MICHAEL PONEDELNIKOV (NPI# 1952488819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952488819 |
| Entity Type | Individual |
| Full Name | MICHAEL PONEDELNIKOV |
| Credential | MD |
| Practice Address |
1600 W Campbell Ave Ste 202 Campbell CA 95008-1526 |
| Practice Telephone | 4083782215 |
| Practice Fax Number | 4083786822 |
| Mailing Telephone | 4083782215 |
| Mailing Fax Number | 4083786822 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2016-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A67428 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A674280 | 05 |
| Street Address |
1600 W CAMPBELL AVE STE 202 |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
| Find all providers in zip 95008 | ||||
| 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 |
|---|---|---|---|---|
| 1952911315 | Ingham Healthcare A Professional Corporation | Internal Medicine | 1999 S Bascom Ave Ste 1020, Campbell, CA 95008-2206 | 2020-07-31 |
| 1265877237 | Amerimed | Internal Medicine | 1300 White Oaks Rd, Suite 206, Campbell, CA 95008-6781 | 2013-05-05 |
| 1730493693 | Joyce P. Orndorff | Internal Medicine | 220 E. Hacienda Ave., Bldg. D, The Permanente Medical Group, Campbell Medical Offices, Campbell, CA 95008 | 2010-08-03 |
| 1801988977 | Lily Helen Boris | Internal Medicine | 210 East Hacienda Avenue, Campbell, CA 95008 | 2006-09-28 |
| 1639157274 | Michael David Stein | Internal Medicine | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2006-01-04 |
| 1912268616 | Manasi Malvankar Nabar | Internal Medicine | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2012-05-30 |
| 1912071226 | Divya Satia | Internal Medicine | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2006-11-20 |
| 1922170745 | Inna Spier | Internal Medicine | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2006-11-15 |
| 1922186410 | Asmita Patel | Internal Medicine | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2006-11-01 |
| 1518044460 | Lily C. Lee | Internal Medicine | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2006-10-31 |
| Find all providers in CAMPBELL | ||||
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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.