CIARAN JACKA (NPI# 1891735445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891735445 |
| Entity Type | Individual |
| Full Name | CIARAN JACKA |
| Credential | DPM |
| Practice Address |
19845 Lake Chabot Rd Suite 301 Castro Valley CA 94546-4055 |
| Practice Telephone | 5105811484 |
| Practice Fax Number | 5105817779 |
| Mailing Telephone | 5105811484 |
| Mailing Fax Number | 5105817779 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2017-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4622 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E46220 | 05 |
| Street Address |
19845 LAKE CHABOT RD SUITE 301 |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869868 | Sidney Evan Wanetick | Obstetrics & Gynecology | 19845 Lake Chabot Rd, Ste 302, Castro Valley, CA 94546-4055 | 2005-05-31 |
| 1780022640 | Joseph A Karam, Md | Specialist | 19845 Lake Chabot Rd, Suite 200, Castro Valley, CA 94546-4055 | 2013-06-12 |
| 1265787659 | Amber Louise Jones | Surgery | 19845 Lake Chabot Rd, Castro Valley, CA 94546-4055 | 2012-07-21 |
| 1982960084 | East Bay Trauma & Acute Care Surgery Inc. | Specialist | 19845 Lake Chabot Rd, 200, Castro Valley, CA 94546-4055 | 2012-04-03 |
| 1043519531 | Vishal Ghevariya | Internal Medicine | 19845 Lake Chabot Rd, Ste 104, Castro Valley, CA 94546-4055 | 2011-03-23 |
| 1083891212 | George D Cowen, Md Professional Corp | Internal Medicine | 19845 Lake Chabot Rd, Suite 211, Castro Valley, CA 94546-4055 | 2008-01-30 |
| 1073707923 | Carolyn Elizabeth Mcaloon | Podiatrist | 19845 Lake Chabot Rd, Suite 301, Castro Valley, CA 94546-4055 | 2007-09-04 |
| 1932325446 | Jeffrey Singerman | Internal Medicine | 19845 Lake Chabot Rd, Suite 104, Castro Valley, CA 94546-4055 | 2007-04-17 |
| 1578696134 | Terence C. Wong, A Professional Dental Corporation | Dentist | 19845 Lake Chabot Rd, Suite #210, Castro Valley, CA 94546-4055 | 2007-03-13 |
| 1336279785 | Sarah H Lindahl | Physician Assistant | 19845 Lake Chabot Rd, Suite #302, Castro Valley, CA 94546-4055 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073707923 | Carolyn Elizabeth Mcaloon | Podiatrist | 19845 Lake Chabot Rd, Suite 301, Castro Valley, CA 94546-4055 | 2007-09-04 |
| 1508924507 | Naleen Lata Prasad | Podiatrist | 19845 Lake Chabot Rd, Suite 301, Castro Valley, CA 94546-4055 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
Please comment or provide details below to improve the information on CIARAN JACKA.
| 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.