DR. MARY MORRILL CHUBA (NPI# 1841408432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841408432 |
| Entity Type | Individual |
| Full Name | DR. MARY MORRILL CHUBA |
| Credential | M.D. |
| Practice Address |
15720 Winchester Blvd Los Gatos CA 95030-3337 |
| Mailing Address |
2350 W El Camino Real Fl 2 Mountain View CA 94040-6203 |
| Practice Telephone | 4087306130 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A114767 | CA | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
A114767 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
15720 WINCHESTER BLVD |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95030-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509800 | Mark Ira Golod | Specialist | 15720 Winchester Blvd, Los Gatos, CA 95030-3337 | 2005-06-24 |
| 1720303530 | Casimir Larkin Dowd | Orthopaedic Surgery | 15720 Winchester Blvd, Los Gatos, CA 95030-3337 | 2010-04-05 |
| 1902957178 | Reginald Mccoy | Orthopaedic Surgery | 15720 Winchester Blvd, Los Gatos, CA 95030-3337 | 2007-01-15 |
| 1285790956 | Alice Eda Carroll | Social Worker | 15720 Winchester Blvd, Ste 3, Los Gatos, CA 95030 | 2006-12-28 |
| 1710967310 | Wennie Liao | Dermatology | 15720 Winchester Blvd, Los Gatos, CA 95030-3337 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1942840046 | Juniper Psychology Group, PC | Psychologist | 15814 Winchester Blvd., Suite 105, Los Gatos, CA 95030 | 2020-01-07 |
| 1487169561 | Kimberly Gladysz | Counselor | 499 Loma Alta Ave Bldg 5, Los Gatos, CA 95030 | 2017-12-11 |
| 1104364546 | Holland Wrenn Pauselius | Case Manager/Care Coordinator | 449 Loma Alta Avenue, Los Gatos, CA 95030 | 2017-02-06 |
| 1679017974 | Gillian Sands | Marriage & Family Therapist | 330 N. Santa Cruz Avenue, Suite B, Los Gatos, SANTA CLARA COUNTY 95030 | 2016-12-06 |
| 1649628579 | Yun Chung Wang | Acupuncturist | 430 Monterey Ave. Ste 1b, Los Gatos, CA 95030 | 2016-06-01 |
| 1619308186 | Chia-tsen Chen | Audiologist | 15861 Winchester Blvd., Los Gatos, CA 95030 | 2013-12-09 |
| 1144592825 | Eric Alan Hansen | Pediatrics | 17611 Foster Road, Los Gatos, CA 95030 | 2012-01-27 |
| 1356628085 | Teresa C. Yang | Physical Therapist | 110 Wood Rd., Los Gatos, CA 95030 | 2011-11-09 |
| 1093025314 | Susan Greenberg-englander | Psychiatry & Neurology | 20 South Santa Cruz Ave., #315, Los Gatos, CA 95030 | 2010-10-20 |
| Find all providers in zip 95030 | ||||
| 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 |
|---|---|---|---|---|
| 1538719844 | Carlos Eduardo Sandoval | Dermatology | 800 Pollard Rd Ste A, Los Gatos, CA 95032-1432 | 2019-09-18 |
| 1750550968 | Bruce M Saal, Md, Inc | Dermatology | 777 Pollard Rd, Suite 16, Los Gatos, CA 95032 | 2008-02-22 |
| 1801931068 | Patrick Henry Bitter Sr. | Dermatology | 14651 So Bascom Ave, #200, Los Gatos, CA 95032 | 2007-02-21 |
| 1568527893 | Advanced Aesthetic Dermatology | Dermatology | 14651 So Bascom Ave 200, Los Gatos, CA 95032 | 2006-12-27 |
| 1588722680 | Iris Gin | Dermatology | 15055 Los Gatos Blvd, Suite 100, Los Gatos, CA 95032-2083 | 2006-12-04 |
| 1609960103 | Leon Lubianker Md Inc | Dermatology | 14525 S Bascom Avenue, Los Gatos, CA 95032 | 2006-10-02 |
| 1073612867 | Bruce M Saal | Dermatology | 777 Knowles Dr. #16, Los Gatos, CA 95032 | 2006-09-21 |
| 1356366702 | Christopher P Schmidt | Dermatology | 15215 National Ave Ste 204, Los Gatos, CA 95032-2425 | 2006-07-13 |
| 1609810787 | Kenneth Ames Miller | Dermatology | 14527 S Bascom Ave, Los Gatos, CA 95032-2003 | 2006-06-16 |
| 1326046921 | Michael Brodin | Dermatology | 16400 Soda Springs Rd, Los Gatos, CA 95033-8621 | 2005-07-08 |
| Find all providers in LOS GATOS | ||||
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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.