ALLEN GEORGE GRUBER (NPI# 1689747602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689747602 |
| Entity Type | Individual |
| Full Name | ALLEN GEORGE GRUBER |
| Credential | M.D |
| Practice Address |
4720 Hoen Ave Santa Rosa CA 95405-7867 |
| Practice Telephone | 7075953122 |
| Practice Fax Number | 7078433102 |
| Mailing Telephone | 7075953122 |
| Mailing Fax Number | 7078433102 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2018-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
G55246 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA MEDICAL LICENSE | G55246 | 01 |
| CA | 00G552461 | 05 | |
| DEA# | AG3247942 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4704 Hoen Ave, Santa Rosa, CA 954057824 | 7075467979 | 7075467667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104032143 | Allen Bruce Gruber | Psychiatry & Neurology | 26 Hobcaw Ln, Savannah, GA 31411-2508 | 2007-05-15 |
| Street Address |
4720 HOEN AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-7867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699770396 | Edward L Feldman | Ophthalmology | 4720 Hoen Ave, Santa Rosa, CA 95405-7867 | 2005-06-17 |
| 1548334006 | Bruce D. Gaynor, M.d., Medical Corporation | Eyewear Supplier (Equipment, not the service) | 4720 Hoen Ave, Santa Rosa, CA 95405-7867 | 2006-11-17 |
| 1972534253 | Bruce David Gaynor | Specialist | 4720 Hoen Ave, Santa Rosa, CA 95405-7867 | 2006-07-05 |
| 1215995337 | Martin Dan Rubinger | Internal Medicine | 4720 Hoen Ave, Santa Rosa, CA 95405-7867 | 2006-05-01 |
| 1588631907 | Edward L Feldman Md | Specialist | 4720 Hoen Ave, Santa Rosa, CA 95405-7867 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912935966 | Norman Pang Md | Anesthesiology | 3325 Chanate Road, Santa Rosa, CA 95404 | 2006-06-29 |
| 1821026873 | Norman Pang Md | Anesthesiology | 2465 Summerfield Rd, Santa Rosa, CA 95405 | 2006-06-29 |
| 1538508841 | Chau My Vu | Anesthesiology | 416 Aviation Blvd Ste B, Santa Rosa, CA 95403-1032 | 2013-06-19 |
| 1154630044 | Acadia Pain Management Group, Inc. | Anesthesiology | 4704 Hoen Ave, Santa Rosa, CA 95405-7824 | 2010-09-27 |
| 1336471085 | Ronald J. Botelho, Md, Ltd | Anesthesiology | 1221 Farmers Ln, Suite 500, Santa Rosa, CA 95405-6712 | 2010-02-05 |
| 1063665438 | Michael Ishu Yang | Anesthesiology | 392 Tesconi Ct, Santa Rosa, CA 95401-4653 | 2008-10-29 |
| 1679744429 | North Bay Pain Care | Anesthesiology | 2135 Armory Dr, Suite 100, Santa Rosa, CA 95401-3610 | 2008-03-20 |
| 1326236449 | New Directions Medical Center Inc | Anesthesiology | 2135 Armory Dr, Suite 100, Santa Rosa, CA 95401-3610 | 2007-10-15 |
| 1407966369 | David Neil Calkins | Anesthesiology | 117 Camino De Vida, Santa Rosa, NM 88435-2267 | 2006-08-30 |
| 1972539989 | Andrea Lynn Rubinstein | Anesthesiology | 3559 Round Barn Blvd, Santa Rosa, CA 95403-1763 | 2006-06-23 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on ALLEN GEORGE GRUBER.
| 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.