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, NPI 1396747507

Internal Medicine in AVALON, PA

Last Updated on : Sep 23,2022

About (NPI 1396747507)


is an Internal Medicine in AVALON, United States with a focus in Nephrology.

1396747507 is NPI number of .

's primary taxonomy code based on NPI Lookup is 207RN0300X . This taxonomy code refers to Internal Medicine.

current practice location address is 824 CALIFORNIA AVE, AVALON, PA. can be reached out via phone at 412-766-3232 and via fax at 412-766-1306 .

You can also correspond with through mail at mailing address 824 CALIFORNIA AVE, AVALON, PA, United States. Mailing address contact number is 412-766-3232.

The enumeration date of is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 1 years ago.

The authorized official of is Gabriel Weinberg (Physician). Gabriel Weinberg can be reached at 4127663232.

1396747507 NPI Information

Name
National Provider Id (NPI) 1396747507
Entity Type Organization
Practice Address 824 CALIFORNIA AVE,
AVALON, PA, United States
Practice Telephone 412-766-3232
Practice Fax Number 412-766-1306
Mailing Address 824 CALIFORNIA AVE ,
AVALON, PA, United States
Mailing Telephone 412-766-3232
Mailing Fax Number 412-766-4320
Enumeration Date 01-Jun-2005
Last Updated Date 23-Sep-2022

(NPI 1396747507) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207RN0300X Internal Medicine, Nephrology PA

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
001067078009 MEDICAID (05) PA
006182000 MEDICAID (05) WV
0654073 MEDICAID (05) OH

(NPI 1396747507) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1336892074 JENNIFER FRANCES DIAZ Behavior Technician 5 EMPIRE LANDING ROAD,
AVALON, CA, United States
02-Feb-2022
1750689675 CATHERINE PHYLLIS EGAN Naturopath PO BOX 1211,
AVALON, CA, United States
01-Mar-2011
1336772458 EVELING LOPEZ Behavior Technician PO BOX 523,
AVALON, CA, United States
17-Feb-2020
1881289171 ANDREA OLSON DIAZ Marriage & Family Therapist PO BOX 1209,
AVALON, CA, United States
08-Mar-2021
1114042140 ANITA BUSSING Marriage & Family Therapist 3711 LONG BEACH BLVD, SUITE 600
LONG BEACH, CA, United States
20-Mar-2007
1215052832 BERTHA ALICIA RAMOS Social Worker, Clinical 811 W 232ND ST UNIT C,
TORRANCE, CA, United States
20-Mar-2007
1619193992 MARK A HAMILTON Chiropractor 126 SUMNER AVE,
AVALON, CA, United States
17-Apr-2007
1093932741 SYLVIA M VIGIL Case Manager/Care Coordinator PO BOX 2170,
AVALON, CA, United States
20-Apr-2007
1427278647 ELIZABETH ANN FELLOWS Marriage & Family Therapist PO BOX 2282,
AVALON, CA, United States
27-Apr-2007
1568683126 BENEDETTO A CALISE Dentist, General Practice 204 METROPOLE AVE, P.O. BOX 1532
AVALON, CA, United States
01-May-2007
1396311957 YURITZY MARIE BRAVO Counselor, School PO BOX 2327,
AVALON, CA, United States
02-Jun-2021
1093974222 AIMEE JOANNE WARREN Family Medicine 100 FALLS CANYON ROAD,
AVALON, CA, United States
03-Jun-2008
1790975969 KARLA MARGUERITE PERISHO Nurse Practitioner, Family 100 FALLS CANYON ROAD,
AVALON, CA, United States
25-Jul-2007
1639300429 KATHERINE FRAME COLEMAN Speech-Language Pathologist, PO BOX 1985,
AVALON, CA, United States
28-Jul-2009
1346250347 AVALON MEDICAL DEVELOPMENT CORPORATION Clinic/Center, Critical Access Hospital 100 FALLS CANYON ROAD,
AVALON, CA, United States
09-Aug-2006
1902815954 BRIAN J KUHN Family Medicine 209 RIFLE PEAK CT,
INCLINE VILLAGE, NV, United States
07-Aug-2006
1396391397 SANTA ANN DOMINGUEZ Nurse Practitioner, Family PO BOX 1563,
AVALON, CA, United States
15-Aug-2019
1518959683 SUSAN L PONCE Pharmacist PO BOX 851,
AVALON, CA, United States
16-Aug-2005
1417206632 CHIA SHEN Nutritionist 126 SUMNER AVE, UNIT 2
AVALON, CA, United States
04-Sep-2012
1619376027 RYAN JAMES FAIT Dentist 2700 N BELLFLOWER BLVD, SUITE#206
LONG BEACH, CA, United States
21-Aug-2014

FAQs

Whose NPI Number is 1396747507?

1396747507 is the NPI number of .

Where is located?

is located at 824 CALIFORNIA AVE, AVALON, PA.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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