LAMORINDA ENT FACE & NECK SURGERY INC (NPI# 1992985923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992985923 |
| Entity Type | Organization |
| Organization Name | LAMORINDA ENT FACE & NECK SURGERY INC |
| Practice Address |
911 Moraga Road Suite 102 Lafayette CA 94549-4591 |
| Mailing Address |
911 Moraga Road Suite 102 Lafayette CA 94549 |
| Practice Telephone | 9252999919 |
| Practice Fax Number | 9252999924 |
| Mailing Telephone | 9252999919 |
| Mailing Fax Number | 9252999924 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2012-01-23 |
| Authorized Official Name | DR. SASSAN FALSAFI (OTOLARYNGOLOGIST) |
| Authorized Official Telephone | 9252999919 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | LAMORINDA ENT FACE & NECK SURGERY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | A85934 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
911 MORAGA ROAD SUITE 102 |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549-4591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699295956 | David Joseph Trout | Otolaryngology | 816 Lazy Ln, Lafayette, IN 47904-2722 | 2017-06-27 |
| 1184966962 | Rachel Alice Barry | Otolaryngology | 4212 W Congress St Ste 1500, Lafayette, LA 70506 | 2013-03-20 |
| 1548552094 | Adam Luke Honeybrook | Otolaryngology | 1103 Kaliste Saloom Rd Ste 300, Lafayette, LA 70508-5784 | 2011-05-03 |
| 1861453201 | Acadiana Otolaryngology Head and Neck Surgery LLC | Otolaryngology | 515 S College Rd, Suite 255, Lafayette, LA 70503-3352 | 2006-03-28 |
| 1245209899 | Lisa B David | Otolaryngology | 109 Rue Fountaine, Lafayette, LA 70508-5744 | 2006-03-16 |
| 1730158320 | David J Foreman | Otolaryngology | 1039 Camellia Blvd, Lafayette, LA 70508-6679 | 2006-03-16 |
| 1013986090 | Carl B Alldredge | Otolaryngology | 225 Bendel Rd, Lafayette, LA 70503-2903 | 2006-03-14 |
| 1710985049 | Michael Todd Griffin | Otolaryngology | 1000 W Pinhook Rd Ste 201, Lafayette, LA 70503-2464 | 2005-07-11 |
| 1881972735 | Kenneth L. Odinet, Jr., D.d.s., M.d., Apmc | Otolaryngology | 200 Beaullieu Dr, Bldg. 6, Lafayette, LA 70508-7230 | 2011-07-26 |
| 1093001315 | James R White Jr. | Otolaryngology | 1039 Camellia Blvd, Lafayette, LA 70508-6679 | 2011-06-24 |
| Find all providers in LAFAYETTE | ||||
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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.