KRISTIN BURGESS MCBRIDE (NPI# 1841709979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841709979 |
Entity Type | Individual |
Full Name | KRISTIN BURGESS MCBRIDE |
Credential | PA-C |
Practice Address |
350 Hawthorne Ave Oakland CA 94609-3108 |
Mailing Address |
254 Clinton Park San Francisco CA 94103-1005 |
Practice Telephone | 9259621800 |
Mailing Telephone | 6172337060 |
Enumeration Date | 2017-09-20 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
54668 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
2450 Ashby Ave, Berkeley, CA 947052067 | 9259621800 |
Street Address |
350 HAWTHORNE AVE |
City | OAKLAND |
State | CA |
Zip Code | 94609-3108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831181114 | Fredric K. Chin | Radiology | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2005-08-22 |
1619597887 | Ngan Ki Lai | Pharmacist | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2020-04-17 |
1619528452 | Catherine Datu | Occupational Therapist | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2019-09-24 |
1376194183 | Yenlinh Thi Bui | Pharmacist | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2019-09-23 |
1376190405 | Monique Marie Adams | Physical Therapist | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2019-08-22 |
1174099519 | Jesse Morris | Physical Therapist | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2018-10-23 |
1619476348 | Emily Jane Medeiros | Pharmacist | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2018-02-08 |
1023525136 | Kerry Canton | Occupational Therapist | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2018-01-10 |
1073037610 | Erica Chang | Nurse Practitioner | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2017-07-26 |
1649720954 | Alta Bates Summit Medical Center | General Acute Care Hospital | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2016-10-11 |
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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 Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649423260 | Hacop Aslanian | Emergency Medicine | 1200 Lakeshore Ave, Oakland, CA 94606-1679 | 2008-10-28 |
1710221403 | Edwin Henry Dietrich | Emergency Medicine | 1411 E 31st St, Oakland, CA 94602-1018 | 2012-11-19 |
1962724948 | Roneesha Starr Knight | Emergency Medicine | 1411 E 31st St, Oakland, CA 94602-1018 | 2010-02-18 |
1639405640 | Tania A Sadoun | Emergency Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2009-10-26 |
1659522852 | Molly Keegan | Emergency Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2008-10-06 |
1699938704 | Melissa K. Middleton | Emergency Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2008-07-08 |
1770592149 | Jordan L Kramer | Emergency Medicine | 2107 Livingston St Ste A, Oakland, CA 94606-5218 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619576576 | Thethong P Thepvong | Emergency Medicine | 900 W Belgravia Ave, Fresno, CA 93706-3909 | 2020-10-21 |
1003441148 | Heather K Mineo | Emergency Medicine | 1908 Spahn Ln, Placentia, CA 92870-2844 | 2020-03-10 |
1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
1215493515 | Karla Beatriz Sonnier | Emergency Medicine | 17822 Cardiff Cir, Huntington Beach, CA 92649-4807 | 2019-02-12 |
1568992923 | American Specialty Physicians Group Inc | Emergency Medicine | 700 17th St Ste 205, Modesto, CA 95354-1249 | 2017-06-18 |
1841659067 | George Michael Savage | Emergency Medicine | 2600 Bridge Parkway, Proteus Digital Health, Redwood City, CA 94065 | 2016-02-16 |
1053779553 | Robert Alan Hochman | Emergency Medicine | 526 Firecrest Court, Newbury Park, CA 91320-5022 | 2016-01-29 |
1578954319 | Amerco Health Enterprise, Inc | Emergency Medicine | 1006 E Bastanchury Rd, Fullerton, CA 92835-2782 | 2015-02-16 |
1134543945 | Francine Vogler | Emergency Medicine | 22631 Pacific Coast Highway, #796, Malibu, CA 90265 | 2014-02-13 |
1396081659 | Kent Benedict | Emergency Medicine | 3283 Valencia Ave, Aptos, CA 95003-4122 | 2012-12-13 |
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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.