SANTA CLARA CO IPA (NPI# 1902930381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902930381 |
| Entity Type | Organization |
| Organization Name | SANTA CLARA CO IPA |
| Practice Address |
1051 E. Hillsdale Blvd Suite 750 Foster City CA 94404-1640 |
| Practice Telephone | 6503585834 |
| Practice Fax Number | 6505779830 |
| Mailing Telephone | 6503585834 |
| Mailing Fax Number | 6505779830 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2011-11-18 |
| Authorized Official Name | DR. J. KERSTEN KRAFT (PRESIDENT) |
| Authorized Official Telephone | 6503585834 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers |
| Street Address |
1051 E. HILLSDALE BLVD SUITE 750 |
| City | FOSTER CITY |
| State | CA |
| Zip Code | 94404-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821112871 | Sonoma County Primary Care Ipa | Contractor | 1051 E. Hillsdale Blvd, Suite 750, Foster City, CA 94404-1640 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497235709 | Kathleen Clare Tamm | Marriage & Family Therapist | 716 Coronado Lane, Foster City, CA 94404 | 2018-08-16 |
| 1699126128 | Pooja Dhir | Chiropractor | 951 Edgewater Boulevard, Suite B, Foster City, CA 94404 | 2016-06-27 |
| 1043670441 | Charlene Hsiaoching Chang | Nurse Practitioner | 987 E Hillsdale Blvd # 9879, Foster City, CA 94404 | 2016-02-26 |
| 1346605938 | Roderick Cooper | Specialist | 1108 S. El Camino Real, San Mateo, CA 94404 | 2015-12-23 |
| 1538594452 | Marie-josee Landry | Dentist | 581, Foster City Blvd, Foster City, CA 94404 | 2013-09-10 |
| 1184963852 | Jerome Nillo | Physical Therapist | 1049 Foster City Blvd., Apt C, Foster City, CA 94404 | 2013-01-31 |
| 1710230826 | Ascend Genomics, LLC | Pathology | 320 Hatch Dr, Foster City, CA 94404 | 2012-10-26 |
| 1962753533 | Qiong Chen | Acupuncturist | 885 Balboa Ln, Foster City, CA 94404 | 2012-09-24 |
| 1518226968 | Elham Attari | Physical Therapist | 808 Cortez Ln, Foster City, CA 94404 | 2012-05-04 |
| 1437451861 | Thalia Maryam Farshchian | Naturopath | 1098 Foster City Blvd Suite 305, Foster City, CA 94404 | 2010-11-17 |
| Find all providers in zip 94404 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073132767 | Deaunne Denmark | Medical Genetics, Ph.D. Medical Genetics | 373 S Monroe St Ste 202, San Jose, CA 95128-5126 | 2020-04-13 |
| 1578012498 | Andre Turner | Medical Genetics, Ph.D. Medical Genetics | 120 N 13th Ave Apt D, Upland, CA 91786-5584 | 2016-10-04 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1952856205 | Sana Alexandrovna Nodelman | Medical Genetics, Ph.D. Medical Genetics | 7224 Hillside Ave, 26, Los Angeles, CA 90046-2359 | 2016-08-16 |
| 1124496690 | Renz Lorenz Gatchalian | Medical Genetics, Ph.D. Medical Genetics | 2416 W Tennyson Rd Apt 308, Hayward, CA 94545-4158 | 2015-09-14 |
| 1285902080 | Gail Humble | Medical Genetics, Ph.D. Medical Genetics | 101 N PCh Hwy Ste 102, Redondo Beach, CA 90277-3149 | 2011-12-07 |
| 1598040784 | Maternal Fetal Medicine Medical Group of Southern California | Medical Genetics, Ph.D. Medical Genetics | 207 S. Santa Anita Street, Suite 338, Sangabriel, CA 91776-1160 | 2011-10-19 |
| 1518129048 | Dr Brian F Topkis A Medical Group | Medical Genetics, Ph.D. Medical Genetics | 2021 Mt Diablo Blvd #100, Walnut Creek, CA 94596 | 2008-06-26 |
| 1396946224 | Ramiro Futalan Sr. | Medical Genetics, Ph.D. Medical Genetics | 8292 Telegraph Rd, Downey, CA 90240-2277 | 2007-05-29 |
| 1518178110 | Fatolah Ferdowsian | Medical Genetics, Ph.D. Medical Genetics | 8845 E Crestview Ln, Anaheim, CA 92808-1664 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
| City | FOSTER CITY |
| Zip Code | 94404 |
Please comment or provide details below to improve the information on SANTA CLARA CO IPA.
| 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.