Eitan A Homa (NPI# 1326120718, PAC ID# 4880634849) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1326120718 |
| PAC ID by PECOS | 4880634849 |
| Professional Enrollment ID | I20050511000171 |
| Full Name | Eitan A Homa |
| Organization Legal Name | EITAN HOMA MD AND JENNIFER KRASNOFF MD INC |
| Address |
500 Alfred Nobel Dr Suite 245 Hercules CA 94547-1843 |
| Phone Number | 5107417418 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5890735856 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 500 Alfred Nobel Dr, Suite 245, Hercules, CA 94547-1843 | 5107417418 | EITAN HOMA MD AND JENNIFER KRASNOFF MD INC |
| 165 Lynch Creek Way, Petaluma, CA 94954-2343 | 7077625531 | EITAN HOMA MD AND JENNIFER KRASNOFF MD INC |
| Organization Legal Name | EITAN HOMA MD AND JENNIFER KRASNOFF MD INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bertha Lin | Dermatology | Eitan Homa Md and Jennifer Krasnoff Md Inc | 165 Lynch Creek Way, Petaluma, CA 94954-2343 |
| Carla A Fisher | Dermatology | Eitan Homa Md and Jennifer Krasnoff Md Inc | 500 Alfred Nobel Dr, Suite 245, Hercules, CA 94547-1843 |
| Whitney Ann Penelope Fisk | Dermatology | Eitan Homa Md and Jennifer Krasnoff Md Inc | 165 Lynch Creek Way, Petaluma, CA 94954-2343 |
| Jennifer B Krasnoff | Dermatology | Eitan Homa Md and Jennifer Krasnoff Md Inc | 500 Alfred Nobel Dr, Suite 245, Hercules, CA 94547-1843 |
| Street Address |
500 ALFRED NOBEL DR SUITE 245 |
| City | HERCULES |
| State | CA |
| Zip | 94547-1843 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Kerenyi | Chiropractic | 500 Alfred Nobel Dr, 175 San Pablo Chiro, Hercules, CA 94547-1842 | |
| Carla A Fisher | Dermatology | Eitan Homa Md and Jennifer Krasnoff Md Inc | 500 Alfred Nobel Dr, Suite 245, Hercules, CA 94547-1843 |
| Jonathan Jacob Uy | Podiatry | 500 Alfred Nobel Dr, Suite 265, Hercules, CA 94547-1844 | |
| Janet Chan | Optometry | 500 Alfred Nobel Dr, Suite 138, Hercules, CA 94547-1839 | |
| Maria Escalada | Family Medicine | Sycamore Medical Group Inc | 500 Alfred Nobel Dr, Suite 150, Hercules, CA 94547-1842 |
| Rodolfo Cadang | Internal Medicine | Sycamore Medical Group Inc | 500 Alfred Nobel Dr, Suite 150, Hercules, CA 94547-1842 |
| Jennifer B Krasnoff | Dermatology | Eitan Homa Md and Jennifer Krasnoff Md Inc | 500 Alfred Nobel Dr, Suite 245, Hercules, CA 94547-1843 |
| Lilia I Lizano | Obstetrics/gynecology | 500 Alfred Nobel Dr, Suite 200, Hercules, CA 94547-1840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darren J Ng | Optometry | 3700 San Pablo Ave, Suite 5, Hercules, CA 94547-3968 | |
| Garrett Tyler Milner | Optometry | 1375 Sycamore Ave, Suite 150e, Hercules, CA 94547-5540 |
| City | HERCULES |
| Zip Code | 94547 |
| Specialty | DERMATOLOGY |
| City + Specialty | HERCULES + DERMATOLOGY |
Please comment or provide details below to improve the information on Eitan A Homa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.