DR. RICHARD DAVID MAMELOK (NPI# 1942624192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942624192 |
| Entity Type | Individual |
| Full Name | DR. RICHARD DAVID MAMELOK |
| Credential | M.D. |
| Practice Address |
364 Churchill Ave Palo Alto CA 94301-3601 |
| Practice Telephone | 6509240347 |
| Mailing Telephone | 6509240347 |
| Enumeration Date | 2014-02-08 |
| Last Update Date | 2014-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G33270 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | THE MEDICAL BOARD OF CALIFORNIA | G33270 | 01 |
| Street Address |
364 CHURCHILL AVE |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94301-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639580442 | Midori Aogaichi | Emergency Medicine | 364 Churchill Ave, Palo Alto, CA 94301-3601 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256430 | Stephen H Smith | Marriage & Family Therapist | 636 Middlefield Road, Palo Alto, CA 94301 | 2020-02-05 |
| 1992367072 | Thomas Mccavitt | Interpreter | Feinberg Medical Clinic, 825 El Camino Real, Palo Alto, CA 94301 | 2019-06-28 |
| 1598321861 | Priyanka Kim Wali, M.d., P.C. | Psychiatry & Neurology | 470 Ramona Street, Palo Alto, CA 94301 | 2019-05-13 |
| 1942716196 | Nancy L Wong | Dermatology | 970 Palo Alto Ave, Palo Alto, CA 94301 | 2017-12-26 |
| 1245751221 | Kurbo Health | Health Educator | 640 Waverley St, Palo Alto, CA 94301 | 2017-06-29 |
| 1023559085 | Michelle Di Montagna | Acupuncturist | 200 California Avenue, Suite 100, Palo Alto, CA 94301 | 2017-03-10 |
| 1265978175 | April Rowe Holman | Psychologist | 667 Lytton Ave. Ste. 5, Palo Alto, CA 94301 | 2017-01-17 |
| 1174975056 | Jeanmarie Barry Cahill | Marriage & Family Therapist | 555 Middle Field Road, Suite 103 B, Palo Alto, CA 94301 | 2016-07-05 |
| 1700247897 | Marie A. Di Pasquale | Allergy & Immunology | 705 Lincoln Avenue, Palo Alto, CA 94301 | 2016-03-16 |
| 1750780128 | Ronces Reyes-pugay | Nurse Practitioner | 795 Elcamino Real, Level 3 Lee Building, Palo Alto, CA 94301 | 2014-08-21 |
| Find all providers in zip 94301 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962040089 | Dr. Taraneh Razavi, A Professional Corporation | Internal Medicine | 211 Quarry Rd Ste 203, Palo Alto, CA 94304-1416 | 2019-12-19 |
| 1376058818 | Gregory David Moon | Internal Medicine | 1843 Channing Ave, Palo Alto, CA 94303-3014 | 2017-12-06 |
| 1437684909 | Nadeem Elias Abou-arraj | Internal Medicine | 500 Pasteur Dr, Palo Alto, CA 94304-1048 | 2017-04-21 |
| 1700264330 | Varun Bipinchandra Shah | Internal Medicine | 300 Pasteur Dr # 5778, Palo Alto, CA 94305-2200 | 2015-05-14 |
| 1386030559 | Robert Kocher | Internal Medicine | 1870 Emerson St, Palo Alto, CA 94301-3717 | 2015-04-14 |
| 1669866620 | Matthew Stevenson | Internal Medicine | 3801 Miranda Avenue, Building 5, C365, Palo Alto, CA 94304 | 2015-03-26 |
| 1942649157 | Can Chen | Internal Medicine | 211 Quarry Rd # 402, Palo Alto, CA 94304 | 2013-06-20 |
| 1962848960 | Amy Chang | Internal Medicine | 300 Pasteur Dr Bldg 134, Palo Alto, CA 94304-2203 | 2013-05-16 |
| 1386900959 | Paul Marcus | Internal Medicine | 3801 Miranda Ave # Mc111, Palo Alto, CA 94304-1207 | 2012-04-07 |
| 1144596842 | Henry T Lew | Internal Medicine | 4205 Ponce Dr, Palo Alto, CA 94306-4633 | 2012-03-27 |
| Find all providers in PALO ALTO | ||||
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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.