PHILLIP A WOLFE (NPI# 1710075411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710075411 |
| Entity Type | Individual |
| Full Name | PHILLIP A WOLFE |
| Credential | M.D. |
| Practice Address |
5575 W Las Positas Blvd Suite 320 Pleasanton CA 94588-5801 |
| Practice Telephone | 9254608167 |
| Practice Fax Number | 9254600913 |
| Mailing Telephone | 9254608167 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G83272 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G832720 | 05 | |
| CA | DEA | BW4968179 | 01 |
| CA | STATE LICENSE | G83272 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760610828 | Phillip Stanley Wolfe | Occupational Therapist | 16020 S 23rd St, Phoenix, AZ 85048-4206 | 2009-06-29 |
| Street Address |
5575 W LAS POSITAS BLVD SUITE 320 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679577563 | Marion Dean Anthony | Specialist | 5575 W Las Positas Blvd, Ste 260, Pleasanton, CA 94588-5803 | 2005-06-08 |
| 1285092908 | Perrin Royea | Physician Assistant | 5575 W Las Positas Blvd, Suite 320, Pleasanton, CA 94588-5801 | 2016-02-09 |
| 1932549292 | Gagnon Vision Medical Group Inc | Optometrist | 5575 W Las Positas Blvd, Suite 240, Pleasanton, CA 94588-5801 | 2013-07-02 |
| 1417202508 | Jennifer Ann Adey | Obstetrics & Gynecology | 5575 W Las Positas Blvd, Suite 330, Pleasanton, CA 94588-5801 | 2012-07-16 |
| 1336382662 | Ravneet Kaur | Dermatology | 5575 W Las Positas Blvd, Suite 230, Berman Skin Institute, Pleasanton, CA 94588-5801 | 2009-04-16 |
| 1922283357 | William H. Phillips, M.d., Inc. | Specialist | 5575 W Las Positas Blvd, Suite 330, Pleasanton, CA 94588-5801 | 2008-01-03 |
| 1083733117 | Rakhee N. Shah, Md, A Medical Corporation | Surgery | 5575 W Las Positas Blvd, 270, Pleasanton, CA 94588-5801 | 2007-03-28 |
| 1396864427 | Dang Nambisan & Shah | Surgery | 5575 W Las Positas Blvd, Ste # 270, Pleasanton, CA 94588-5803 | 2007-03-28 |
| 1477672590 | Raman Nambisan, Md, Inc A Medical Corporation | Surgery | 5575 W Las Positas Blvd, 270, Pleasanton, CA 94588-5801 | 2007-03-28 |
| 1033234190 | Arlene Melville | Nurse Practitioner | 5575 W Las Positas Blvd, #330, Pleasanton, CA 94588-5801 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346267093 | Samer Sam Eldika | Internal Medicine | 5565 W Las Positas Blvd Ste 320, Pleasanton, CA 94588 | 2006-07-17 |
| 1699919100 | Harpriya Singh | Internal Medicine | 5725 W Las Positas Blvd, Suite 110 (valley Care Medical Center), Pleasanton, CA 94588-4054 | 2009-04-28 |
| 1891883583 | Eric M Rowen | Internal Medicine | 5575 W Las Positas Blvd, Suite 320, Pleasanton, CA 94588-5801 | 2006-10-10 |
| 1639137094 | Valleycare Gastroenterology Medical Group Inc | Internal Medicine | 5575 W Las Positas Blvd, Suite 320, Pleasanton, CA 94588-5801 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1487252359 | Westside Gastroenterology and Hepatology | Internal Medicine | 2080 Century Park E Ste 1200, Los Angeles, CA 90067-2015 | 2020-10-13 |
| 1548883622 | Martha Hierro, Md Inc | Internal Medicine | 2021 Santa Monica Blvd Ste 335e, Santa Monica, CA 90404-2146 | 2020-05-22 |
| 1922629542 | Dieta Inc. | Internal Medicine | 15 Locust Ave, Oak Park, CA 91377-1115 | 2020-05-05 |
| 1861020364 | Kelvin Yeh Md Inc | Internal Medicine | 1715 S Date Ave, Alhambra, CA 91803-2908 | 2020-03-30 |
| 1598399917 | Indraneel Chakrabarty, Md Inc. | Internal Medicine | 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 | 2020-02-25 |
| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
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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.