REBECCA LYNN SUDORE


Address: 4150 Clement Street, #181g, Ucsf-sfvamc, San Francisco, CA 94121
Phone: 4152214810

REBECCA LYNN SUDORE (NPI# 1851371744) 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) 1851371744
Entity Type Individual
Full Name REBECCA LYNN SUDORE
Credential M.D.
Practice Address 4150 Clement Street, #181g
Ucsf-sfvamc
San Francisco
CA 94121
Practice Telephone 4152214810
Practice Fax Number 4157506641
Mailing Telephone 4152214810
Mailing Fax Number 4157506641
Enumeration Date 2006-01-18
Last Update Date 2007-07-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
A75060 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 4150 CLEMENT STREET, #181G
UCSF-SFVAMC
City SAN FRANCISCO
State CA
Zip Code 94121

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316443815 Joanne Mott Community Health Worker Richmond Area Multi Services, 3626 Balboa St., San Francisco, CA 94121 2018-04-03
1851897359 Jeffrey Cheng Community Health Worker Richmond Area Multi Services 3626 Balboa St., San Francisco, CA 94121 2018-04-03
1245739283 George Howard Herzog Clinical Nurse Specialist 4150 Clement St G1-111b1, San Francisco, CA 94121 2018-02-05
1063931228 Dianna Welsh Marriage & Family Therapist 750 33rd Ave., San Francisco, CA 94121 2017-09-19
1144616590 Lindsey Merrihew Haddock Internal Medicine 4150 Clement St Bldg 1306b, San Francisco, CA 94121 2015-04-13
1184027229 Laura Weissberger Social Worker 6211 Geary Blvd, 2nd Floor, San Francisco, CA 94121 2014-10-03
1548676901 Martha J Ignaszewski Psychiatry & Neurology 4150 Clement St Rm 19, San Francisco, CA 94121 2014-07-07
1912338195 Katie Francesconi Peters Physical Therapist 1921 Lake St Apt 1, San Francisco, CA 94121 2013-12-12
1649601717 William Hua Psychologist 4150 Clement St (116b), San Francisco, CA 94121 2013-11-27
1396182721 Gregory Lariviere Judson Student in an Organized Health Care Education/Training Program 4150 Clement St. Box 111a, Vamc, San Francisco, CA 94121 2013-05-24
Find all providers in zip 94121

Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144616590 Lindsey Merrihew Haddock Internal Medicine 4150 Clement St Bldg 1306b, San Francisco, CA 94121 2015-04-13
1912296799 Laura Phyllis Perry Internal Medicine 490 Illinois St Fl 8, San Francisco, CA 94158-2510 2011-04-01
1912137951 Michael J A Reid Internal Medicine Zuckerburg General Hospital, 1001 Protero Avenue, San Francisco, CA 94110 2009-07-24
1790904084 Frank William Ryning Internal Medicine 1339 4th Ave, San Francisco, CA 94122-2615 2007-04-25
1952423931 Richard M. Dennes Internal Medicine 285 Edgewood Ave, San Francisco, CA 94117-3714 2007-04-03
1497867469 Frederick J. Fox Internal Medicine 4150 Clement St # 181g, Veterans Affairs Medical Center, San Francisco, CA 94121-1545 2006-08-31
1124134309 Eric Walter Widera Internal Medicine 4150 Clement St # 181nh, San Francisco, CA 94121-1545 2006-08-21
1215968797 Leslie P Kernisan Internal Medicine 554 Clayton St #170376, San Francisco, CA 94117-0376 2006-07-05
1477583029 Kateri Murray Internal Medicine 1400 Geary Blvd, San Francisco, CA 94109-6561 2006-07-03
1689652612 Kathryn Lea Sewell Internal Medicine 1515 Baker St, San Francisco, CA 94115-2908 2006-01-09
Find all providers in SAN FRANCISCO

Competitor

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City SAN FRANCISCO
Zip Code 94121

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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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