JEFF COULSTON VAN GUNDY (NPI# 1750318390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750318390 |
| Entity Type | Individual |
| Full Name | JEFF COULSTON VAN GUNDY |
| Credential | MD |
| Practice Address |
2521 Stockton Blvd Sacramento CA 95817-2207 |
| Mailing Address |
2516 Stockton Blvd Sacramento CA 95817-2208 |
| Practice Telephone | 9167341461 |
| Mailing Telephone | 9167341461 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2014-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
C43154 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C431540 | 05 |
| Street Address |
2521 STOCKTON BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548267867 | Robert David Lyons | Dentist | 2521 Stockton Blvd, Dental Clinic, Glassrock Building, Sacramento, CA 95817-2207 | 2005-07-01 |
| 1831798636 | Cynthia A Steele | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2020-10-22 |
| 1679118095 | Rodrigo Garcia Almirol Jr. | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2019-11-08 |
| 1487115291 | Diana Yasmin Arellano | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2019-03-26 |
| 1609335462 | Julia Grissinger | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2019-03-19 |
| 1659880177 | Nogah Hannah Nativ | Speech-Language Pathologist | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2017-09-27 |
| 1528598026 | Megan Brown | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2017-06-16 |
| 1477083533 | Jessica Pietrowski | Speech-Language Pathologist | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2017-06-12 |
| 1952836058 | Farrukh Rasool Virani | Student in an Organized Health Care Education/Training Program | 2521 Stockton Blvd, Ste 7200, Sacramento, CA 95817-2207 | 2017-04-26 |
| 1710412036 | Lindsay Olinde | Student in an Organized Health Care Education/Training Program | 2521 Stockton Blvd, Ste. 7200, Sacramento, CA 95817-2207 | 2017-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205082393 | Oleg Georgievich Kovalenko | Pediatrics | 2929 K Street, Suite 200, Sacramento, CA 95816-5122 | 2008-08-08 |
| 1609869510 | Hessameddin Fallah-najmabadi | Pediatrics | 5609 J St, Suite A, Sacramento, CA 95819-3957 | 2005-08-25 |
| 1790777308 | Naveen S Manohar | Pediatrics | 2929 K St, Suite 200, Sacramento, CA 95816-5122 | 2005-08-19 |
| 1508211277 | Capital Pediatric Cardiology Associates Inc | Pediatrics | 2929 K St, Suite 200, Sacramento, CA 95816-5122 | 2016-04-29 |
| 1235565300 | Medten Medical Group Inc | Pediatrics | 5767 Greenback Ln, Suite 200, Sacramento, CA 95841-2013 | 2013-09-20 |
| 1558620047 | Muluneh Abebe Yimer | Pediatrics | 2929 K Street, Suite 200, Sacramento, CA 95816-5122 | 2012-05-03 |
| 1922372663 | Pediatric Cardiologists of Northern California Inc | Pediatrics | 5609 J St, Suite A, Sacramento, CA 95819-3957 | 2012-02-27 |
| 1912270281 | Pediatrix Cardiology of Sacramento PC | Pediatrics | 5609 J St, Suite A, Sacramento, CA 95819-3957 | 2012-02-17 |
| 1497031892 | Bianca Castellanos | Pediatrics | 2516 Stockton Boulevard, Department of Pediatric Cardiology, Sacramento, CA 95817 | 2011-10-29 |
| 1265769806 | Guruprasad Tiptur Mahadevaiah | Pediatrics | 2929 K St Ste 200, Sacramento, CA 95816-5122 | 2009-11-03 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.