Lynne Tamara Tavera (NPI# 1952442535, PAC ID# 9739142175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1952442535 |
| PAC ID by PECOS | 9739142175 |
| Professional Enrollment ID | I20041108000374 |
| Full Name | Lynne Tamara Tavera |
| Organization Legal Name | EAST BAY CENTER FOR DIGESTIVE HEALTH MEDICAL ASSOCIATES INC |
| Address |
300 Frank H Ogawa Plz Suite 450 Oakland CA 94612-2047 |
| Phone Number | 5104443297 |
| Gender | F |
| Credential | NP |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3072588383 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050043 | ALTA BATES SUMMIT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 | 5104443297 | EAST BAY CENTER FOR DIGESTIVE HEALTH MEDICAL ASSOCIATES INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | EAST BAY CENTER FOR DIGESTIVE HEALTH MEDICAL ASSOCIATES INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susie W Cohn | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Liana Vesga | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Neil Howard Stollman | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Danny Wu | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Paul S Chard | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Earl M Darby | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Silvia M Villagomez | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Street Address |
300 FRANK H OGAWA PLZ SUITE 450 |
| City | OAKLAND |
| State | CA |
| Zip | 94612-2047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susie W Cohn | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Liana Vesga | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Neil Howard Stollman | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Danny Wu | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Paul S Chard | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Earl M Darby | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Silvia M Villagomez | Gastroenterology | East Bay Center for Digestive Health Medical Associates Inc | 300 Frank H Ogawa Plz, Suite 450, Oakland, CA 94612-2047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard R Cicinelli | Psychiatry | 2577 San Pablo Ave, Oakland, CA 94612-1159 | |
| David B Schatz | Psychiatry | East Bay Community Recovery Project | 2577 San Pablo Ave, Oakland, CA 94612-1159 |
| Stephen J Ryan | Physical Therapy | 1727 Martin Luther King Jr Way, Suite 210, Oakland, CA 94612-1309 | |
| Diana L Sylvestre | Internal Medicine | 520 27th St, Oakland, CA 94612-1706 | |
| Mihwa Kim | Optometry | 2633 Telegraph Ave, Suite 106, Oakland, CA 94612-1744 | |
| Scott Yoo | Oral Surgery | Scott Yoo Dds Dental Corp | 2710 Telegraph Ave, Oakland, CA 94612-1776 |
| Elina Weiss | Certified Registered Nurse Anesthetist (crna) | Amsurg Oakland Anesthesia Lp | 300 Frank Ogawa Plaza, Suite 135, Oakland, CA 94612-2070 |
| Heather Sharpe | Certified Registered Nurse Anesthetist (crna) | Amsurg Oakland Anesthesia Lp | 300 Frank Ogawa Plaza, Suite 135, Oakland, CA 94612-2070 |
| Laurence D Welch | Certified Registered Nurse Anesthetist (crna) | Amsurg Oakland Anesthesia Lp | 300 Frank Ogawa Plaza, Suite 135, Oakland, CA 94612-2070 |
| Amin Shabbir Azam | Certified Registered Nurse Anesthetist (crna) | Amsurg Oakland Anesthesia Lp | 300 Frank Ogawa Plaza, Suite 135, Oakland, CA 94612-2070 |
| Find all physicians in zip 94612 | |||
| City | OAKLAND |
| Zip Code | 94612 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OAKLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lynne Tamara Tavera.
| 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.