JOHN J PANAGOTACOS (NPI# 1982895108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982895108 |
| Entity Type | Individual |
| Full Name | JOHN J PANAGOTACOS |
| Credential | M.D. |
| Practice Address |
1030 Sir Francis Drake Blvd Suite 130 Kentfield CA 94904 |
| Mailing Address |
599 Sir Francis Drake Blvd Suite 206 Greenbrae CA 94904 |
| Practice Telephone | 4155783110 |
| Practice Fax Number | 8885782544 |
| Mailing Telephone | 4155783110 |
| Mailing Fax Number | 8885782544 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2018-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A89953 | CA | Allopathic & Osteopathic Physicians |
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
A89953 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1030 SIR FRANCIS DRAKE BLVD SUITE 130 |
| City | KENTFIELD |
| State | CA |
| Zip Code | 94904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366409922 | Sarah Marie Centeno | Psychiatry & Neurology | 1030 Sir Francis Drake Blvd, Suite 100, Rm 1, Kentfield, CA 94904-1411 | 2006-04-27 |
| 1962944397 | Robin Glantz | Marriage & Family Therapist | 1030 Sir Francis Drake Blvd, Kentfield, CA 94904-1411 | 2016-11-16 |
| 1649722216 | Chloe A. Martin | Psychologist | 1030 Sir Francis Drake Blvd, Suite 100, Room 1, Kentfield, CA 94904-1411 | 2016-10-31 |
| 1003265760 | Starr Kelton-locke | Psychologist | 1030 Sir Francis Drake Blvd, Ste. 100, Kentfield, CA 94904-1411 | 2016-06-03 |
| 1215304753 | Parnell Medical Corporation | Clinic/Center | 1030 Sir Francis Drake Blvd, Suite 110, Kentfield, CA 94904-1411 | 2015-09-01 |
| 1629457361 | Gerry Snelling | Chiropractor | 1030 Sir Francis Drake Blvd, Suite 130, Kentfield, CA 94904-1411 | 2015-05-27 |
| 1942690599 | Christine Dalva | Registered Nurse | 1030 Sir Francis Drake Blvd, Suite 110, Kentfield, CA 94904-1411 | 2015-02-03 |
| 1386892537 | Eleanor Lusignan | Marriage & Family Therapist | 1030 Sir Francis Drake Blvd, Suite 120, Kentfield, CA 94904-1411 | 2008-08-29 |
| 1194915959 | Nikoo S Khansari | Counselor | 1030 Sir Francis Drake Blvd, Suite 120, Kentfield, CA 94904-1411 | 2007-07-27 |
| 1235267071 | Jack Warren Maslow | Counselor | 1030 Sir Francis Drake Blvd, Suite 125, Kentfield, CA 94904-1411 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1134730906 | West Coast Valley Medical Inc | Psychiatry & Neurology | 3357 Cahuenga Blvd W # 18, Los Angeles, CA 90068-1327 | 2020-08-13 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1427689256 | Alejandro F Centurion Md Inc | Psychiatry & Neurology | 100 Clock Tower Pl Ste 225, Carmel, CA 93923-8778 | 2020-01-30 |
| 1659901254 | Kern County Neurological Medical Group, Inc | Psychiatry & Neurology | 18645 Gale Ave Ste 228b, City of Industry, CA 91748-1363 | 2020-01-22 |
| 1609415314 | Aspire Holdings, Inc | Psychiatry & Neurology | 28212 Kelly Johnson Pkwy Ste 215, Valencia, CA 91355-5090 | 2019-12-27 |
| 1336785187 | Tp-health Ca PC | Psychiatry & Neurology | 201 E Center St Ste 112, Anaheim, CA 92805-7212 | 2019-11-26 |
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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.