DR. BRENDA M. SHANK (NPI# 1710037536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710037536 |
Entity Type | Individual |
Full Name | DR. BRENDA M. SHANK |
Credential | MD, PHD |
Practice Address |
2000 Vale Rd Doctors Medical Center San Pablo CA 94806-3808 |
Practice Telephone | 5109705667 |
Practice Fax Number | 5109705743 |
Mailing Telephone | 5109705667 |
Mailing Fax Number | 5109705743 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2007-10-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
G44045 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G440450 | 05 |
Street Address |
2000 VALE RD DOCTORS MEDICAL CENTER |
City | SAN PABLO |
State | CA |
Zip Code | 94806-3808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700874120 | Eastbay Hematology/oncology Consultants, Inc | Internal Medicine | 2000 Vale Rd, San Pablo, CA 94806-3808 | 2005-10-10 |
1285028290 | Andy Le | Pharmacist | 2000 Vale Rd, San Pablo, CA 94806 | 2015-03-27 |
1538569793 | Diablo Medical & Sleep Clinic Medical Corporation | Internal Medicine | 2000 Vale Rd, San Pablo, CA 94806-3808 | 2014-08-25 |
1215284005 | Erin Grace Littmann | Physician Assistant | 2000 Vale Rd, San Pablo, CA 94806-3808 | 2012-08-10 |
1003104761 | Metropolitan Oncology Associates, Inc. | Radiology | 2000 Vale Rd, San Pablo, CA 94806-3808 | 2011-07-15 |
1477868917 | Hugo Estefano Altamirano | Anesthesiology | 2000 Vale Rd, San Pablo, CA 94806-3808 | 2010-08-09 |
1689805798 | Brian Edwin Lawson | Dietitian, Registered | 2000 Vale Rd, San Pablo, CA 94806-3808 | 2009-08-06 |
1922261619 | Doctors Medical Center- San Pablo | General Acute Care Hospital | 2000 Vale Rd, San Pablo, CA 94806-3808 | 2008-07-03 |
1114109600 | Warren Nelson Md, A Medical Corporation | Anesthesiology | 2000 Vale Rd, San Pablo, CA 94806-3808 | 2007-11-27 |
1780885517 | Madhu B Shetti | Internal Medicine | 2000 Vale Rd, Doctors Medical Center - Cancer Center, San Pablo, CA 94806-3808 | 2007-05-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
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Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003104761 | Metropolitan Oncology Associates, Inc. | Radiology | 2000 Vale Rd, San Pablo, CA 94806-3808 | 2011-07-15 |
1053423376 | Winlove B Suasin Md Inc | Radiology | 2000 Vale Rd, Department of Radiation Oncology, San Pablo, CA 94806-3808 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
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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.