese Feathers | Obstetrics & Gynecology | 880 Memorial Dr Lowr Level, Oakland, MD 21550-5101 | 2007-06-29 |
| 1124179841 | Jennifer Leigh Pettigrew Schmitt | Obstetrics & Gynecology | 280 W Mac Arthur Blvd, Oakland, CA 94611 | 2007-01-16 |
| 1528118262 | Ruth Olweny | Obstetrics & Gynecology | 280 West Mac Arthur Blvd., Kaiser Oakland Medical Center, Oakland, CA 94611 | 2007-01-12 |
| 1669550455 | Arthur F. Levit | Obstetrics & Gynecology | 2137 Tiffin Rd, Oakland, CA 94602-2537 | 2006-11-01 |
| 1528141306 | Michellee Shaw Chen | Obstetrics & Gynecology | 350 30th St Ste 205, Oakland, CA 94609-3425 | 2006-10-23 |
| 1265528053 | Kris Yogam | Obstetrics & Gynecology | 400, 30th. Street, #207, Oakland, CA 94609 | 2006-10-05 |
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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.