JOSEPH G. PHANEUF (NPI# 1821176686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821176686 |
| Entity Type | Individual |
| Full Name | JOSEPH G. PHANEUF |
| Credential | MD |
| Practice Address |
27400 Hesperian Blvd Hayward CA 94545-4235 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 5107844000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | C43104 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C431040 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053413153 | Joseph D Phaneuf | Internal Medicine | 101 W 8th Ave, Spokane, WA 99204-2307 | 2006-09-01 |
| Street Address |
27400 HESPERIAN BLVD |
| City | HAYWARD |
| State | CA |
| Zip Code | 94545-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992782635 | Edward J. Caccioppo | Physician Assistant | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2005-12-23 |
| 1306243522 | Erin Mccarthy | Physical Therapist | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2014-12-03 |
| 1912342882 | Dong Li Hou | Social Worker | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2013-05-06 |
| 1750623211 | Susie Ver | Nurse Practitioner | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2013-03-22 |
| 1417209388 | Elise Marie Peters | Dietitian, Registered | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2012-10-02 |
| 1811256316 | Andreas Ichwan | Pharmacist | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2012-05-03 |
| 1437483500 | Dianna Sloves | Social Worker | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2009-09-23 |
| 1033360805 | Binal Arunkumar Patel | Pharmacist | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2008-10-09 |
| 1942457601 | Esther Rae Eun Wee | Pharmacist | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2008-08-25 |
| 1437306537 | Mark Ryan Dykheng Bragas | Physical Therapist | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2008-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295394476 | Lily Yu | Pharmacist | 3160 Corporate Place, Hayward, CA 94545 | 2019-06-11 |
| 1093285660 | Ana Alvarez | Behavior Technician | 24301 Southland Dr. Ste 410, Hayward, CA 94545 | 2018-11-27 |
| 1992201958 | Jasramin Dillon Chatha | Licensed Vocational Nurse | 23648 Saklan Road, Hayward, CA 94545 | 2018-03-30 |
| 1760985105 | Monika Milda Barta | Student in an Organized Health Care Education/Training Program | 24333 Southland Dr, Hayward, CA 94545 | 2018-03-12 |
| 1003329210 | Brian Anh Lu | Pharmacist | 3121 Diablo Avenue, Hayward, CA 94545 | 2017-11-09 |
| 1528415957 | Aic Health Care, Inc. | Intermediate Care Facility, Mentally Retarded | 27489 Portsmouth Ave, Hayward, CA 94545 | 2016-05-16 |
| 1568889723 | Jenny Tran | Nurse Practitioner | 24700 Calaroga Avenue, Suite 103, Hayward, CA 94545 | 2014-03-26 |
| 1306261573 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1976 Elder Way, Hayward, CA 94545 | 2014-02-25 |
| 1699110130 | Seneca Family of Agencies | Community/Behavioral Health | 26601 Calaroga Ave, Hayward, CA 94545 | 2013-05-09 |
| 1235401530 | Onlyserve, Inc. | Home Health | 3423 Investment Boulevard #1, Hayward, CA 94545 | 2012-02-01 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851470900 | Laura Kathleen Tenner | Dermatology | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2006-11-02 |
| 1053499814 | Robert S. Shaps | Dermatology | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2006-11-01 |
| 1841378601 | Inder Dhillon | Dermatology | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2006-11-01 |
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|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1033730981 | Adrianna Janell Browne, Md, Inc. | Dermatology | 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 | 2020-05-01 |
| 1215564877 | Jasmine Khachatrian | Dermatology | 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 | 2020-03-24 |
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1457982001 | Modesty Joy Isaguirre | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-02-03 |
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1336784206 | Barbara Kinkle Pa Inc., A Physician Assistant Corporation | Dermatology | 24575 Hunt Ave, Corning, CA 96021-8607 | 2019-11-14 |
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
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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.