DR. JEFFREY L. BLACK


Address: 418 30th St, Oakland, CA 94609-3302
Phone: 9252744950

DR. JEFFREY L. BLACK (NPI# 1760474035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760474035
Entity Type Individual
Full Name DR. JEFFREY L. BLACK
Credential M.D.
Practice Address 418 30th St
Oakland
CA 94609-3302
Practice Telephone 9252744950
Practice Fax Number 9252744975
Mailing Telephone 9252744950
Mailing Fax Number 9252744975
Enumeration Date 2005-08-22
Last Update Date 2007-07-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
G14907 CA Allopathic & Osteopathic Physicians

Other Providers JEFFREY BLACK

NPI Name Taxonomy Address Enumeration
1235419896 Jeffrey Allen Black Pharmacist 1925 Zero St, Fort Smith, AR 72901-8415 2011-08-26
1336646629 Jeffrey Ryne Black General Practice 625 19th St S, Birmingham, AL 35233-1900 2018-04-12
1265854905 Jeffrey Black Pediatrics 2222 Welborn St, Dallas, TX 75219-3924 2014-01-15
1770920894 Jeffrey Black Technician 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 2013-05-30
1700957990 Jeffrey Lane Black Emergency Medicine 1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 2006-11-11
1538137112 Jeffrey B Black Family Medicine 7205 265th St Nw, Stanwood, WA 98292-6221 2006-03-09

Office Location

Street Address 418 30TH ST
City OAKLAND
State CA
Zip Code 94609-3302

Providers in the same zip code

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
Find all providers in zip 94609

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841583457 Gabriel Philip Howles-banerji Radiology 3600 Broadway, 2nd Floor, Interventional Radiology, Oakland, CA 94611 2011-05-16
1215141114 Jason Hwang Radiology 411 30th Street #508, Oakland, CA 91460 2007-05-09
1194848150 Donald A Breyer Radiology 6861 Gunn Dr, Oakland, CA 94611-1442 2007-04-06
1841311305 Howard Bruce Glazer Radiology 1411 East 14th St., Oakland, CA 94602 2007-04-03
1730203316 Norcal Imaging Radiology 3200 Telegraph Ave, Oakland, CA 94609-3016 2007-03-19
1669515334 Paul E. Morris Radiology 32 Ross Cir, Oakland, CA 94618-1912 2007-02-14
1801997721 Stuart S. London Md,inc Radiology 3330 Telegraph Ave, Oakland, CA 94609-3028 2006-09-25
1083715908 Stuart S London Radiology 3330 Telegraph Ave., Oakland, CA 94609-3028 2006-09-25
1164529285 Jody Elizabeth Balich Radiology 1155 Clarendon Cres, Oakland, CA 94610-1807 2006-09-20
1689618415 Sonali Wadhwa Radiology 1800 Harrison Street, 7th Floor, Tpmg Hr Compliance and Administration-npi, Oakland, CA 94612 2006-06-15
Find all providers in OAKLAND

Competitor

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City OAKLAND
Zip Code 94609

Improve Information

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Dataset Information

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.

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